In 2024, providers in Fort Lupton billed $88,363 to Medicaid for services under the Durable Medical Equipment category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 1,117.3% rise from 2023, when billing for these services totaled $7,259.
Medicaid, a publicly funded health insurance program run by states and financed in partnership by state and federal governments, covers individuals and families with low incomes, seniors, children, and people with disabilities. It is one of the nation’s largest health care programs.
As Medicaid is funded by taxpayers, variations in local billing reflect how public health spending is distributed in a given area.
The Durable Medical Equipment category includes a subset of Medicaid-billed services defined by the nature of the care, based on established HCPCS and CPT code groupings. In this analysis, each billing code was placed into a single service category using uniform code prefixes and number ranges. This approach enables grouped evaluation of related services, minimizes double counting, and maintains consistent rankings over time.
While overall Medicaid spending grew across various service categories, Durable Medical Equipment was the second-largest category by Medicaid payments in Fort Lupton for 2024.
Statewide in Colorado, Durable Medical Equipment ranked eighth in total Medicaid payments in 2024.
Over the five years before 2024, Medicaid payments for Durable Medical Equipment in Fort Lupton grew by $88,363, which amounts to a 0% change. Certain years saw accelerated increases, most notably in 2023 and 2022.
Spending in the Durable Medical Equipment category was distributed citywide, but a few ZIP codes accounted for most payments. The top ZIP code in 2024, 80621, represented $88,362 of Medicaid payments for these services. This single ZIP code was responsible for 100% of all Medicaid payments related to Durable Medical Equipment in Fort Lupton that year.
Among Durable Medical Equipment services, Medicaid payments were also highly concentrated among a small set of billing codes.
To provide context, Medicaid payments tied to Durable Medical Equipment in Fort Lupton rose by 1,117.3% from 2023 to 2024, compared to a 6.9% shift across all Medicaid claim categories within the city over the same span.
According to the Centers for Medicare & Medicaid Services, total federal and state spending on Medicaid reached roughly $871.7 billion in fiscal year 2023, about 18% of all U.S. health expenditures—up significantly from approximately $613.5 billion back in 2019, before the COVID-19 pandemic.
The rise amounts to about 40% growth in just a few years, largely due to broader enrollment and increased usage during and after the pandemic.
Recent federal budget measures under the Trump administration have advanced significant reductions to federal Medicaid funding and restructuring of the program. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to trim more than $1 trillion from federal Medicaid funding over the coming decade. The legislation includes policies such as work requirements and larger cost-sharing, which could curtail coverage and reduce funds for certain beneficiaries. These changes may pass more costs to states and limit the rate of growth for federal Medicaid support, even as the program remains a core component of U.S. health care.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $9,682 | – |
| 2023 | $7,259 | -25% |
| 2024 | $88,362 | 1117.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $258,519 | 59.1% |
| 2 | Durable Medical Equipment | $88,362 | 20.2% |
| 3 | Medicine Services and Procedures | $35,261 | 8.1% |
| 4 | Procedures / Professional Services | $29,645 | 6.8% |
| 5 | Dental Services | $10,310 | 2.4% |
| 6 | Alcohol and Drug Abuse Treatment | $6,595 | 1.5% |
| 7 | Vision Services | $4,555 | 1% |
| 8 | Medical And Surgical Supplies | $2,928 | 0.7% |
| 9 | Surgery | $777 | 0.2% |
| 10 | Pathology and Laboratory Procedures | $481 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| E1399 | Durable medical equipment mi | $88,362 | 6 |
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.
