Arvada Medicaid outlays for National Codes Established for State Medicaid Agencies total $10.2 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Arvada Medicaid providers invoiced $10,190,496 for services under the National Codes Established for State Medicaid Agencies classification, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents an increase of 26% from the previous year, when the total for this service type was $8,087,721.

Medicaid operates as a public insurance option overseen by states and jointly financed by federal and state governments. Covering low-income groups, seniors, children, and individuals with disabilities, it stands as a core component of the U.S. health care system.

Since Medicaid funds originate from taxpayers, fluctuations in local billing provide insights into how public health care spending is distributed within a community.

The National Codes Established for State Medicaid Agencies classification comprises Medicaid-eligible services identified by care type and organized through HCPCS and CPT code frameworks. This analysis assigns each billing code to one service category based on standardized code prefixes and numeric groupings, which consolidates similar services for review while minimizing overlap and ensuring accurate year-to-year ranking.

While Medicaid outlays increased for several service categories in Arvada, National Codes Established for State Medicaid Agencies led overall by total Medicaid payments in 2024.

Statewide in Colorado, National Codes Established for State Medicaid Agencies was also the top category for Medicaid payment totals in 2024.

During the five years through 2024, Arvada’s Medicaid payments for this category grew by $4,290,577, equal to a 72.7% rise. Growth in expenditures accelerated at particular points, with prominent year-over-year jumps in both 2022 and 2023.

Though these Medicaid payments were made in multiple parts of Arvada, a few ZIP codes saw the bulk of spending. In 2024, the highest sums were in ZIP code 80002 ($3,613,030), 80003 ($3,454,227), and 80004 ($2,651,726). Together, these top 3 areas comprised 95.4% of Arvada’s total Medicaid payments linked to this category that year.

Billing for the National Codes Established for State Medicaid Agencies category was also concentrated among a small set of specific service codes.

Looking at all categories, Medicaid payments for National Codes Established for State Medicaid Agencies in Arvada increased 26% between 2024 and 2023, while payments for all claim categories citywide rose 9.4% over the same timeframe.

According to the Centers for Medicare & Medicaid Services, in fiscal year 2023, combined federal and state Medicaid expenditures hit approximately $871.7 billion, accounting for about 18% of total national health care spending—a substantial increase from $613.5 billion in 2019 before the COVID-19 crisis.

This jump represents close to 40% growth within just a few years, mainly fueled by increases in enrollment and utilization during and following the pandemic.

Recent federal budget actions under the Trump administration have proposed notable reductions in federal Medicaid support and introduced efforts to restructure the program. For example, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade and implements work requirements and additional cost-sharing that could curb coverage and fiscal support for some beneficiaries. Such changes are likely to push more financial responsibility to state governments and restrain future federal Medicaid growth, even as program enrollment remains high nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $5,899,919 -4.1%
2021 $5,742,310 -2.7%
2022 $7,046,382 22.7%
2023 $8,087,720 14.8%
2024 $10,190,495 26%
Top Categories by Medicaid Payments in Arvada, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $10,190,495 39.5%
2 Medicine Services and Procedures $3,641,429 14.1%
3 Enteral and Parenteral Therapy $2,814,513 10.9%
4 Ambulance and Other Transport Services and Supplies $2,207,065 8.6%
5 Alcohol and Drug Abuse Treatment $1,759,990 6.8%
6 Temporary National Codes (Non-Medicare) $1,693,103 6.6%
7 Evaluation and Management $1,284,030 5%
8 Medical And Surgical Supplies $1,184,618 4.6%
9 Dental Services $629,514 2.4%
10 Administrative, Miscellaneous and Investigational $177,369 0.7%
11 Vision Services $70,868 0.3%
12 Pathology and Laboratory Procedures $63,061 0.2%
13 Durable Medical Equipment $36,804 0.1%
14 Procedures / Professional Services $28,270 0.1%
15 Drugs Administered Other than Oral Method $10,627 <0.1%
16 Radiology Procedures $5,936 <0.1%
17 Orthotic Procedures and services $5,143 <0.1%
18 Surgery $4,326 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Arvada, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
T2021 Day habil waiver per 15 min $3,496,725 65
T2019 Habil sup empl waiver 15min $1,480,057 47
T2033 Res, nos waiver per diem $1,084,678 9
T2016 Habil res waiver per diem $1,073,945 12
T1019 Personal care ser per 15 min $606,323 10
T4534 Youth size pull-on $546,316 36
T4527 Adult size pull-on lg $421,789 45
T4526 Adult size pull-on med $242,931 51
T2003 N-et; encounter/trip $239,705 20
T4535 Disposable liner/shield/pad $228,837 60
T4522 Adult size brief/diaper med $202,016 36
T4533 Youth size brief/diaper $111,679 24
T4528 Adult size pull-on xl $106,018 28
T4523 Adult size brief/diaper lg $88,966 12
T4544 Adlt disp und/pull on abv xl $84,929 12
T4521 Adult size brief/diaper sm $79,807 24
T4524 Adult size brief/diaper xl $27,517 11
T4525 Adult size pull-on sm $23,891 12
T2031 Assist living waiver/diem $23,889 1
T1017 Targeted case management $15,933 10

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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