Clearfield Medicaid spending on Medicine Services and Procedures jumps to $151,695 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, providers in Clearfield billed $151,695 to Medicaid for services within the Medicine Services and Procedures category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 119.4% increase from 2023, when $69,131 in claims for similar services were submitted.

Medicaid is a government health program funded by both federal and state governments and operated by individual states. The program offers coverage to low-income people, families, seniors, children, and individuals with disabilities, making it one of the largest segments of the U.S. health care system.

Since taxpayer funding supports Medicaid payments, shifts in local billing activity demonstrate how community public health funding is distributed.

The “Medicine Services and Procedures” group includes a collection of Medicaid services categorized by specific types of care, using standardized HCPCS and CPT code sets. For this report, each billing code was consistently assigned to a single service group, which enables accurate analysis of related services while preventing duplicate counts and supporting consistent rankings over time.

While there was growth in Medicaid spending across different categories, Medicine Services and Procedures was the second largest by total payments in Clearfield for 2024.

Across Utah, Medicine Services and Procedures led all categories by total Medicaid payments statewide in 2024.

Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Clearfield grew by $109,565, or 260.1%. Certain periods saw especially rapid gains, including the years 2022 and 2023.

Although payments for these services were distributed citywide, they were concentrated within a small number of ZIP codes. In 2024, ZIP code 84015 accounted for $151,694 of Medicaid payments in this category, representing 100% of Medicine Services and Procedures payments in Clearfield that year.

Inside the Medicine Services and Procedures category, payment totals were also concentrated among select billing codes.

To compare, Medicine Services and Procedures payments in Clearfield increased by 119.4% between 2024 and 2023, which is significantly higher than the 15.8% growth recorded for all Medicaid claim categories combined in the city for the same time frame.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending totaled around $871.7 billion for fiscal year 2023, making up about 18% of all national health expenditures, sharply rising from around $613.5 billion in 2019, before the COVID-19 pandemic.

This jump amounts to a roughly 40% increase over a few years, mainly attributed to higher enrollment and utilization during and following the pandemic.

Recent federal budget measures passed during the Trump administration have featured significant Medicaid funding reductions and major program changes. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is set to cut federal Medicaid spending by more than $1 trillion over the coming decade and introduces new requirements like work obligations and greater cost sharing, potentially limiting coverage and federal funding for certain enrollees. These updates are anticipated to shift more expenses to states and restrict federal Medicaid growth even as the program continues to serve millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $42,130 -11.4%
2021 $22,468 -46.7%
2022 $20,275 -9.8%
2023 $69,131 241%
2024 $151,694 119.4%
Top Categories by Medicaid Payments in Clearfield, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $575,422 68%
2 Medicine Services and Procedures $151,694 17.9%
3 Alcohol and Drug Abuse Treatment $69,404 8.2%
4 Dental Services $48,734 5.8%
5 Evaluation and Management $1,156 0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Clearfield, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $114,862 11
97110 Therapeutic exercises $10,153 10
97530 Therapeutic activities $7,686 8
97112 Neuromuscular reeducation $6,181 8
97140 Manual therapy 1/> regions $4,832 7
90471 Immunization admin $2,586 11
90472 Immunization admin each add $1,574 5
90651 9vhpv vaccine 2/3 dose im $1,418 1
91320 Sarscv2 vac 30mcg trs-suc im $1,067 1
90480 Admn sarscov2 vac 1/only cmp $728 2
90656 Iiv3 vacc no prsv 0.5 ml im $370 3
90715 Tdap vaccine 7 yrs/> im $229 2
90619 Menacwy-tt vaccine im $0 2
90677 Pcv20 vaccine im $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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