Santaquin sees $10,755 in Medicaid spending for Medicine Services and Procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Santaquin Medicaid providers billed $10,755 for Medicine Services and Procedures in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 1423.4% surge from 2023, when $706 in claims were filed for this service category.

Medicaid, the state-administered public health insurance program funded together by federal and state governments, covers low-income residents, older adults, children and individuals with disabilities, making it one of the nation’s largest health care programs.

Because Medicaid is taxpayer-funded, shifts in local billing are indicators of how public health resources are distributed within a community.

The “Medicine Services and Procedures” group consists of Medicaid-billed services organized by care type, using HCPCS and CPT code ranges. For this analysis, individual billing codes were mapped to a single service group based on code prefixes and numerical series, allowing related services to be reviewed collectively, eliminating double counting and maintaining consistent category rankings over time.

Although multiple service categories saw increased Medicaid spending, Medicine Services and Procedures led all categories in Santaquin by total Medicaid payments in 2024.

Across Utah, Medicine Services and Procedures also ranked first for total Medicaid payments in 2024.

During the five years preceding 2024, Santaquin’s Medicaid payments for Medicine Services and Procedures climbed by $10,755, or 0%. Periods of especially rapid growth occurred in 2023 and 2022, as year-over-year increases accelerated.

Citywide spending within this category was not evenly split; a small number of ZIP codes accounted for most payments. In 2024, ZIP code 84655 made up $10,754 of Medicaid payments for Medicine Services and Procedures, with the top ZIP code responsible for 100% of such payments in Santaquin that year.

Payments within this category were further concentrated in just a few individual billing codes.

Comparatively, between 2024 and 2023, Medicaid payments for Medicine Services and Procedures in Santaquin increased 1423.4%, while all Medicaid claim categories in the city experienced a 921.6% change within that period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, comprising approximately 18% of overall national health expenditures, up sharply from $613.5 billion in 2019 before the COVID-19 pandemic.

This represents nearly 40% growth in just a few years, primarily fueled by expanded enrollment and increased use during and after the pandemic.

Recent federal budget laws passed under the Trump administration featured major proposals to reduce federal Medicaid funding and revise the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut over $1 trillion in federal Medicaid funding over the next decade, while setting policies like work requirements and greater cost-sharing that could impact coverage and financing for some participants. These adjustments are expected to move more costs to states and curb federal Medicaid spending growth, even as the program continues to support tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $0 -100%
2021 $10,669
2022 $186 -98.3%
2023 $706 278.9%
2024 $10,754 1422.3%
Top Categories by Medicaid Payments in Santaquin, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $10,754 62.3%
2 Alcohol and Drug Abuse Treatment $4,134 24%
3 Vision Services $2,371 13.7%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Santaquin, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
97155 Adapt behavior tx phys/qhp $6,347 1
97156 Fam adapt bhv tx gdn phy/qhp $2,683 1
92014 Compre oph exam est pt 1/> $1,378 2
92340 Fit spectacles monofocal $282 1
92015 Determine refractive state $62 6

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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