Manti sees $48,972 in Medicaid payments for services under National Codes Established for State Medicaid Agencies in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Manti billed a total of $48,972 for services categorized under the National Codes Established for State Medicaid Agencies, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 21.9% increase from 2023, when the same service category had $40,181 in billed claims.

Medicaid operates as a public health insurance initiative managed by states and funded by both federal and state governments. It provides coverage for low-income people, seniors, children, and individuals with disabilities, representing one of the largest segments within the U.S. health care landscape.

Since taxpayer dollars fund Medicaid, shifts in local billing volumes offer insight into how public health expenditures are distributed across communities.

The “National Codes Established for State Medicaid Agencies” group comprises a set of services identified by care type, based on standardized HCPCS and CPT code sets. This analysis relied on consistent code prefixes and numeric ranges to assign each billing code to a single service category, enabling like services to be reviewed together and avoiding double counting, which helps maintain year-to-year comparisons and rankings.

Although Medicaid outlays grew across several categories, National Codes Established for State Medicaid Agencies brought in the highest Medicaid payment total in Manti for 2024.

At the state level, this category was fourth in overall Medicaid payments in Utah during 2024.

Over the previous five years leading up to 2024, Medicaid payments connected to National Codes Established for State Medicaid Agencies in Manti rose by $100,308, marking a 67.2% increase. Some years saw larger upticks, with significant annual jumps noted in both 2023 and 2022.

While Manti distributed spending for care in this category citywide, the majority of payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 84642 alone accounted for the full $48,972 in Medicaid payments associated with this category, making up 100% of the total for Manti that year.

Within the National Codes Established for State Medicaid Agencies, Medicaid payments were mainly focused among relatively few billing codes.

Comparatively, Medicaid payments in this specific category increased by 21.9% from 2023 to 2024, while all claim categories citywide grew by 16% during the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid costs in the 2023 fiscal year reached around $871.7 billion, roughly 18% of the nation’s total health expenditures, a notable rise from about $613.5 billion in 2019 before the COVID-19 pandemic.

That increase indicates growth near 40% over a short span, primarily fueled by expanded enrollment and increased service use during and following the pandemic.

Federal budget legislation enacted under the Trump administration has included major efforts to reduce federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” became law in 2025 and is forecast to cut over $1 trillion from federal Medicaid support over the next 10 years. The law introduces measures such as work requirements and more cost-sharing, potentially limiting coverage and reducing funding for select beneficiaries. These policies are likely to shift added costs to states and restrict federal Medicaid growth, despite the program serving tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $149,279 -7%
2021 $111,332 -25.4%
2022 $171 -99.8%
2023 $40,180 23273.1%
2024 $48,972 21.9%
Top Categories by Medicaid Payments in Manti, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $48,972 63.1%
2 Evaluation and Management $28,025 36.1%
3 Medicine Services and Procedures $404 0.5%
4 Surgery $188 0.2%
5 Procedures / Professional Services $63 0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Manti, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
T1021 Hh aide or cn aide per visit $48,972 3

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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