Roy Medicaid providers bill $2,979 for medicine services in 2024, up 53.7% from prior year

In 2024, Medicaid providers in Roy submitted $2,979 in claims for services listed under the Medicine Services and Procedures grouping, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 53.7% rise from 2023, when claims for these services totaled $1,938.

Medicaid, the government health insurance program managed by states with joint federal and state funding, provides coverage for individuals and families with low incomes, as well as seniors, children, and people with disabilities, making it one of the most significant segments of U.S. health care.

Fluctuations in Medicaid billing reflect how tax dollars for public health are used within a local community.

The “Medicine Services and Procedures” classification consists of a group of Medicaid services categorized by the nature of care, aligned with standard HCPCS and CPT coding schemes. For this report, service codes were grouped using set code prefixes and numbers to keep similar services together, maintain distinct categorization, and accurately track changes over time.

While there was an increase in Medicaid payments across multiple categories, Medicine Services and Procedures ranked sixth in total Medicaid funds paid out in Roy during 2024.

Statewide, Utah saw Medicine Services and Procedures as the top category by total Medicaid spending in 2024.

From 2019 through 2024, Roy’s Medicaid payments for Medicine Services and Procedures increased by $59,129—an overall increase of 95.2%. There were significant yearly jumps in both 2020 and 2022.

Though these payments supported care across various areas in Roy, they were concentrated mainly in a few ZIP codes. In 2024, ZIP code 84067 accounted for $2,979 in spending, with the top single ZIP code comprising 100% of these Medicaid payments in the city for this care category.

Payment distributions under Medicine Services and Procedures also clustered around relatively few individual service codes.

In context, Roy’s Medicaid payments for Medicine Services and Procedures rose 53.7% between 2024 and 2023, compared to a 3.7% change seen across all Medicaid billing types within the city during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending hit approximately $871.7 billion in fiscal 2023, amounting to about 18% of all national health costs. That’s a jump from around $613.5 billion in 2019, before the COVID-19 pandemic.

The growth represents nearly 40% in just a few years, spurred primarily by broader enrollment and greater service use during and following the pandemic.

Recent federal budget updates under the Trump administration proposed significant changes to lower federal Medicaid contributions and alter program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and implement work requirements and higher cost-sharing. These policies could lead states to take on a greater share of Medicaid costs and may restrict federal funding’s expansion, even as the program continues serving tens of millions.

Note: HCPCS codes are included for category context. The totals and rankings presented are based on service groups, rather than individual billing codes.

This article’s information is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.