In 2024, providers in Sandy billed a total of $2,987,530 to Medicaid under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 19.4% increase from 2023, when claims for the same services amounted to $2,502,489.
Medicaid is a state-operated health insurance program funded jointly by the federal and state governments. The program covers low-income people and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.
Because taxpayers fund Medicaid, local billing trends reflect how public health care funds are distributed within a given community.
The “Medicine Services and Procedures” category includes Medicaid reimbursement for services grouped by care type, using standard HCPCS and CPT code sets. In this analysis, each code was assigned to a single service category using a uniform classification system that aligns similar codes, avoiding double counting and maintaining accurate year-over-year comparisons.
Spending rose broadly across Medicaid service categories, and Medicine Services and Procedures ranked as the second largest in total Medicaid payments in Sandy for 2024.
Statewide in Utah, Medicine Services and Procedures was the leading category for Medicaid payments in 2024.
Between 2019 and 2024, Medicaid spending on Medicine Services and Procedures in Sandy climbed by $1,189,343, or 66.1%. Some years saw stronger growth, particularly in 2023 and 2022, when annual increases were pronounced.
Although spending on Medicine Services and Procedures was spread throughout the city, most payments were concentrated in specific ZIP codes. In 2024, the highest spending occurred in ZIP code 84070 with $1,858,505, followed by 84094 at $939,344, and 84093 with $136,265. Combined, these 3 ZIP codes made up 98.2% of all Medicaid payments in this category within Sandy for the year.
Within the category, a small number of billing codes accounted for the majority of Medicaid payments in Sandy.
For comparison, while Medicaid payments for Medicine Services and Procedures rose 19.4% from 2023 to 2024, total payments for all Medicaid claim categories in Sandy increased by 25.3% over the same period.
Data from the Centers for Medicare & Medicaid Services shows combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up around 18% of all U.S. health care expenses. This is up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase represents about 40% growth over several years, primarily due to enrollment expansion and greater utilization during and after the pandemic.
Recent federal budget measures adopted during the Trump administration have included major proposals to reduce federal Medicaid funding and adjust the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion in federal Medicaid spending over the next decade and add requirements such as work eligibility and higher cost-sharing. These policies could reduce coverage and funding for some beneficiaries, increasing the state cost share and limiting growth in future federal support while the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,798,187 | -1.9% |
| 2021 | $1,849,174 | 2.8% |
| 2022 | $2,000,767 | 8.2% |
| 2023 | $2,502,488 | 25.1% |
| 2024 | $2,987,529 | 19.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $4,611,697 | 44.7% |
| 2 | Medicine Services and Procedures | $2,987,529 | 29% |
| 3 | Evaluation and Management | $1,170,402 | 11.4% |
| 4 | Ambulance and Other Transport Services and Supplies | $613,692 | 6% |
| 5 | Alcohol and Drug Abuse Treatment | $461,378 | 4.5% |
| 6 | Medical And Surgical Supplies | $365,974 | 3.5% |
| 7 | Surgery | $34,261 | 0.3% |
| 8 | Hearing Services | $32,326 | 0.3% |
| 9 | Durable Medical Equipment | $16,507 | 0.2% |
| 10 | Dental Services | $9,021 | 0.1% |
| 11 | Pathology and Laboratory Procedures | $6,539 | 0.1% |
| 12 | Procedures / Professional Services | $234 | <0.1% |
| 13 | Diagnostic Radiology Services | $4 | <0.1% |
| 14 | Temporary Codes | $2 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90837 | Psytx w pt 60 minutes | $1,576,672 | 82 |
| 90853 | Group psychotherapy | $517,316 | 37 |
| 90791 | Psych diagnostic evaluation | $275,493 | 31 |
| 90847 | Family psytx w/pt 50 min | $259,693 | 24 |
| 90834 | Psytx w pt 45 minutes | $83,104 | 16 |
| 97112 | Neuromuscular reeducation | $77,824 | 22 |
| 90833 | Psytx w pt w e/m 30 min | $60,912 | 14 |
| 97530 | Therapeutic activities | $45,205 | 17 |
| 97110 | Therapeutic exercises | $42,554 | 29 |
| 97140 | Manual therapy 1/> regions | $16,222 | 12 |
| 90832 | Psytx w pt 30 minutes | $9,697 | 7 |
| 97162 | Pt eval mod complex 30 min | $7,592 | 9 |
| 90472 | Immunization admin each add | $2,713 | 11 |
| 90471 | Immunization admin | $2,585 | 11 |
| 97010 | Hot or cold packs therapy | $2,070 | 12 |
| 97535 | Self care mngment training | $1,773 | 5 |
| 96372 | Ther/proph/diag inj sc/im | $1,460 | 7 |
| 97163 | Pt eval high complex 45 min | $1,406 | 3 |
| 96110 | Developmental screen w/score | $1,142 | 11 |
| 90474 | Immune admin oral/nasal addl | $725 | 11 |
Note: HCPCS codes are provided for context. The article’s category totals and rankings are calculated based on organized service groupings instead of single billing codes.
This report relies on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data can be accessed here.