Medicaid providers in Nampa billed $3,366,132 for services within the Medicine Services and Procedures category for 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total represented a 12.2% jump from 2023, when providers filed $3,000,885 in claims of this type.
Medicaid, administered by state governments and funded through both federal and state funds, provides coverage to low-income individuals and families, as well as to seniors, children, and people living with disabilities. It stands as one of the major components of the nation’s health care system.
Variations in Medicaid billing levels at the local level reflect how taxpayer-funded public health dollars are spent throughout a community.
The Medicine Services and Procedures category encompasses certain Medicaid-billed services organized by the type of medical care, relying on official HCPCS and CPT code groupings. In assembling data for this report, each billing code was mapped to just one service group using standardized code prefixes and number ranges so that related services could be evaluated while avoiding duplication and maintaining the accuracy of rankings over time.
Although Medicaid payments rose among several categories, Medicine Services and Procedures held the third spot for total Medicaid payments in Nampa in 2024.
Statewide, in Idaho, the Medicine Services and Procedures category ranked fourth for Medicaid payment totals in 2024.
Across the five-year period up to 2024, Medicaid payments related to the Medicine Services and Procedures category in Nampa rose by $311,971, an 8.5% increase. Certain intervals saw sharper annual increases, particularly in 2023 and 2022.
Spending on Medicine Services and Procedures was distributed across Nampa, but most payments were concentrated in a small number of ZIP codes. In 2024, ZIP codes 83651 recorded $1,568,537, 83686 had $1,554,012, and 83687 reported $243,581, combining to account for 100% of Medicaid spending for Medicine Services and Procedures in Nampa for the year.
A limited range of individual billing codes accounted for a significant share of Medicaid payments within the Medicine Services and Procedures category.
To compare, Medicaid payments for Medicine Services and Procedures in Nampa grew 12.2% between 2024 and 2023, while overall Medicaid claim categories rose by 3.3% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined Medicaid expenditures by federal and state governments reached about $871.7 billion in fiscal year 2023. This represented roughly 18% of national health spending and a substantial increase from the $613.5 billion total in 2019, prior to the onset of the COVID-19 pandemic.
The roughly 40% surge over several years primarily resulted from increased enrollment and greater service utilization during the pandemic and its aftermath.
Language in recent federal budget laws signed during the Trump administration calls for major federal Medicaid funding reductions and reorganization. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to lower federal Medicaid spending by more than $1 trillion over 10 years and implement requirements such as work mandates and higher cost-sharing, potentially reducing coverage and financial support for some Medicaid enrollees. These changes are anticipated to increase the cost burden on states while constraining the growth in federal support for the program, even as Medicaid continues to provide coverage for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,678,102 | -55% |
| 2021 | $3,201,816 | -12.9% |
| 2022 | $2,541,625 | -20.6% |
| 2023 | $3,000,885 | 18.1% |
| 2024 | $3,366,132 | 12.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $12,715,824 | 41.4% |
| 2 | Alcohol and Drug Abuse Treatment | $6,610,997 | 21.5% |
| 3 | Medicine Services and Procedures | $3,366,132 | 11% |
| 4 | Temporary National Codes (Non-Medicare) | $2,548,642 | 8.3% |
| 5 | Procedures / Professional Services | $2,282,140 | 7.4% |
| 6 | Evaluation and Management | $1,275,933 | 4.2% |
| 7 | Durable Medical Equipment | $532,943 | 1.7% |
| 8 | Dental Services | $526,963 | 1.7% |
| 9 | Medical And Surgical Supplies | $456,379 | 1.5% |
| 10 | Surgery | $229,484 | 0.7% |
| 11 | Enteral and Parenteral Therapy | $54,587 | 0.2% |
| 12 | Pathology and Laboratory Procedures | $40,802 | 0.1% |
| 13 | Ambulance and Other Transport Services and Supplies | $28,393 | 0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $21,289 | 0.1% |
| 15 | Radiology Procedures | $12,963 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $169 | <0.1% |
| 17 | Temporary Codes | $72 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97537 | Community/work reintegration | $1,435,127 | 48 |
| 97530 | Therapeutic activities | $769,243 | 125 |
| 92507 | Tx sp lang voice comm indiv | $288,273 | 70 |
| 90834 | Psytx w pt 45 minutes | $193,058 | 44 |
| 92014 | Compre oph exam est pt 1/> | $119,406 | 46 |
| 92508 | Tx sp lang voice comm group | $78,372 | 23 |
| 92004 | Compre oph exam new pt 1/> | $70,937 | 27 |
| 97112 | Neuromuscular reeducation | $46,617 | 42 |
| 97110 | Therapeutic exercises | $45,562 | 48 |
| 90847 | Family psytx w/pt 50 min | $44,148 | 11 |
| 97140 | Manual therapy 1/> regions | $41,236 | 33 |
| 92340 | Fit spectacles monofocal | $36,047 | 51 |
| 90837 | Psytx w pt 60 minutes | $29,861 | 16 |
| 96130 | Psycl tst eval phys/qhp 1st | $27,286 | 8 |
| 92523 | Speech sound lang comprehen | $25,122 | 7 |
| 92526 | Oral function therapy | $13,541 | 7 |
| 90832 | Psytx w pt 30 minutes | $12,404 | 10 |
| 96112 | Devel tst phys/qhp 1st hr | $11,189 | 6 |
| 90999 | Unlisted dialysis procedure | $9,698 | 4 |
| 90853 | Group psychotherapy | $7,940 | 3 |
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.


