In 2024, total Medicaid payments in Idaho for services under the Procedures and Professional Services category reached $14,228,637, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 4.4% increase compared to 2023, when paid claims totaled $13,635,310.
Medicaid is a government health insurance program managed by the states and jointly financed by federal and state funds. It provides coverage for low-income people, seniors, children, and those with disabilities, making it one of the principal segments of the U.S. health care system. For more information, visit the Commonwealth Fund explainer.
Because taxpayer funding supports Medicaid, local trends in billing show how public health care expenditures are distributed at the community level.
The “Procedures and Professional Services” category includes a set of Medicaid-billed services distinguished by care type, using standardized HCPCS and CPT code groupings. For this data review, each billing code was mapped to a single service category using consistent code prefixes and numerical ranges. This method enables related services to be grouped while avoiding double counting and ensuring accurate rankings across years.
Certain categories may reflect various service types; in such cases, they combine related care types often billed together in Medicaid, such as office visits, diagnostic testing and therapeutic procedures.
From 2019 through 2024, Medicaid spending connected to the Procedures and Professional Services category in Idaho grew by $3,315,033, or 30.4%. There were periods of faster spending increases, particularly in 2022 and 2023.
Spending for Procedures and Professional Services was distributed throughout the state, though a limited number of ZIP codes concentrated most of the payments. In 2024, top ZIP codes for Medicaid billings in this category were 83401, with $2,468,047 (17.3% of statewide total), 83709, with $2,067,339 (14.5%), and 83442, with $1,493,422 (10.5%).
These three ZIP codes collectively comprised 42.4% of the entire Medicaid spending on Procedures and Professional Services in Idaho for the year.
By comparison, total Medicaid payments across all service categories in Idaho increased 7.6% between 2023 and 2024.
While several Medicaid categories saw increased spending, Procedures and Professional Services was among the top six by statewide payment total in 2024.
According to the Centers for Medicare & Medicaid Services, overall Medicaid spending at the federal and state level reached approximately $871.7 billion in fiscal 2023, representing about 18% of overall national health expenses, a sharp increase from around $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This translates to roughly 40% growth in just a few years, mostly due to larger enrollment and higher utilization rates during and after the pandemic.
Recent federal budget actions under the Trump administration have proposed major reductions in federal Medicaid funding and program changes. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is projected to trim federal Medicaid spending by more than $1 trillion over the next decade and introduces measures such as work requirements and increased participant cost-sharing. These provisions could reduce coverage and funding for certain groups, potentially shifting more of the financial burden to states and limiting future federal Medicaid growth, even with the program supporting tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2024 | $14,228,637 | 4.4% |
| 2023 | $13,635,310 | 97% |
| 2022 | $6,922,753 | 4.2% |
| 2021 | $6,646,091 | -39.1% |
| 2020 | $10,913,604 | -5.6% |
| 2019 | $11,561,424 | 6.6% |
| 2018 | $10,848,240 | N/A |
| ZIP Code | Medicaid Payments | % of State Total |
|---|---|---|
| 83401 | $2,468,047 | 17.3% |
| 83709 | $2,067,339 | 14.5% |
| 83442 | $1,493,422 | 10.5% |
| 83814 | $1,473,714 | 10.4% |
| 83687 | $1,289,478 | 9.1% |
| 83686 | $976,889 | 6.9% |
| 83646 | $853,071 | 6% |
| 83705 | $748,412 | 5.3% |
| 83201 | $676,395 | 4.8% |
| 83301 | $351,530 | 2.5% |
| 83864 | $305,971 | 2.2% |
| 83402 | $256,370 | 1.8% |
| 83617 | $221,052 | 1.6% |
| 83642 | $177,023 | 1.2% |
| 83501 | $143,573 | 1% |
| 83404 | $132,776 | 0.9% |
| 83704 | $117,220 | 0.8% |
| 83221 | $75,197 | 0.5% |
| 83605 | $64,942 | 0.5% |
| 83854 | $48,279 | 0.3% |
| 83702 | $44,612 | 0.3% |
| 83318 | $39,242 | 0.3% |
| 83202 | $32,485 | 0.2% |
| 83706 | $30,929 | 0.2% |
| 83712 | $27,456 | 0.2% |
| 83714 | $24,400 | 0.2% |
| 83623 | $21,674 | 0.2% |
| 83651 | $15,773 | 0.1% |
| 83713 | $14,266 | 0.1% |
| 83616 | $8,430 | 0.1% |
| 83835 | $6,345 | <0.1% |
| 83837 | $5,309 | <0.1% |
| 83440 | $3,274 | <0.1% |
| 83619 | $2,166 | <0.1% |
| 83274 | $2,112 | <0.1% |
| 83647 | $1,840 | <0.1% |
| 83661 | $1,417 | <0.1% |
| 83638 | $1,170 | <0.1% |
| 83340 | $1,087 | <0.1% |
| 83851 | $938 | <0.1% |
| 83338 | $830 | <0.1% |
| 83843 | $824 | <0.1% |
| 83852 | $675 | <0.1% |
| 83263 | $415 | <0.1% |
| 83634 | $195 | <0.1% |
| 83858 | $73 | <0.1% |
Data in this analysis comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source is available here.
