Medicaid payments for National Codes Established services in Wray climb 2.9% in 2024

In 2024, Medicaid providers in Wray billed $221,572 for services listed under the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 2.9% rise from 2023, when $215,275 in claims were submitted for the same service type.

Medicaid, a public health insurance program managed by the states and funded jointly by federal and state governments, provides coverage to low-income individuals and families, seniors, children, and people with disabilities. It is one of the largest components of the U.S. health care system.

Since taxpayer dollars support Medicaid payments, changes in billing locally indicate how public health care funds are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category identifies a set of Medicaid services defined by type of care and based on standardized HCPCS and CPT code groupings. This analysis placed each billing code into a single service category using consistent code prefixes and numeric ranges, enabling review of related services together while preventing duplication and preserving consistent rankings across years.

While Medicaid spending grew in several service categories, National Codes Established for State Medicaid Agencies accounted for the highest total Medicaid payments in Wray in 2024.

Across Colorado, this category also held the top spot for total Medicaid payments in 2024.

Looking over the five years ending in 2024, Medicaid payments associated with the National Codes Established for State Medicaid Agencies category in Wray totaled $221,572, with a net change of 0%. Periods of faster spending growth occurred, particularly in 2023 and 2022.

Although care in the National Codes Established for State Medicaid Agencies category was provided citywide, payments were notably concentrated within certain ZIP codes. In 2024, ZIP code 80758 accounted for $221,572, representing 100% of Medicaid payments tied to this category in Wray during the year.

Within the category, Medicaid payments focused on a select group of billing codes.

Comparing changes, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Wray increased 2.9% from 2023 to 2024, while payments across all Medicaid claim categories in the city saw a 16.8% change during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached an estimated $871.7 billion for fiscal year 2023, representing about 18% of overall national health expenditures, up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth reflects an approximate 40% rise in just a few years, largely attributed to increased enrollment and higher use of services during and after the pandemic.

Recent federal budget bills during the Trump administration have featured major proposals to cut federal Medicaid funding and restructure the program. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces policies such as work requirements and greater cost-sharing that could limit coverage and funds for some enrollees. These changes are likely to shift more expenses to states and slow federal Medicaid support growth, even as the program continues to cover tens of millions 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.