In 2024, Medicaid providers in Clinton billed $483,796 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 29.4% increase compared with 2023, when providers submitted $374,018 in claims for the same service group.
Medicaid is a public health insurance program managed by the states and financed jointly by federal and state governments. It covers low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health care system.
Since Medicaid payments come from taxpayer funding, fluctuations in local billing patterns help illustrate how public health care funds are spent within a community.
The “National Codes Established for State Medicaid Agencies” category includes Medicaid services defined by the type of care provided, based on standardized HCPCS and CPT code groupings. For this analysis, each billing code was classified within a single service category based on consistent code prefixes and number ranges, ensuring that related services are analyzed together while avoiding overlapping counts and preserving historical ranking accuracy.
National Codes Established for State Medicaid Agencies led all categories in Clinton by total Medicaid payments in 2024, despite broader increases in Medicaid spending across several categories.
Statewide, National Codes Established for State Medicaid Agencies placed fourth in Utah by total Medicaid payments for 2024.
From 2019 through 2024, Medicaid payments in Clinton for the National Codes Established for State Medicaid Agencies category rose by $618, or 0.1%, with periods of accelerated growth noted in 2023 and 2022.
Although spending for services in this category occurred throughout Clinton, the payments were largely concentrated in a select few ZIP codes. In 2024, ZIP code 84015 accounted for $483,796 in category-related Medicaid payments. The top ZIP code represented 100% of spending in the National Codes Established for State Medicaid Agencies category for the year in Clinton.
Within the National Codes Established for State Medicaid Agencies category, the majority of Medicaid payments focused on a limited set of individual billing codes.
To compare, Medicaid payments in Clinton for the National Codes Established for State Medicaid Agencies category increased by 29.4% from 2023 to 2024, versus a 4.3% overall growth for all Medicaid claim categories locally during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023. This made up around 18% of total national health spending, up considerably from $613.5 billion in 2019, before the COVID-19 pandemic.
This rise reflects approximately 40% growth in just a few years, primarily driven by increased enrollment and elevated service use during and after the pandemic.
Recent federal budgetary actions during the Trump administration have included major proposals to decrease federal Medicaid funding and change program structure. 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 decade. The law introduces policies such as work requirements and larger cost-sharing, potentially reducing coverage and limiting funding for affected beneficiaries. These changes are projected to shift more costs to states and slow the growth rate of federal Medicaid support, even as the program remains essential for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $484,413 | -16.7% |
| 2021 | $373,999 | -22.8% |
| 2022 | $306,969 | -17.9% |
| 2023 | $374,018 | 21.8% |
| 2024 | $483,796 | 29.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $483,796 | 92.4% |
| 2 | Medicine Services and Procedures | $31,548 | 6% |
| 3 | Evaluation and Management | $7,659 | 1.5% |
| 4 | Pathology and Laboratory Procedures | $588 | 0.1% |
| 5 | Drugs Administered Other than Oral Method | $1 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2031 | Assist living waiver/diem | $483,796 | 12 |
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.
