South Ogden Medicaid payments for state agency codes totaled $7,347,567 in 2024

In 2024, Medicaid providers in South Ogden submitted $7,347,567 in claims for services falling under the National Codes Established for State Medicaid Agencies, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total shows a 3.3% rise compared with 2023, when providers filed $7,114,180 in claims within the same service category.

Medicaid is a public insurance program administered by states and funded through a partnership of federal and state resources. The program covers low-income people and families, the elderly, children and individuals with disabilities, making it a major component of the U.S. health care system.

Because Medicaid funding is drawn from taxpayers, trends in community-level billing reveal how public health dollars are used at the local level.

The “National Codes Established for State Medicaid Agencies” category comprises a set of Medicaid services identified by defined code groupings using HCPCS and CPT standards. Using consistent prefixes and number ranges, each code was classified into one service group for this review. This approach helps track related services and avoids double counting, supporting accurate year-to-year comparisons.

Medicaid spending grew across several categories, with National Codes Established for State Medicaid Agencies ranked first in South Ogden for total Medicaid payments in 2024.

At the state level in Utah, National Codes Established for State Medicaid Agencies placed fourth among all categories by total Medicaid payments for 2024.

From five years prior to 2024, Medicaid disbursements linked to this service group in South Ogden rose by $534,855, or 7.9%. Growth occurred at varying rates during this span, with significant increases seen in 2023 and 2020.

The distribution of Medicaid payments for this category extended across the city, but most funds were concentrated within just a few ZIP codes. In 2024, ZIP code 84403 recorded Medicaid payments for this category totaling $7,347,566. This single ZIP code accounted for 100% of the related Medicaid payments in South Ogden during the year.

Medicaid payments within the National Codes Established for State Medicaid Agencies grouping were also concentrated among a small set of billing codes.

For reference, Medicaid payments connected to this category in South Ogden climbed by 3.3% from 2023 to 2024, compared with a 3.8% increase for all Medicaid claim categories citywide during the period.

The Centers for Medicare & Medicaid Services report combined state and federal Medicaid expenditures totaling about $871.7 billion in fiscal 2023, which was roughly 18% of total national health care spending and a steep rise from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This jump represents an estimated 40% increase over several years, stemming largely from both expanded enrollment and greater service utilization seen during and after the pandemic.

Federal budget actions under the Trump administration included notable proposals to curtail federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years and put in place measures such as work requirements and greater cost-sharing. These changes could lessen coverage and federal funding for certain recipients, shifting greater financial responsibility to states as Medicaid remains a leading health coverage provider across the country.

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.