Monte Vista Medicaid providers received $382,122 under National Codes Established for State Medicaid Agencies in 2024

In 2024, Medicaid providers in Monte Vista billed $382,122 for services classified under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 41.7% rise when compared to 2023, when providers submitted $269,670 in claims in the same category.

Medicaid is a public health insurance program administered by the states and funded through a combination of federal and state contributions. It covers people with low incomes, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care system.

Because Medicaid funding is sourced from taxpayers, fluctuations in local billing help illustrate how health care dollars are utilized in each community.

The “National Codes Established for State Medicaid Agencies” category encompasses a set of Medicaid-billed services defined by the care type, organized according to standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a unique service group using structured code prefixes and number ranges, keeping similar services together while preventing overcounting and supporting accurate tracking across different years.

Despite increases in Medicaid expenditures across multiple types of care, National Codes Established for State Medicaid Agencies ranked as the second-highest Medicaid payment category in Monte Vista by total spending in 2024.

Statewide in Colorado, National Codes Established for State Medicaid Agencies ranked first by overall Medicaid payments for 2024.

Throughout the five years ending in 2024, Medicaid payments connected to the National Codes Established for State Medicaid Agencies category in Monte Vista went up by $382,122, or 0%. There were periods of faster growth, with especially significant increases in both 2023 and 2022.

Though spending for this care type was distributed citywide, most payments were concentrated in just a few ZIP codes. In 2024, ZIP code 81144 accounted for $382,121 in Medicaid payments for this category. The highest-spending ZIP code thus made up 100% of Medicaid payments within this service grouping in Monte Vista for the year.

Within the National Codes Established for State Medicaid Agencies category, a limited set of billing codes received most Medicaid funds.

To compare, Medicaid payments tied to this service group in Monte Vista rose 41.7% from 2023 to 2024, while payments across all claim categories in the city grew by 38.1% for the same period.

Data from the Centers for Medicare & Medicaid Services indicates that combined federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, which accounted for roughly 18% of total national health expenditures. This was up from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth is just under 40% in a matter of few years, mainly driven by expanded enrollment and increased utilization during and after the pandemic.

Recent federal budget laws enacted by the Trump administration included major recommendations to reduce federal Medicaid funding and reorganize the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to cut more than $1 trillion from federal Medicaid support over the next 10 years while adding requirements such as mandatory work and higher cost-sharing. These provisions are expected to put more financial burdens on states and restrict future federal growth, even as Medicaid continues to support tens of millions of people 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.