Medicaid payments in Springville for National Codes Established category reach $189,239 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Springville submitted $189,239 in claims for services grouped under the National Codes Established for State Medicaid Agencies category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 12.4% uptick compared to 2023, when providers billed $168,426 for the same category of services.

Medicaid, administered by states and jointly financed by both federal and state governments, insures low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the nation’s health system.

Because taxpayer resources fund Medicaid, shifts in local billing volumes provide insight into how public health funds are allocated in the area.

The “National Codes Established for State Medicaid Agencies” group represents services determined by specific care types, based on standardized HCPCS and CPT code groupings. This analysis sorted each billing code into a single service group through uniform code prefixes and number ranges, which let related care types be studied together without overlap and supported accurate year-over-year tracking.

While Medicaid payments increased across multiple categories, services under National Codes Established for State Medicaid Agencies were the third largest by total Medicaid payments in Springville for 2024.

Statewide in Utah, this service category was fourth by total Medicaid payments in 2024.

During the five years ending in 2024, Springville’s Medicaid payments linked to the National Codes Established for State Medicaid Agencies group rose by $189,239, a 0% overall change. Some periods, including 2022 and 2023, saw sharper annual growth.

Although care provided under the National Codes Established for State Medicaid Agencies category spanned the city, most payments were concentrated in a few ZIP codes. In 2024, all Medicaid payments for this group in Springville were associated with ZIP code 84663, totaling $189,239. The top ZIP code represented 100% of the city’s Medicaid payments for this category during the year.

Within this category, payments were also focused among a limited set of billing codes.

In comparison, while Springville’s Medicaid payments for the National Codes Established for State Medicaid Agencies category grew by 12.4% between 2023 and 2024, payments across all Medicaid claim categories in the city increased 21.3% over the same period.

Centers for Medicare & Medicaid Services data show combined federal and state Medicaid spending reached around $871.7 billion in fiscal 2023, comprising about 18% of overall national health spending. That’s up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This roughly 40% jump was driven mostly by increased enrollment and greater service use during and after the pandemic.

Recent federal budget laws signed under the Trump administration proposed major reductions in Medicaid funding and substantial program changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid payments by over $1 trillion in the next decade and bring new requirements, including work mandates and higher cost-sharing. These changes could decrease coverage and funds for certain beneficiaries, shift more costs to states, and curb federal Medicaid growth while still serving tens of millions nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Springville, Utah Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $168,425
2024 $189,239 12.4%
Top Categories by Medicaid Payments in Springville, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $376,956 35.2%
2 Evaluation and Management $195,724 18.3%
3 National Codes Established for State Medicaid Agencies $189,239 17.7%
4 Temporary National Codes (Non-Medicare) $146,957 13.7%
5 Ambulance and Other Transport Services and Supplies $67,598 6.3%
6 Dental Services $50,189 4.7%
7 Alcohol and Drug Abuse Treatment $25,138 2.3%
8 Pathology and Laboratory Procedures $11,579 1.1%
9 Surgery $6,751 0.6%
10 Procedures / Professional Services $28 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Springville, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
T2003 N-et; encounter/trip $189,239 12

Note: HCPCS codes are provided for context within the category. The article’s category totals and rankings come from standardized service groupings, not individual billing codes.

This article’s information is sourced 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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