Spanish Fork Medicaid claims for Medicine Services and Procedures reach $1,162,583 in 2024

In 2024, Spanish Fork health care providers received $1,162,583 in Medicaid reimbursements for Medicine Services and Procedures, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 37.3% jump over 2023, when Medicaid claims for these services totaled $846,469.

Medicaid, a public health insurance framework operated by individual states with joint state and federal funding, delivers coverage for low-income families, seniors, children and people with disabilities, ranking among the nation’s major health care programs.

Since Medicaid is financed through taxpayer contributions, fluctuations in local billing highlight how health care funds are distributed at the community level.

The “Medicine Services and Procedures” grouping includes various Medicaid-eligible services distinguished by the care delivered, based on standard HCPCS and CPT code clusters. For this reporting, each code was matched to one service category based on set prefixes and number ranges to consistently group related services while preventing double-counting and allowing for precise shifts in rankings through time.

Spending from Medicaid rose in several categories, but in 2024, Medicine Services and Procedures represented the largest Medicaid payment category in Spanish Fork.

Statewide, Medicine Services and Procedures also placed first by payment total among categories for 2024.

From 2019 through 2024, Medicaid payments for the Medicine Services and Procedures category in Spanish Fork climbed by $917,775, an increase of 374.9%. Certain years—particularly 2020 and 2021—saw substantial annual growth in spending.

The distribution of payments within the Medicine Services and Procedures category concentrated in just a few ZIP codes across Spanish Fork. For 2024, ZIP code 84660 accounted for the complete sum of $1,162,583, representing 100% of all Medicine Services and Procedures payments in the city for the year.

A small set of billing codes received the largest portions of Medicine Services and Procedures Medicaid payments.

To compare, while Medicaid payments for Medicine Services and Procedures in Spanish Fork increased by 37.3% between 2024 and 2023, all Medicaid claims in the city grew by 28% during that time.

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

The jump signals about 40% growth within a few years, driven mainly by broader program enrollment and increased service use related to the pandemic.

Recent U.S. budget measures under the Trump administration feature major proposals that could reduce federal contributions to Medicaid and reconfigure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion during the coming decade and institutes work mandates and higher cost-sharing, potentially limiting both coverage and funding for select beneficiaries. Such policies will likely shift more Medicaid-related spending to states while capping federal financial growth, even as the program continues to cover 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.