Nampa Medicaid spending on Medicine Services and Procedures climbs to $3,366,132 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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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.

Medicaid Payments Tied to Medicine Services and Procedures in Nampa, Idaho Over Five Years

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%
Top Categories by Medicaid Payments in Nampa, Idaho, 2024

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%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Nampa, Idaho, 2024

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.



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