In 2024, Medicaid providers in Greeley billed a total of $15,378,359 for services within the National Codes Established for State Medicaid Agencies category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 31.2% from 2023, when $11,724,795 in claims were submitted for the same services.
Medicaid, a public health insurance initiative managed by states and funded collaboratively by federal and state governments, provides coverage for low-income populations, seniors, children and individuals with disabilities, making it a major segment of the U.S. health care framework.
Since Medicaid expenditures are covered by taxpayers, local claim trends reflect how public health care funds are distributed throughout the community.
The “National Codes Established for State Medicaid Agencies” category encompasses Medicaid-billed services grouped by type of care, determined through standardized HCPCS and CPT code frameworks. For the purposes of this analysis, each billing code was placed into a specific service group using consistent code prefixes and number ranges. This method enabled related care services to be reviewed collectively, eliminated duplication and ensured accurate year-to-year rankings.
Although Medicaid expenditures rose across several service groups, National Codes Established for State Medicaid Agencies held the top rank for total Medicaid payments in Greeley during 2024.
Statewide in Colorado, National Codes Established for State Medicaid Agencies was also the leading category by payment amount in 2024.
Between five years prior to 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Greeley increased by $9,630,427, or 167.5%. There were periods of accelerated growth, with significant year-over-year increases seen in 2021 and 2023.
Spending on National Codes Established for State Medicaid Agencies services was distributed throughout Greeley, but a small number of ZIP codes accounted for most payments. In 2024, ZIP codes 80634 and 80631 recorded the highest totals, with $12,008,123 and $3,370,235 respectively. Combined, these two ZIP codes represented 100% of Medicaid payments linked to the category citywide that year.
Within the National Codes Established for State Medicaid Agencies group, payments were also highly concentrated by billing code.
When comparing trends, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Greeley increased by 31.2% from 2023 to 2024, versus a 19% overall rise across all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled approximately $871.7 billion in fiscal year 2023, making up nearly 18% of overall national health spending. This marked a substantial increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This surge amounts to about 40% growth over several years, stemming largely from expanded Medicaid enrollment and increased utilization during and following the pandemic.
Recent federal budget measures enacted under the Trump administration included significant efforts to limit federal Medicaid allocations and modify the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, and introduces requirements such as work mandates and higher cost-sharing that may lower coverage and funding for some recipients. These policy shifts are projected to increase states’ financial responsibility and restrict the expansion of federal Medicaid support, even as the program continues serving tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,747,931 | 13.2% |
| 2021 | $8,336,880 | 45% |
| 2022 | $9,848,967 | 18.1% |
| 2023 | $11,724,795 | 19% |
| 2024 | $15,378,359 | 31.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $15,378,359 | 29.4% |
| 2 | Evaluation and Management | $12,628,714 | 24.1% |
| 3 | Alcohol and Drug Abuse Treatment | $7,673,508 | 14.7% |
| 4 | Medicine Services and Procedures | $7,672,854 | 14.7% |
| 5 | Dental Services | $3,222,877 | 6.2% |
| 6 | Vision Services | $2,426,582 | 4.6% |
| 7 | Temporary National Codes (Non-Medicare) | $1,030,552 | 2% |
| 8 | Ambulance and Other Transport Services and Supplies | $657,574 | 1.3% |
| 9 | Durable Medical Equipment | $584,062 | 1.1% |
| 10 | Radiology Procedures | $316,836 | 0.6% |
| 11 | Medical And Surgical Supplies | $276,266 | 0.5% |
| 12 | Pathology and Laboratory Procedures | $207,309 | 0.4% |
| 13 | Surgery | $128,926 | 0.2% |
| 14 | Drugs Administered Other than Oral Method | $91,136 | 0.2% |
| 15 | Procedures / Professional Services | $40,332 | 0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $17,522 | <0.1% |
| 17 | Anesthesia | $5,761 | <0.1% |
| 18 | Orthotic Procedures and services | $1,881 | <0.1% |
| 19 | Temporary Codes | $102 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 20 | Hearing Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $7,317,433 | 36 |
| T1019 | Personal care ser per 15 min | $2,558,466 | 31 |
| T2021 | Day habil waiver per 15 min | $1,698,374 | 35 |
| T2031 | Assist living waiver/diem | $1,593,539 | 18 |
| T2019 | Habil sup empl waiver 15min | $1,069,412 | 34 |
| T2013 | Habil ed waiver per hour | $395,978 | 12 |
| T2003 | N-et; encounter/trip | $358,810 | 34 |
| T1017 | Targeted case management | $337,133 | 26 |
| T4527 | Adult size pull-on lg | $20,968 | 11 |
| T4535 | Disposable liner/shield/pad | $15,321 | 12 |
| T4528 | Adult size pull-on xl | $10,113 | 8 |
| T2024 | Serv asmnt/care plan waiver | $2,805 | 1 |
| T2001 | N-et; patient attend/escort | $0 | 7 |
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.
