Kaysville Medicaid claims for Medicine Services and Procedures climb to $342,469 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Kaysville submitted $342,469 in claims for Medicine Services and Procedures, representing data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 709% rise compared to 2023, when claims for these services totaled $42,331.

Medicaid is a public insurance program operated by states with joint funding from federal and state governments. It serves low-income individuals and families, senior citizens, children, and people with disabilities, making it among the largest components of the U.S. health care system.

Since Medicaid funding is derived from taxpayers, variations in local billing levels reflect how a community allocates its public health care funds.

The “Medicine Services and Procedures” category groups Medicaid-billed services by the type of care, following standardized HCPCS and CPT code sets. For this analysis, codes were organized into a single service category using consistent code prefixes and ranges, enabling a comprehensive review of related services while ensuring no duplication and maintaining accurate category rankings over time.

While Medicaid expenditures rose in several categories, Medicine Services and Procedures ranked third for total Medicaid payments in Kaysville in 2024.

At the state level, Medicine Services and Procedures was the top category for Medicaid payments in Utah in 2024.

Between 2019 and 2024, Medicaid payments tied to the Medicine Services and Procedures category in Kaysville increased by $104,520, or 43.9%. There were notable periods of accelerated growth, especially in 2020 and 2021.

Although services in this category were provided throughout Kaysville, most Medicaid payments were concentrated within a few ZIP codes. In 2024, ZIP code 84037 accounted for $342,468. The top 1 ZIP codes made up 100% of all Medicaid payments for Medicine Services and Procedures in the city that year.

Payments in Medicine Services and Procedures were also focused among a small subset of billing codes.

To compare, Medicaid payments for this service category in Kaysville grew 709% from 2023 to 2024, while overall payments for all Medicaid claim categories in the city increased 5.9% during the same timeframe.

Data from the Centers for Medicare & Medicaid Services show that combined federal and state Medicaid spending was about $871.7 billion in fiscal year 2023. This accounted for approximately 18% of national health expenditures and had increased significantly from around $613.5 billion in 2019, before the COVID-19 pandemic.

This growth represents an increase of approximately 40% in just a few years, driven mainly by rising enrollment and greater utilization during and after the pandemic period.

Recent federal budget measures under the Trump administration included major efforts to reduce federal Medicaid spending and revise the structure of the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next decade. The law introduces elements such as work requirements and higher cost-sharing, which could lower coverage and funding for some beneficiaries and shift additional financial responsibility to states, even as Medicaid continues to cover tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $237,949 1198.9%
2021 $342,484 43.9%
2022 $48,812 -85.7%
2023 $42,330 -13.3%
2024 $342,468 709%
Top Categories by Medicaid Payments in Kaysville, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,096,629 44.9%
2 Evaluation and Management $845,246 34.6%
3 Medicine Services and Procedures $342,468 14%
4 Pathology and Laboratory Procedures $92,642 3.8%
5 Alcohol and Drug Abuse Treatment $52,303 2.1%
6 Durable Medical Equipment $9,025 0.4%
7 Surgery $2,553 0.1%
8 Procedures / Professional Services $1,384 0.1%
9 Drugs Administered Other than Oral Method $269 <0.1%
10 Medical And Surgical Supplies $83 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Kaysville, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
90999 Unlisted dialysis procedure $313,497 9
90472 Immunization admin each add $11,594 12
90471 Immunization admin $9,281 12
96127 Brief emotional/behav assmt $1,687 11
96110 Developmental screen w/score $1,626 11
90474 Immune admin oral/nasal addl $1,415 12
96372 Ther/proph/diag inj sc/im $775 6
90473 Immune admin oral/nasal $613 2
90656 Iiv3 vacc no prsv 0.5 ml im $371 4
90460 Im admin 1st/only component $317 5
94640 Airway inhalation treatment $305 4
96161 Caregiver health risk assmt $270 11
90651 9vhpv vaccine 2/3 dose im $229 11
90671 Pcv15 vaccine im $192 12
90680 Rv5 vacc 3 dose live oral $96 12
90660 Laiv3 vaccine intranasal $80 2
96380 Admn rsv monoc antb im cnsl $67 1
96138 Psycl/nrpsyc tech 1st $48 1
90698 Dtap-ipv/hib vaccine im $0 3
90633 Hepa vacc ped/adol 2 dose im $0 11

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.



Related

Karianne Lisonbee, Utah State Representative for 14th District

Karianne Lisonbee highlights Cache parade and promotes local fundraising effort

Utah legislator Karianne Lisonbee shared updates on May 17, 2026, about a parade in Cache and promoted a fundraising campaign via Twitter.

Karianne Lisonbee, Utah State Representative for 14th District

Karianne Lisonbee highlights volunteer efforts and fundraising during Utah’s CD2 primary campaign

Karianne Lisonbee, Utah state representative and congressional candidate, posted updates on May 16, 2026 about her campaign’s volunteer canvassing operations across several counties and encouraged supporters to help fund billboard advertising.

Karianne Lisonbee, Utah State Representative for 14th District

Karianne Lisonbee comments on redistricting and local events in Cache County

Utah legislator Karianne Lisonbee posted several updates on May 16, including concerns about redistricting’s impact on Republicans and highlights from community activities such as canvassing efforts and the Richmond Black & White Days parade.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Davis Times.