Medicaid outlays for orthotic procedures in Pleasant Grove climb to $347,114 in 2024

In 2024, providers in Pleasant Grove billed $347,114 to Medicaid for Orthotic Procedures and services, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending dataset. This reflects a 29.2% rise from 2023, when $268,733 worth of claims were submitted for the same services.

Medicaid, a public health coverage program administered by the states with joint state and federal funding, insures low-income people, families, seniors, children, and individuals with disabilities. As such, it makes up a major segment of the nation’s health care delivery.

Since Medicaid payments rely on taxpayer funds, fluctuations in local billing patterns reflect shifts in how each community’s health care funding is distributed.

The “Orthotic Procedures and services” group encompasses services classified by standardized HCPCS and CPT code bundles based on care type. This report assigned each billing code to a single service grouping to enable clear analysis, prevent double counting, and ensure transparent ranking of categories over multiple years.

Orthotic Procedures and services ranked fourth highest among Pleasant Grove’s Medicaid service categories by total expenditure in 2024, amid overall growth in multiple categories.

Statewide, Orthotic Procedures and services stood at 17th by total Medicaid payments in Utah in 2024.

Across a five-year span ending in 2024, Medicaid payments linked to Orthotic Procedures and services in Pleasant Grove surged by $338,243, a 3813.1% increase. This trend included marked gains in certain years, particularly in 2021 and 2023.

Payment was broadly distributed throughout Pleasant Grove for Orthotic Procedures and services, but concentrated heavily in selected ZIP codes. For 2024, ZIP code 84062 received $347,113, making up 100% of Medicaid expenditures within this service category for the city during the year.

Within the service category, most Medicaid payments fell under a small number of individual billing codes.

Year-over-year, Medicaid spending for Orthotic Procedures and services in Pleasant Grove rose 29.2% from 2023 to 2024, compared with a 1% shift across all Medicaid service claim categories citywide during the same interval.

The Centers for Medicare & Medicaid Services reported that total federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, making up roughly 18% of total U.S. health spending, which is up significantly from $613.5 billion in 2019, before the pandemic.

This nearly 40% jump in spending results largely from higher enrollment and more utilization before and after the pandemic years.

Federal budget laws enacted under the Trump administration recently introduced substantial federal Medicaid reductions and outlined a program overhaul. As an example, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid outlays over 10 years by more than $1 trillion, instituting work requirements and greater cost-sharing that may lower both coverage and funding for select groups. This places greater fiscal responsibility on states and curbs federal expansion, even as Medicaid continues to serve tens of millions nationwide.

Note: HCPCS codes are included for context. Article category totals and ranks are based on standardized groupings rather than individual billing codes.

The U.S. Department of Health and Human Services Medicaid Provider Spending database supplied the information featured here. The source data can be viewed here.