Alamosa’s Medicaid payments for National Codes Established for State Medicaid Agencies climb to $1,841,545 in 2024

Alamosa’s Medicaid providers billed $1,841,545 in 2024 for services assigned to the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure is up 7% from $1,720,929 in 2023 billings for the same category.

Medicaid is administered by states and receives funding through both federal and state contributions. Coverage extends to low-income residents, families, seniors, children and people with disabilities, positioning it as one of the nation’s largest health care programs.

Shifts in local Medicaid payments reflect how taxpayer-funded health resources are distributed in a given community.

The “National Codes Established for State Medicaid Agencies” category contains Medicaid services defined by care type using standardized HCPCS and CPT code groups. For this review, each billing code aligned with one distinct service category using consistent code prefixes and numbering systems, to group similar services for annual comparison while avoiding duplicate tabulation and ensuring accurate rankings over time.

National Codes Established for State Medicaid Agencies was the fifth-largest Medicaid service category by total payments in Alamosa in 2024, alongside growth in other service areas.

Across Colorado, this same category ranked first in Medicaid payments for 2024.

Between 2019 and 2024, Medicaid spending tied to National Codes Established for State Medicaid Agencies in Alamosa rose $174,993, a gain of 10.5%. Growth rates accelerated during some periods, with pronounced increases seen in 2023 and 2022.

Spending within this category showed geographic disparity in distribution, focusing on a few ZIP codes. In 2024, ZIP code 81101 accounted for $1,841,545, making up 100% of Medicaid payments for the National Codes Established for State Medicaid Agencies category in Alamosa.

Most Medicaid payments in this category were tied to a small number of specific billing codes.

For context, while Alamosa’s National Codes Established for State Medicaid Agencies payments rose by 7% from 2023 to 2024, overall Medicaid payments in the city increased by 26.1% across all categories during the same interval.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending by federal and state governments reached about $871.7 billion in fiscal year 2023, approximately 18% of all U.S. health care expenditures, considerably higher than the roughly $613.5 billion spent in 2019 before the COVID-19 public health emergency.

This represents an estimated 40% growth in a short timeframe, which analysts attribute mostly to increased enrollment and higher service demand during and following the pandemic.

Recent federal budget actions under the Trump administration introduced sweeping proposals that reduce Medicaid’s federal funding and change program rules. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to cut federal Medicaid spending by more than $1 trillion over 10 years and includes new work requirements and cost-sharing measures that may reduce access and funding for certain recipients. These provisions are set to leave states with greater program costs and could slow federal Medicaid spending growth, although the program remains a safety net for tens of millions nationwide.

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.