A total of $17,943,364 was billed in 2024 by Medicaid providers in Arapahoe for services grouped under the National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This sum represents a 6.6% rise compared with 2023, when such billings for the same services reached $16,832,652.
Medicaid, jointly funded by the federal and state governments and administered by the states, provides health insurance to low-income individuals and families, seniors, children, and those with disabilities. It remains a major component of health care in the United States. More details are available from the Commonwealth Fund.
Shifts in local Medicaid billing reflect how taxpayer money is distributed across public health needs in a community.
The National Codes Established for State Medicaid Agencies category consists of Medicaid-billed services determined by standard HCPCS and CPT code groupings. For analysis, each billing code in this category was assigned to one service designation using standard code prefixes and numerical sections, ensuring examined services are not duplicated and their rankings over time are accurate.
Even with increased spending noted in various service classifications, National Codes Established for State Medicaid Agencies was the top category in Arapahoe by total Medicaid payments in 2024.
Wyoming also ranked National Codes Established for State Medicaid Agencies first among all categories statewide by Medicaid payments in 2024.
Between 2019 and 2024, Medicaid spending associated with the National Codes Established for State Medicaid Agencies category in Arapahoe grew by $7,432,305, a 70.7% gain. There were several years during this span, notably 2020 and 2022, where growth rates were especially high.
Though costs related to care within the National Codes Established for State Medicaid Agencies group appeared in different parts of the city, the majority was confined to a small set of ZIP codes. In 2024, ZIP code 82510 represented $17,943,364 in such payments. Altogether, the leading ZIP code accounted for 100% of all related Medicaid payments in Arapahoe during the year.
For this category, only a small set of individual billing codes made up most Medicaid payments.
From 2023 to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Arapahoe rose 6.6%. The city overall saw a 6.6% change for all Medicaid claim categories in the same period.
According to the Centers for Medicare & Medicaid Services, total combined federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023, making up around 18% of overall national health spending. This figure increased from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This four-year change amounts to growth of roughly 40%, which the agencies attribute in part to expanded program participation and higher overall health care use through and after the pandemic.
Recent federal budget actions under the Trump administration included proposals and legislation that reduce federal Medicaid allocations and restructure the program. The “One Big Beautiful Bill Act,” passed into law in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over a decade. Provisions include new work requirements and increased cost-sharing, both of which could restrict funding or lower coverage for some Medicaid recipients. As a result, states may take on higher costs even as federal support growth becomes slower, though Medicaid is still used by tens of millions of Americans annually.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,511,059 | 60.4% |
| 2021 | $12,286,287 | 16.9% |
| 2022 | $16,541,440 | 34.6% |
| 2023 | $16,832,652 | 1.8% |
| 2024 | $17,943,364 | 6.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $17,943,364 | 99.9% |
| 2 | Evaluation and Management | $8,110 | <0.1% |
| 3 | Pathology and Laboratory Procedures | $1,438 | <0.1% |
| 4 | Medicine Services and Procedures | $241 | <0.1% |
| 5 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| 5 | Dental Services | $0 | <0.1% |
| 5 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $17,943,364 | 385 |
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.