Pleasant Grove Medicaid bills for state agency codes total $636,977 in 2024

Pleasant Grove Medicaid providers submitted $636,977 in claims for services identified within the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 7.9% rise from 2023, when claims for the same services totaled $590,487.

Medicaid, a joint federal and state program, covers health care for low-income individuals and families, seniors, children, and people with disabilities, positioning it as a major component of the U.S. health system. The initiative is funded in partnership with state and federal governments.

Because Medicaid expenditures are taxpayer-funded, local billing trends provide insight into how public health care resources are distributed within communities.

The “National Codes Established for State Medicaid Agencies” group includes a set of Medicaid services categorized according to the type of care, relying on standardized HCPCS and CPT coding systems. For this study, each billing code was placed within a single service category using direct code ranges and prefixes, which prevented overlap and ensured accurate historical rankings.

National Codes Established for State Medicaid Agencies was the third-highest Medicaid service category by total payments in Pleasant Grove for 2024, despite multiple service categories seeing growth.

Statewide, the National Codes Established for State Medicaid Agencies group ranked fourth in Utah for overall Medicaid payments in 2024.

In the past five years leading up to 2024, Medicaid payments linked to the National Codes Established for State Medicaid Agencies category in Pleasant Grove rose by $121,342, or 23.5%. Growth was especially strong during specific years, with especially pronounced increases in 2023 and 2020.

Though Medicaid spending for this service category occurred throughout Pleasant Grove, most payments were concentrated in a small number of ZIP codes. In 2024, the top ZIP code was 84062, which accounted for $636,977—or 100%—of Medicaid payments for these services in the city.

A limited selection of billing codes made up the bulk of Medicaid payments within this service group.

When compared with a 1% change across all Medicaid claim categories in Pleasant Grove, payments for the National Codes Established for State Medicaid Agencies category increased by 7.9% between 2024 and 2023.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending climbed to about $871.7 billion in fiscal year 2023, making up approximately 18% of all national health expenditures. This was a significant jump from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This marks nearly 40% growth over a few years, fueled mainly by increased enrollment and higher usage during and following the pandemic.

Recent federal budget actions under the Trump administration have included major proposals to cut federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade. New policies such as work requirements and higher cost-sharing could affect coverage and funding for some recipients, shifting more financial responsibility to states while capping federal Medicaid support as the program continues to assist millions nationwide.

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.