Medicaid providers in Rocky Ford billed a total of $937,791 for Medicine Services and Procedures in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 43.3% rise compared with 2023, when claims for the same category totaled $654,342.
Medicaid, a joint federal and state public health insurance program, is funded by both state and federal governments and covers eligible low-income people, seniors, children, and individuals with disabilities. It stands as one of the largest elements of the U.S. health care landscape. Learn more at the Commonwealth Fund.
Because Medicaid uses taxpayer dollars, shifts in local billing show how public health funds are distributed within a community.
The “Medicine Services and Procedures” category includes a range of Medicaid-billed services organized by care type using standard HCPCS and CPT coding systems. For this analysis, each billing code was grouped into a single service category using set code prefixes and number series, allowing the analysis of related services while preventing double counting and maintaining consistent rankings through time.
While Medicaid expenditures increased in several service categories, Medicine Services and Procedures ranked highest by overall Medicaid payments in Rocky Ford for 2024.
Statewide in Colorado, Medicine Services and Procedures held the fifth position by total Medicaid payments in 2024.
Over the five years leading up to 2024, Medicaid payments connected to Medicine Services and Procedures in Rocky Ford climbed by $927,025, or 8610.8%. Notable surges were recorded in 2023 and 2021 as part of this growth trend.
Although spending for Medicine Services and Procedures was spread throughout the area, payments were heavily concentrated in a small group of ZIP codes. The ZIP code 81067 alone accounted for $937,790 of Medicaid payments in 2024, making up 100% of the total for this service type in Rocky Ford that year.
Individual billing codes also drew a large share of payments within the Medicine Services and Procedures group.
Between 2024 and 2023, Medicaid payments for Medicine Services and Procedures in Rocky Ford rose by 43.3%. By comparison, all Medicaid claim categories together increased by 21.1% over that period in the city.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, representing roughly 18% of all U.S. health expenditures. That figure is up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
The change amounts to growth of about 40% in a few years, driven by expanded program enrollment and increased use during and after the pandemic.
Recent federal budget bills passed during the Trump administration have included substantial proposals to reduce federal Medicaid funding and change the program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by over $1 trillion over the next 10 years. It also introduces new policies, such as work requirements and increased cost-sharing, that could affect Medicaid coverage and financial support for some beneficiaries. These measures are likely to shift more costs to states and limit federal support even as Medicaid continues serving tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,765 | 50.4% |
| 2021 | $34,236 | 218% |
| 2022 | $87,899 | 156.7% |
| 2023 | $654,342 | 644.4% |
| 2024 | $937,790 | 43.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $937,790 | 45.7% |
| 2 | National Codes Established for State Medicaid Agencies | $441,397 | 21.5% |
| 3 | Evaluation and Management | $380,325 | 18.5% |
| 4 | Ambulance and Other Transport Services and Supplies | $200,193 | 9.8% |
| 5 | Dental Services | $89,205 | 4.3% |
| 6 | Procedures / Professional Services | $3,296 | 0.2% |
| 7 | Medical And Surgical Supplies | $333 | <0.1% |
| 8 | Pathology and Laboratory Procedures | $0 | <0.1% |
| 8 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 94060 | Evaluation of wheezing | $927,033 | 12 |
| 97530 | Therapeutic activities | $3,998 | 11 |
| 94010 | Breathing capacity test | $2,456 | 12 |
| 97110 | Therapeutic exercises | $2,134 | 10 |
| 97112 | Neuromuscular reeducation | $826 | 7 |
| 90471 | Immunization admin | $625 | 4 |
| 94760 | N-invas ear/pls oximetry 1 | $358 | 12 |
| 94664 | Demo&/eval pt use inhaler | $227 | 10 |
| 97140 | Manual therapy 1/> regions | $123 | 3 |
| 94761 | N-invas ear/pls oximetry mlt | $6 | 10 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $0 | 1 |
| 94640 | Airway inhalation treatment | $0 | 9 |
| 97116 | Gait training therapy | $0 | 6 |
| 97162 | Pt eval mod complex 30 min | $0 | 1 |
| 97166 | Ot eval mod complex 45 min | $0 | 1 |
| 97533 | Sensory integration | $0 | 1 |
| 97535 | Self care mngment training | $0 | 2 |
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.
