Nephi Medicaid payments for Medicine Services and Procedures reach $15,374 in 2024

In 2024, Medicaid providers in Nephi charged $15,374 for services within the Medicine Services and Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 7% climb compared to 2023, when providers billed $14,363 for the same service category.

Medicaid is a state-run public health insurance program funded jointly by federal and state governments. It serves low-income people and families, seniors, children and individuals with disabilities, making it one of the largest components of the U.S. health care system.

As Medicaid payments rely on taxpayer funding, fluctuations in local billing help show how public health care resources are spent within a community.

The Medicine Services and Procedures category encompasses a set of Medicaid-billed services defined by the specific care delivered, using standardized HCPCS and CPT code groupings. For this report, each billing code was linked to one service category using consistent code prefixes and numeric ranges, enabling analysis of related services together while avoiding duplicate counts and ensuring accurate rankings over time.

While Medicaid expenditures increased in several service areas, Medicine Services and Procedures placed second in Nephi for total Medicaid payments in 2024.

Statewide, Medicine Services and Procedures held the top spot for total Medicaid payments in Utah in 2024.

During the five years before 2024, Medicaid payments in Nephi for the Medicine Services and Procedures category went up by $11,843, or 335.4%. Certain periods saw faster increases, with significant yearly gains recorded in 2020 and 2021.

Though services in this category were provided throughout the city, Medicaid payments were mostly concentrated in a small number of ZIP codes. In 2024, ZIP code 84648 accounted for $15,373 in related Medicaid payments. Altogether, the top ZIP code represented 100% of Medicine Services and Procedures claims in Nephi that year.

Payments for Medicine Services and Procedures were also centered on a select group of billing codes.

Medicaid payments tied to Medicine Services and Procedures in Nephi grew by 7% from 2023 to 2024. Across all Medicaid claim categories in the city, the change during this period was 22.1%.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures amounted to about $871.7 billion in fiscal year 2023, making up close to 18% of all national health spending, and marking a sharp rise from about $613.5 billion in 2019 before the COVID-19 pandemic.

This increase amounts to roughly 40% growth in a few years, predominantly driven by expanded enrollment and higher utilization during and after the pandemic.

Recent federal budget changes enacted by the Trump administration have introduced major proposals to cut federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and brings policies such as work requirements and increased cost-sharing, which could shrink coverage and funding for some beneficiaries. These measures are expected to pass additional costs to states and place limits on federal Medicaid growth, as the program continues to support tens of millions of Americans.

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.