American Fork Medicaid payments for National Codes Established for State Medicaid Agencies category rise to $1.98 million in 2024

In 2024, Medicaid providers in American Fork charged $1,975,449 for services falling under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That represents a 41.4% increase from 2023, when claims for the same service category totaled $1,397,276.

Medicaid operates as a state-run public insurance program with joint funding from federal and state governments and covers low-income individuals and families, older adults, children, and people with disabilities. This program makes up a significant portion of the overall U.S. health care system. More funding details are available here.

Since Medicaid financing is taxpayer-funded, fluctuations in local billing can indicate how public health resources are distributed within a community.

The “National Codes Established for State Medicaid Agencies” classification encompasses services defined by care type using standardized HCPCS and CPT code groups. Each billing code was placed under a single service category following consistent prefixes and number ranges for this analysis, which groups related services, prevents double counting, and helps monitor rankings accurately over time.

Across categories, the National Codes Established for State Medicaid Agencies led American Fork by total Medicaid payments in 2024.

Within Utah, this category ranked fourth by overall Medicaid payments in 2024.

In the five years concluded in 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies in American Fork rose by $49,460, or 2.6%. Growth rates accelerated during some intervals, with large year-on-year increases notably in 2023 and 2022.

Although these services are offered throughout the city, in 2024 Medicaid reimbursements were concentrated in a narrow set of ZIP codes. The ZIP code 84003 accounted for the entirety of Medicaid payments under this category with $1,975,449. In total, the top 1 ZIP code represented 100% of all related Medicaid payments in American Fork that year.

Most Medicaid payments within the National Codes Established for State Medicaid Agencies category were directed to a limited group of specific billing codes.

In comparison, the 41.4% rise for this category between 2024 and 2023 outpaced the 14.9% change reported for all Medicaid payment categories in American Fork during the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending collectively reached about $871.7 billion in fiscal year 2023, which represents around 18% of total U.S. health expenditure. This is up sharply from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This nearly 40% increase in just a few years is primarily the result of expanded enrollment and greater service utilization during and after the pandemic period.

Federal budget legislation passed during the Trump administration included significant initiatives to reduce federal Medicaid commitments and alter the structure of the program. The “One Big Beautiful Bill Act,” which became law in 2025, is set to cut more than $1 trillion in federal Medicaid spending over the upcoming decade and establish regulations such as work requirements and higher cost-sharing. These measures could decrease coverage and shift financial responsibilities to states, curbing federal growth in the program despite its continued service to tens of millions.

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.