Malad City Medicaid claims for medicine services top $57,000 for 2024, up 104% from prior year

In 2024, Medicaid providers in Malad City billed $57,330 for services in the Medicine Services and Procedures category, according to U.S. Department of Health and Human Services Medicaid Provider Spending data. This represents a 104.1% increase from 2023, when claims in this category totaled $28,093.

Medicaid is a states-managed public health insurance program funded together by federal and state governments. The program insures low-income residents, children, seniors, and people with disabilities, making it a primary component of the U.S. health care system.

Because Medicaid is funded by taxpayers, adjustments in local claims offer insight into the allocation of community health care resources.

The “Medicine Services and Procedures” group comprises Medicaid-billed services categorized by care type through standardized HCPCS and CPT code ranges. For this analysis, each code was assigned to a service category using uniform code prefixes and number ranges to keep related services together without double counting, enabling accurate comparisons over time.

Multiple service categories saw increased Medicaid expenditures, with Medicine Services and Procedures ranking second among Malad City spending categories in 2024.

On a statewide basis, Idaho ranked Medicine Services and Procedures fourth by total Medicaid payments in 2024.

Over the five-year period leading up to 2024, Medicaid payments for Medicine Services and Procedures in Malad City grew by $14,245, or 19.9%. Some years saw accelerated growth, notably in 2020 and 2021, according to the available data.

Although Medicaid spending in this category was distributed citywide, the majority of payments remained concentrated within specific ZIP codes. In 2024, ZIP code 83252 recorded $57,330 for this category, making up 100% of payments in the Medicine Services and Procedures category in Malad City for the year.

Within the overall Medicine Services and Procedures group, Medicaid payments also clustered among a small number of specific billing codes.

Across all Medicaid categories in Malad City, the increase in Medicine Services and Procedures claims—up 104.1% from 2023 to 2024—outpaced a 9.3% overall rise for all claim categories in the city during that period.

Centers for Medicare & Medicaid Services data show that combined state and federal Medicaid expenditure reached roughly $871.7 billion in fiscal 2023. This accounted for about 18% of all national health spending, a marked increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This surge equals an increase of around 40% over a few years, mostly due to enrollment growth and heightened service use during and after the pandemic.

Recent federal budget measures adopted during the Trump administration included major proposals to reduce Medicaid funding at the federal level and make structural changes to the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over ten years and introduces steps like work requirements and additional cost-sharing, impacting coverage and resources for some enrollees. These adjustments will likely push more responsibility to states and slow the rate of federal Medicaid expansion even as the program continues serving tens of millions of Americans.

Note: HCPCS codes are provided for reference purposes only. All totals and ranks in this article rely on standardized service groups rather than specific billing codes.

The source for this article is the U.S. Department of Health and Human Services Medicaid Provider Spending database. Data is available here.