In 2024, Medicaid providers in Arvada submitted claims totaling $2,814,513 for services classified under the Enteral and Parenteral Therapy category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 4.6% rise from 2023, when $2,690,852 in claims were billed for the same service group.
Medicaid is a government health insurance program managed by the states with funding shared by federal and state governments. It provides coverage for low-income residents, older adults, children and individuals with disabilities, making it a key component of the U.S. health care delivery system.
Since Medicaid payments originate from taxpayers, changes in local provider billing track the allocation of public health care spending in the area.
The “Enteral and Parenteral Therapy” grouping includes services categorized according to the nature of care delivered, based on defined HCPCS and CPT code groupings. Each code was assigned to one service group for this review, using consistent code prefixes and number ranges, to allow for meaningful comparison over time without duplication and with accurate year-over-year category rankings.
While Medicaid spending increased in several categories, Enteral and Parenteral Therapy placed third in total Medicaid payments within Arvada in 2024.
At the state level in Colorado, the Enteral and Parenteral Therapy category ranked 10th by total Medicaid payments in 2024.
Over the five-year period leading to 2024, Medicaid payments in Arvada associated with the Enteral and Parenteral Therapy category grew by $897,565, or 46.8%. Some years, including 2021 and 2023, saw especially strong annual increases.
Although these services were billed in multiple parts of the city, overall payments were largely concentrated in a small number of ZIP codes. In 2024, ZIP code 80004 accounted for $2,563,193 and 80002 for $251,319 in related Medicaid payments. Combined, these 2 ZIP codes represented 100% of all Enteral and Parenteral Therapy category Medicaid payments made in Arvada that year.
Within the Enteral and Parenteral Therapy category, Medicaid reimbursements were also primarily associated with a limited list of specific billing codes.
Comparatively, Arvada experienced a 4.6% year-over-year increase in Medicaid payments for this category between 2024 and 2023, while overall Medicaid claims citywide changed by 9.4% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up nearly 18% of total national health costs and reflecting a large increase from $613.5 billion in 2019 before the COVID-19 pandemic.
This represents a growth of about 40% over a few years, as expanded enrollment and higher use following the pandemic period drove spending higher.
Recent federal budget legislation during the Trump administration introduced major proposals to cut back on federal Medicaid spending and alter the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid expenditures by over $1 trillion over the next 10 years. It also adds work requirements and greater cost-sharing, which could restrict coverage and funding for certain individuals. This situation is expected to transfer more costs to states and slow the expansion of federal support, even as Medicaid continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,916,947 | -17.4% |
| 2021 | $2,369,008 | 23.6% |
| 2022 | $2,472,000 | 4.3% |
| 2023 | $2,690,852 | 8.9% |
| 2024 | $2,814,513 | 4.6% |
| 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% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| B4161 | Ef ped hydrolyzed/amino acid | $568,431 | 24 |
| B4160 | Ef ped caloric dense>/=0.7kc | $563,558 | 36 |
| B4035 | Enteral feed supp pump per d | $442,896 | 27 |
| B4149 | Ef blenderized foods | $265,018 | 24 |
| B9998 | Enteral supp not otherwise c | $260,914 | 23 |
| B4088 | Gastro/jejuno tube, low-pro | $257,279 | 23 |
| B4154 | Ef spec metabolic noninherit | $121,724 | 15 |
| B4150 | Ef complet w/intact nutrient | $99,307 | 31 |
| B4153 | Ef hydrolyzed/amino acids | $88,321 | 8 |
| B4155 | Ef incomplete/modular | $66,831 | 17 |
| B4036 | Enteral feed sup kit grav by | $29,303 | 13 |
| B4152 | Ef calorie dense>/=1.5kcal | $21,318 | 9 |
| B4104 | Additive for enteral formula | $17,265 | 12 |
| B4100 | Food thickener oral | $10,160 | 6 |
| B4034 | Enter feed supkit syr by day | $2,183 | 1 |
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.
