Byers sees 18.2% jump in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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In 2024, Medicaid providers in Byers billed a total of $1,294,728 for services under the National Codes Established for State Medicaid Agencies category, as shown in data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 18.2% rise from 2023, when claims for this service type reached $1,095,777.

Medicaid serves as a public health insurance option administered by states and jointly funded by both federal and state governments. It assists low-income individuals and families, seniors, children, and people living with disabilities, making it a significant component of the U.S. health care system. For more on Medicaid funding, visit this explainer.

Because Medicaid uses taxpayer money, changes in local billing trends reveal shifts in how health care resources are distributed within communities.

The “National Codes Established for State Medicaid Agencies” category covers a range of Medicaid-billed services defined by specific care types, based on standardized HCPCS and CPT code groupings. In this analysis, each billing code was linked to one service category, using consistent code prefixes and numeric ranges to allow for accurate comparisons over time and prevent duplicate counts.

Even as Medicaid spending rose in several service areas, National Codes Established for State Medicaid Agencies placed third in Byers for total Medicaid outlays in 2024.

Statewide in Colorado, National Codes Established for State Medicaid Agencies was the leading category by Medicaid payments in 2024.

Over the five-year period ending in 2024, Byers saw Medicaid payments in this category climb by $1,159,617, or 858.3%. Certain years, such as 2021 and 2022, were marked by especially strong growth.

While the distribution of payments for the National Codes Established for State Medicaid Agencies category reached various parts of the city in 2024, the highest spending was concentrated in just a few ZIP codes. The top ZIP code, 80103, accounted for $1,294,727, meaning that a single ZIP code made up 100% of Medicaid payments for this category in Byers that year.

Payment figures for the National Codes Established for State Medicaid Agencies category were also heavily concentrated in a small number of individual billing codes.

For context, the 18.2% year-over-year rise in Byers for this category from 2023 to 2024 outpaced the 16.2% increase seen across all Medicaid claims types in the city during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023. This accounted for around 18% of all U.S. health spending, up sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise equates to around 40% growth in just a few years, driven mainly by expanded program enrollment and higher health service utilization during and after the pandemic.

Recent federal budget measures passed during the Trump administration included major proposals aimed at reducing federal Medicaid funding and revising the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to cut federal Medicaid spending by more than $1 trillion over the next decade. It also introduces policies such as work requirements and greater cost-sharing, changes likely to reduce coverage for some participants and shift more financial responsibility to states, even as Medicaid continues to serve millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Byers, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $135,111
2021 $599,803 343.9%
2022 $889,701 48.3%
2023 $1,095,777 23.2%
2024 $1,294,727 18.2%
Top Categories by Medicaid Payments in Byers, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Administrative, Miscellaneous and Investigational $6,466,858 46.4%
2 Medical And Surgical Supplies $5,936,350 42.6%
3 National Codes Established for State Medicaid Agencies $1,294,727 9.3%
4 Durable Medical Equipment $222,862 1.6%
5 Evaluation and Management $17,146 0.1%
6 Ambulance and Other Transport Services and Supplies $1,948 <0.1%
7 Pathology and Laboratory Procedures $1,017 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Byers, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
T2021 Day habil waiver per 15 min $911,316 12
T2003 N-et; encounter/trip $383,411 12

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.



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