Providence Medicaid spending on Medicine Services and Procedures climbs to $204,925 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Providence billed $204,925 for services grouped under the Medicine Services and Procedures category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The amount improved by 141.4% compared with 2023, when $84,894 in claims were recorded for the same types of services.

Medicaid, the public health insurance program administered by states and financed by both federal and state governments, supports low-income people, older adults, children, and people with disabilities, positioning it as a key funding source in the U.S. health care system.

Changes in local Medicaid billing levels, which are publicly funded, reflect how health care resources are used within a given community.

The “Medicine Services and Procedures” category covers a range of Medicaid-billed services based on specific HCPCS and CPT code groupings. In the analysis, each code was included in just one service category using established code prefixes and numeric clusters to ensure no overlap and accurate longitudinal comparisons.

Though spending rose in many service areas, Medicine Services and Procedures ranked third by total Medicaid payments in Providence for 2024.

On a statewide level, Medicine Services and Procedures stood first among Medicaid payment categories in Utah for 2024.

Over the five-year period preceding 2024, Medicaid spending on Medicine Services and Procedures in Providence grew by $188,441, or 1,143.2%. The upward trend saw significant jumps during certain years, notably in 2020 and 2022.

While payments for Medicine Services and Procedures stretched across Providence, a handful of ZIP codes represented the majority of the spending. In 2024, the 84332 ZIP code accounted for $204,924. Collectively, the top ZIP code made up 100% of all Medicaid paying linked to Medicine Services and Procedures in Providence that year.

Within the category, the majority of Medicaid spending was connected to just a small selection of individual billing codes.

For additional local context, the 141.4% increase in Providence between 2024 and 2023 for Medicine Services and Procedures far outpaced the 2% change observed citywide across all Medicaid claim categories in the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid combined expenditures reached approximately $871.7 billion in the 2023 fiscal year, making up about 18% of the total national health care spending, and reflecting a steep rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

The surge equates to about 40% growth over a few years, largely driven by rising enrollment numbers and use of services during and after the pandemic.

Federal budget legislation introduced during the Trump administration brought substantial proposals, such as the “One Big Beautiful Bill Act,” signed in 2025, which is estimated to reduce federal Medicaid funding by over $1 trillion over 10 years and institute increased cost-sharing and work requirements, potentially decreasing both coverage and funding for some program recipients. These adjustments are expected to place more fiscal responsibility on states and curb the expansion of federal Medicaid assistance, even while the program remains critical for tens of millions of Americans.

Medicaid Payments Tied to Medicine Services and Procedures in Providence, Utah Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $16,483 10143.3%
2021 $26,169 58.8%
2022 $68,675 162.4%
2023 $84,894 23.6%
2024 $204,924 141.4%
Top Categories by Medicaid Payments in Providence, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Anesthesia $551,503 44.8%
2 Surgery $226,281 18.4%
3 Medicine Services and Procedures $204,924 16.6%
4 Alcohol and Drug Abuse Treatment $104,555 8.5%
5 Dental Services $85,850 7%
6 Evaluation and Management $58,455 4.7%
7 National Codes Established for State Medicaid Agencies $613 <0.1%
8 Drugs Administered Other than Oral Method $139 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Providence, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
90853 Group psychotherapy $103,712 14
90837 Psytx w pt 60 minutes $100,288 13
96127 Brief emotional/behav assmt $923 24

Note: HCPCS codes are shown for context within the category. Category totals and rankings in this article are based on standardized service groupings rather than individual billing codes.

Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.



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