Centerville Medicaid spending for Medicine Services and Procedures rises to $161,125 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Centerville Medicaid providers billed a total of $161,125 for Medicine Services and Procedures in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount represents an increase of 245.7% over 2023, when $46,604 in claims was submitted for the same service category.

Medicaid is administered by states and funded jointly through federal and state governments. The program covers eligible low-income people, seniors, children, and individuals with disabilities, ranking among the country’s largest health care programs.

Since Medicaid payments are derived from public funds, fluctuations in billing locally illustrate how health care dollars are allocated in a community.

The “Medicine Services and Procedures” category encompasses a set of Medicaid-billed services distinguished by care type, using standardized HCPCS and CPT code groupings. This analysis assigned each code to a single service category, relying on consistent prefixes and numerical ranges, which prevents duplication and maintains accurate historical comparisons.

Total Medicaid payments in Centerville showed growth across several service categories in 2024, with Medicine Services and Procedures leading all categories by total payment volume.

Statewide, Medicine Services and Procedures was also the top Medicaid spending category in Utah for 2024.

Between 2019 and 2024, Centerville’s Medicaid payments for Medicine Services and Procedures rose by $92,747, or 135.6%. Spending increases accelerated in select years, especially with marked growth in 2023 and 2022.

Though care in the Medicine Services and Procedures group was delivered citywide, billing activity was concentrated in specific ZIP codes. For 2024, the 84014 ZIP code accounted for $161,125, making up 100% of the city’s Medicine Services and Procedures Medicaid payments for the year.

Payments within the category were focused on a small number of billing codes.

In Centerville, Medicaid payments for Medicine Services and Procedures increased 245.7% from 2023 to 2024, outpacing the 126.7% overall increase recorded across all Medicaid claim categories within the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of overall national health spending, which is a substantial rise from $613.5 billion in 2019 prior to the COVID-19 pandemic.

This surge marks an increase of about 40% in a few years, tied primarily to expanded Medicaid enrollment and increased service use during and after the pandemic.

Recent federal budget measures under the Trump administration have included broad proposals to trim federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid funding by over $1 trillion throughout the next decade, introducing elements such as work requirements and higher cost-sharing, which could lessen coverage and funding for certain groups. These actions are anticipated to increase the financial burden on states and limit federal Medicaid funding growth, even as the program continues assisting tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $68,377 -81.8%
2023 $46,604 -31.8%
2024 $161,125 245.7%
Top Categories by Medicaid Payments in Centerville, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $161,125 99.8%
2 Surgery $266 0.2%
3 Evaluation and Management $88 0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Centerville, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $100,973 12
96137 Psycl/nrpsyc tst phy/qhp ea $28,213 3
96131 Psycl tst eval phys/qhp ea $14,009 2
96130 Psycl tst eval phys/qhp 1st $7,390 3
90791 Psych diagnostic evaluation $6,594 3
96136 Psycl/nrpsyc tst phy/qhp 1st $3,944 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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