San Tan Valley Medicaid providers reported $3,132,250 in 2024 billings within the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 1.2% rise from 2023, which saw $3,095,193 in claims for this service type.
Medicaid, a public health insurance program overseen by individual states and funded with both state and federal dollars, serves low-income people, seniors, children and those with disabilities. It ranks as one of the country’s largest health care programs.
Since taxpayer funds support Medicaid payments, fluctuations in local billing reflect how health care resources are directed within a community.
The “Medicine Services and Procedures” category includes a set of Medicaid-billed services organized by care type as defined by standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to one service category using set code prefixes and numerical ranges, enabling comparison of related services and preventing double counting, while maintaining trend accuracy.
Even though Medicaid spending rose in several categories, Medicine Services and Procedures was the second-largest by overall Medicaid payments in San Tan Valley in 2024.
On a statewide basis, Medicine Services and Procedures came in fifth for Medicaid payments in Arizona in 2024.
In the five years up to 2024, San Tan Valley Medicaid payments for Medicine Services and Procedures grew by $2,030,108, a 184.2% increase. The rate of increase quickened in certain years, with standout year-over-year gains recorded in 2021 and 2023.
Expenditures tied to the Medicine Services and Procedures category spanned the city, but the highest payment levels were concentrated within a few ZIP codes. During 2024, the biggest Medicaid payments were in ZIP code 85143 at $2,654,062, followed by 85142 at $322,180 and 85140 at $156,006. These 3 ZIP codes accounted for the entirety of Medicaid payments to this category in the area that year.
Payment totals within Medicine Services and Procedures were focused among a small number of individual billing codes.
To compare, San Tan Valley’s Medicaid outlays for Medicine Services and Procedures grew 1.2% from 2023 to 2024. Across all Medicaid claim categories in the city, the overall increase was 14.7% during that period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled approximately $871.7 billion in the 2023 fiscal year, making up about 18% of U.S. health expenditures, a jump from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
The roughly 40% increase over several years reflects expanded Medicaid enrollment and higher health care utilization during the pandemic and its aftermath.
Recent federal budget acts under the Trump administration proposed major reductions to federal Medicaid financing and adjustments to the program structure. One example, the “One Big Beautiful Bill Act,” signed into law in 2025, is set to decrease federal Medicaid spending by more than $1 trillion over ten years and implement measures such as work mandates and higher cost-sharing, possibly reducing benefits and funding for certain groups. These policy shifts are expected to move more financial responsibility to states while slowing future federal Medicaid support, even as the program covers tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,102,141 | -29.9% |
| 2021 | $3,147,855 | 185.6% |
| 2022 | $2,031,138 | -35.5% |
| 2023 | $3,095,193 | 52.4% |
| 2024 | $3,132,249 | 1.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,163,102 | 36.7% |
| 2 | Medicine Services and Procedures | $3,132,249 | 36.3% |
| 3 | National Codes Established for State Medicaid Agencies | $1,076,729 | 12.5% |
| 4 | Alcohol and Drug Abuse Treatment | $827,688 | 9.6% |
| 5 | Dental Services | $173,478 | 2% |
| 6 | Procedures / Professional Services | $101,208 | 1.2% |
| 7 | Radiology Procedures | $98,287 | 1.1% |
| 8 | Temporary National Codes (Non-Medicare) | $22,194 | 0.3% |
| 9 | Pathology and Laboratory Procedures | $15,874 | 0.2% |
| 10 | Surgery | $15,590 | 0.2% |
| 11 | Anesthesia | $986 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $50 | <0.1% |
| 13 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97153 | Adaptive behavior tx by tech | $1,699,842 | 21 |
| 92507 | Tx sp lang voice comm indiv | $693,733 | 94 |
| 97155 | Adapt behavior tx phys/qhp | $224,559 | 20 |
| 97530 | Therapeutic activities | $119,378 | 32 |
| 90792 | Psych diag eval w/med srvcs | $95,441 | 24 |
| 97535 | Self care mngment training | $83,098 | 12 |
| 97110 | Therapeutic exercises | $73,471 | 29 |
| 97140 | Manual therapy 1/> regions | $38,311 | 24 |
| 90832 | Psytx w pt 30 minutes | $34,643 | 22 |
| 97112 | Neuromuscular reeducation | $18,574 | 16 |
| 97156 | Fam adapt bhv tx gdn phy/qhp | $11,344 | 9 |
| 93000 | Electrocardiogram complete | $11,028 | 55 |
| 90460 | Im admin 1st/only component | $8,741 | 13 |
| 96160 | Pt-focused hlth risk assmt | $8,138 | 71 |
| 90791 | Psych diagnostic evaluation | $4,686 | 3 |
| 94760 | N-invas ear/pls oximetry 1 | $2,529 | 78 |
| 97161 | Pt eval low complex 20 min | $1,417 | 2 |
| 97802 | Medical nutrition indiv in | $995 | 3 |
| 96372 | Ther/proph/diag inj sc/im | $995 | 16 |
| 92508 | Tx sp lang voice comm group | $501 | 1 |
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.
