In 2024, Medicaid providers in West Jordan billed $2,159,942 for services categorized under Evaluation and Management, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents an 8.7% uptick compared to 2023, when claims for these services totaled $1,987,468.
Medicaid, a public health insurance program administered by states and financed jointly by federal and state governments, provides coverage for low-income people, children, seniors, and individuals with disabilities and forms a large component of the U.S. health care system.
Since Medicaid is taxpayer funded, fluctuations in local billing demonstrate how community health care funding is distributed.
The “Evaluation and Management” category includes select Medicaid-billed services organized by care type, grouped according to set HCPCS and CPT codes. For this assessment, each billing code was assigned to one service category using consistent code prefixes and numerical brackets to examine group trends accurately, avoid double-counting, and maintain precise comparative rankings over time.
Payments for Evaluation and Management services led all Medicaid service categories in West Jordan in 2024.
Statewide, Evaluation and Management ranked third among total Medicaid payments in Utah for 2024.
Between 2019 and 2024, Medicaid payments for Evaluation and Management in West Jordan increased by $1,326,472, or 159.2%. Periods of accelerated growth occurred, with notable increases in 2021 and 2022.
While. spending on Evaluation and Management care reached across West Jordan, the majority was concentrated in a few ZIP codes. In 2024, the ZIPs accounting for the most Medicaid payments in this category were 84088 with $1,868,977, 84084 with $286,813, and 84081 with $4,151. Collectively, these 3 ZIP codes comprised 100% of West Jordan’s Medicaid spending in this category for the year.
Within Evaluation and Management, Medicaid payments mainly focused on a handful of billing codes.
Over the same period, payments for Evaluation and Management services in West Jordan climbed 8.7%, in comparison to an overall 6.9% change across all Medicaid claim categories citywide.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending by federal and state governments reached about $871.7 billion in fiscal 2023, representing approximately 18% of the nation’s health expenditures—an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This reflects roughly 40% growth in just a few years, largely attributed to broader enrollment and increased health care use during and after the pandemic.
Budget laws enacted during the Trump administration introduced proposals aimed at reducing federal Medicaid spending and altering program structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is forecasted to reduce federal Medicaid costs by over $1 trillion in the coming decade, while introducing policy shifts like work requirements and greater cost-sharing that could affect coverage and funding. These actions are anticipated to shift more costs to states and curb federal Medicaid growth, as the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $833,470 | 1.2% |
| 2021 | $2,093,423 | 151.2% |
| 2022 | $2,367,168 | 13.1% |
| 2023 | $1,987,467 | -16% |
| 2024 | $2,159,942 | 8.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,159,942 | 33.4% |
| 2 | Medicine Services and Procedures | $1,604,667 | 24.8% |
| 3 | Dental Services | $903,701 | 14% |
| 4 | Surgery | $755,293 | 11.7% |
| 5 | Ambulance and Other Transport Services and Supplies | $399,765 | 6.2% |
| 6 | Pathology and Laboratory Procedures | $342,321 | 5.3% |
| 7 | Alcohol and Drug Abuse Treatment | $208,505 | 3.2% |
| 8 | National Codes Established for State Medicaid Agencies | $55,384 | 0.9% |
| 9 | Temporary National Codes (Non-Medicare) | $33,488 | 0.5% |
| 10 | Chemotherapy Drugs | $2,184 | <0.1% |
| 11 | Radiology Procedures | $1,829 | <0.1% |
| 12 | Durable Medical Equipment | $1,620 | <0.1% |
| 13 | Drugs Administered Other than Oral Method | $1,157 | <0.1% |
| 14 | Medical And Surgical Supplies | $721 | <0.1% |
| 15 | Procedures / Professional Services | $225 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99214 | Office o/p est mod 30 min | $756,540 | 163 |
| 99213 | Office o/p est low 20 min | $650,662 | 127 |
| 99391 | Per pm reeval est pat infant | $172,895 | 32 |
| 99393 | Prev visit est age 5-11 | $110,497 | 25 |
| 99215 | Office o/p est hi 40 min | $102,348 | 26 |
| 99392 | Prev visit est age 1-4 | $87,560 | 32 |
| 99394 | Prev visit est age 12-17 | $38,894 | 23 |
| 99283 | Emergency dept visit low mdm | $33,165 | 31 |
| 99291 | Critical care first hour | $32,992 | 3 |
| 99460 | Init nb em per day hosp | $25,639 | 12 |
| 99204 | Office o/p new mod 45 min | $24,136 | 13 |
| 99203 | Office o/p new low 30 min | $22,466 | 17 |
| 99238 | Hosp ip/obs dschrg mgmt 30/< | $19,363 | 12 |
| 99381 | Init pm e/m new pat infant | $16,038 | 11 |
| 99442 | $11,877 | 7 | |
| 99284 | Emergency dept visit mod mdm | $8,685 | 3 |
| 99383 | Prev visit new age 5-11 | $8,403 | 9 |
| 99051 | Med serv eve/wkend/holiday | $7,836 | 12 |
| 99463 | Same day nb discharge | $5,351 | 5 |
| 99308 | Sbsq nf care low mdm 20 | $3,941 | 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.
