Utah
#43 in Medicaid spending (0.48% of national total)
Total Spending
$5.20B
Total Claims
81.3M
Providers
4,889
Avg Cost/Claim
$64
Data Coverage Note: Utah has 97% of Medicaid enrollees in managed care. This data covers only fee-for-service (FFS) claims (est. 3% of enrollees). Actual total Medicaid spending in Utah is significantly higher than shown.
Enrollment (Latest)
347K
Managed Care
97%
ACA Expansion
Yes (2020)
FFS $/Enrollee
$2,039
Yearly Spending Trend
Year-over-Year Growth
Top Providers
| Provider | Total Paid▼ |
|---|---|
AMERICAN LOGISTICS, LLC. Transportation Broker | $299.9M |
VALLEY BEHAVIORAL HEALTH INCORPORATED Counselor | $293.4M |
UNIVERSITY OF UTAH Clinic/Center | $221.1M |
ABS UTAH, P.C. Psychologist | $197.2M |
WASATCH BEHAVIORAL HEALTH SPECIAL SERVICE DISTRICT Counselor | $178.2M |
IHC HEALTH SERVICES, INC. Psychiatric Unit | $129.5M |
MYRIAD GENETIC LABORATORIES, INC. Clinical Medical Laboratory | $124.8M |
GOLD CROSS SERVICES, INC. Ambulance | $92.5M |
ODYSSEY HOUSE INC Psychiatry & Neurology | $84.5M |
WEBER HUMAN SERVICES Clinic/Center | $81.6M |
DAVIS BEHAVIORAL HEALTH INC Counselor | $70.8M |
IHC HEALTH SERVICES, INC. Rehabilitation Unit | $68.8M |
IHC HEALTH SERVICES, INC. Psychiatric Unit | $65.8M |
BRIDGEWAY INTEGRATED HEALTHCARE SERVICES Nurse Practitioner | $65.7M |
SOUTHWEST CENTER Clinic/Center | $58.4M |
UTAH NAVAJO HEALTH SYSTEM, INCORPORATED Family Medicine | $55.1M |
IHC HEALTH SERVICES INC Psychiatric Unit | $54.1M |
FIRST STEP HOUSE Clinical Medical Laboratory | $46.1M |
IHC HEALTH SERVICES, INC. Skilled Nursing Facility | $44.4M |
CONFEDERATED TRIBES OF THE GOSHUTE RESERVATION General Practice | $41.3M |
20 rows
Top Procedures
| Code | Description | Total Paid▼ |
|---|---|---|
| 8888888 | (no description) | $542.6M |
| 90837 | Psytx w pt 60 minutes | $262.0M |
| 97153 | Adaptive behavior tx by tech | $252.7M |
| A0429 | Bls-emergency | $199.8M |
| 99214 | Office o/p est mod 30 min | $192.8M |
| H0018 | Alcohol and/or drug services | $173.7M |
| 99213 | Office o/p est low 20 min | $169.4M |
| A0380 | Basic life support mileage | $113.0M |
| 90853 | Group psychotherapy | $79.2M |
| T1000 | Private duty/independent nsg | $77.5M |
| T1018 | School-based iep ser bundled | $74.0M |
| 81162 | Brca1&2 gen full seq dup/del | $71.9M |
| T1021 | Hh aide or cn aide per visit | $71.7M |
| D0120 | Periodic oral evaluation | $70.3M |
| T2031 | Assist living waiver/diem | $67.8M |
| H2017 | Psysoc rehab svc, per 15 min | $67.1M |
| T1024 | Team evaluation & management | $65.5M |
| T1017 | Targeted case management | $65.3M |
| H2016 | Comp comm supp svc, per diem | $59.6M |
| H2019 | Ther behav svc, per 15 min | $59.2M |
20 rows
Provider Classification Breakdown
| Classification | Total Paid▼ | Providers |
|---|---|---|
| Clinic/Center | $754.8M | 339 |
| Counselor | $655.5M | 138 |
| Transportation Broker | $299.9M | 1 |
| Clinical Medical Laboratory | $275.3M | 35 |
| Psychiatric Unit | $272.4M | 6 |
| General Acute Care Hospital | $266.5M | 34 |
| Home Health | $232.0M | 58 |
| Ambulance | $212.8M | 63 |
| Psychologist | $208.2M | 43 |
| Dentist | $183.6M | 567 |
| Family Medicine | $138.3M | 447 |
| Durable Medical Equipment & Medical Supplies | $123.5M | 115 |
| Psychiatry & Neurology | $104.2M | 67 |
| General Practice | $88.8M | 11 |
| Community/Behavioral Health | $86.7M | 43 |
| Nurse Practitioner | $86.6M | 236 |
| Local Education Agency (LEA) | $84.3M | 35 |
| Rehabilitation Unit | $77.8M | 2 |
| Pediatrics | $76.4M | 363 |
| Assisted Living Facility | $74.0M | 58 |