Richfield Medicaid spending on medicine services reaches $192,763 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Richfield Medicaid providers charged $192,763 for services within the Medicine Services and Procedures category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 35.5% rise from 2023, when $142,275 in claims were filed for similar services.

Medicaid is a public insurance program overseen by states with joint federal and state funding, according to federal data. The program covers low-income individuals, families, seniors, children and people with disabilities, and it represents a major segment of the U.S. health care system.

Changes in Medicaid billing levels reflect how community health care dollars—funded by taxpayers—are distributed locally.

The “Medicine Services and Procedures” classification includes a set of Medicaid services organized by care type, based on established HCPCS and CPT code groups. Each billing code was sorted into one service category using uniform prefixes and numeric ranges for consistent analysis, which helps group similar services and avoid double-counting, keeping rankings accurate over time.

Though Medicaid spending grew across multiple service areas, Medicine Services and Procedures placed third among all Medicaid payment categories in Richfield for 2024.

Statewide, however, Medicine Services and Procedures was the top Medicaid payments category in Utah in 2024.

From 2019 through 2024, Medicaid payments linked to Medicine Services and Procedures in Richfield rose by $89,543, or 86.7%. Notable annual increases occurred particularly in 2021 and 2022.

Although payments for these services spanned the city, most Medicaid funds were directed to just a few ZIP codes. In 2024, ZIP code 84701 logged $192,763 in claims—equal to 100% of local payments for Medicine Services and Procedures that year.

A limited number of specific billing codes generated most Medicaid expenditures in this category.

For context, the 35.5% rise in Medicaid payments for Medicine Services and Procedures in Richfield between 2024 and 2023 exceeded the 15.2% increase seen for all local Medicaid claims over the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023, representing roughly 18% of total U.S. health expenditures, which is a significant jump from the $613.5 billion reported in 2019 before the onset of COVID-19.

This growth marks an increase of about 40% in just a few years, largely due to expanded eligibility and greater service use during and after the pandemic.

Recent federal budget actions during the Trump administration included proposals to reduce federal Medicaid funding and rework the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to trim over $1 trillion from federal Medicaid spending in the upcoming decade and adds policies like work requirements and increased cost-sharing that may limit coverage and financial support for some enrollees. These measures are expected to increase costs for states and constrain the overall growth of federal Medicaid contributions, even as millions continue to depend on the program.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $103,220 -3.7%
2021 $263,963 155.7%
2022 $285,287 8.1%
2023 $142,275 -50.1%
2024 $192,763 35.5%
Top Categories by Medicaid Payments in Richfield, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $553,388 43.4%
2 Ambulance and Other Transport Services and Supplies $384,619 30.2%
3 Medicine Services and Procedures $192,763 15.1%
4 National Codes Established for State Medicaid Agencies $76,372 6%
5 Dental Services $29,916 2.3%
6 Vision Services $10,044 0.8%
7 Durable Medical Equipment $8,309 0.7%
8 Surgery $6,748 0.5%
9 Alcohol and Drug Abuse Treatment $3,842 0.3%
10 Anesthesia $3,533 0.3%
11 Radiology Procedures $2,752 0.2%
12 Pathology and Laboratory Procedures $989 0.1%
13 Drugs Administered Other than Oral Method $337 <0.1%
14 Procedures / Professional Services $311 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Richfield, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
92014 Compre oph exam est pt 1/> $50,419 30
90837 Psytx w pt 60 minutes $40,750 4
90846 Family psytx w/o pt 50 min $23,515 3
97110 Therapeutic exercises $19,924 11
92004 Compre oph exam new pt 1/> $16,983 10
90847 Family psytx w/pt 50 min $9,014 2
97140 Manual therapy 1/> regions $8,997 10
90471 Immunization admin $8,172 19
92134 Cptrz oph dx img pst sgm rta $7,408 11
90472 Immunization admin each add $4,345 10
92250 Fundus photography w/i&r $1,536 5
92015 Determine refractive state $1,237 28
90656 Iiv3 vacc no prsv 0.5 ml im $419 4
90715 Tdap vaccine 7 yrs/> im $38 1
90619 Menacwy-tt vaccine im $0 1
90651 9vhpv vaccine 2/3 dose im $0 1
90677 Pcv20 vaccine im $0 1
92507 Tx sp lang voice comm indiv $0 2
92508 Tx sp lang voice comm group $0 1

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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