Providers in Littleton billed $7,743,576 to Medicaid in 2024 for Medicine Services and Procedures, as detailed in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 3.4% rise from 2023, when providers filed $7,488,076 in claims for the same service category.
Medicaid is a state-managed public health insurance program that gets its funding jointly from federal and state governments. This program supports low-income people and families, older adults, children, and individuals with disabilities. It ranks among the most significant elements of the nation’s health care system.
Taxpayer dollars fund Medicaid payments, so shifts in local billing amounts reveal how health care resources are being distributed within a community.
The “Medicine Services and Procedures” category groups a range of Medicaid-billed services identified by care type, using established HCPCS and CPT code groupings. Each code was consistently mapped to a single service group, by code prefixes and digit ranges, so similar services could be tracked together without overlap, maintaining accuracy in rankings across years.
While Medicaid disbursements increased in several service groups, Medicine Services and Procedures placed third in Littleton for total Medicaid payments in 2024.
Statewide in Colorado, Medicine Services and Procedures ranked fifth by overall Medicaid payments in 2024.
Over the five years preceding 2024, Medicaid payments linked to Medicine Services and Procedures in Littleton grew by $4,399,072, a 131.5% jump. The rate of increase was higher in certain periods, with significant annual growth in both 2023 and 2022.
Although spending for Medicine Services and Procedures was spread throughout Littleton, specific ZIP codes received the majority of these payments. In 2024, ZIP code 80120 saw $4,545,065 in Medicaid payments, 80122 received $1,181,726, and 80123 recorded $772,443 for this category. Combined, these 3 ZIP codes made up 83.9% of all Medicaid payments in the category citywide during the year.
Within the category, Medicaid payments were particularly focused on a small set of billing codes.
In comparison, the 3.4% year-over-year increase for Medicine Services and Procedures in Littleton contrasts with a 19.9% overall change across all Medicaid claim categories in the city for the same period.
The Centers for Medicare & Medicaid Services reports that federal and state Medicaid expenditures totaled around $871.7 billion in fiscal year 2023, accounting for about 18% of total national health spending—an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This change indicates roughly 40% growth within just a few years, spurred mainly by more enrollees and greater care usage during and following the pandemic.
Federal budget measures during the Trump administration introduced efforts to reduce federal Medicaid funding and revise the program’s structure. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to decrease federal Medicaid expenditures by over $1 trillion over the next 10 years and add policies such as work requirements and increased cost-sharing. These provisions have the potential to lower coverage and funding for certain recipients, shift more expenses to states, and restrict the growth of federal Medicaid assistance amid continued high enrollment across the United States.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,344,504 | -3.5% |
| 2021 | $3,500,278 | 4.7% |
| 2022 | $4,939,706 | 41.1% |
| 2023 | $7,488,075 | 51.6% |
| 2024 | $7,743,575 | 3.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $52,527,001 | 55.3% |
| 2 | Alcohol and Drug Abuse Treatment | $10,934,244 | 11.5% |
| 3 | Medicine Services and Procedures | $7,743,575 | 8.2% |
| 4 | Procedures / Professional Services | $5,896,009 | 6.2% |
| 5 | Temporary National Codes (Non-Medicare) | $4,582,494 | 4.8% |
| 6 | Durable Medical Equipment | $3,589,709 | 3.8% |
| 7 | Medical And Surgical Supplies | $3,354,462 | 3.5% |
| 8 | Evaluation and Management | $2,067,495 | 2.2% |
| 9 | Enteral and Parenteral Therapy | $1,750,762 | 1.8% |
| 10 | Pathology and Laboratory Procedures | $1,379,726 | 1.5% |
| 11 | Dental Services | $693,736 | 0.7% |
| 12 | Surgery | $227,985 | 0.2% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $106,726 | 0.1% |
| 14 | Radiology Procedures | $63,977 | 0.1% |
| 15 | Vision Services | $53,091 | 0.1% |
| 16 | Temporary Codes | $16,873 | <0.1% |
| 17 | Anesthesia | $2,386 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 97153 | Adaptive behavior tx by tech | $2,301,595 | 26 |
| 90834 | Psytx w pt 45 minutes | $1,501,284 | 258 |
| 97530 | Therapeutic activities | $833,784 | 125 |
| 90837 | Psytx w pt 60 minutes | $738,506 | 167 |
| 97155 | Adapt behavior tx phys/qhp | $322,915 | 19 |
| 90832 | Psytx w pt 30 minutes | $246,019 | 111 |
| 92507 | Tx sp lang voice comm indiv | $242,783 | 58 |
| 97112 | Neuromuscular reeducation | $242,236 | 61 |
| 97533 | Sensory integration | $183,714 | 21 |
| 92609 | Use of speech device service | $177,009 | 30 |
| 90833 | Psytx w pt w e/m 30 min | $138,357 | 77 |
| 90791 | Psych diagnostic evaluation | $116,319 | 75 |
| 95806 | Sleep study unatt&resp efft | $107,194 | 11 |
| 97110 | Therapeutic exercises | $71,309 | 67 |
| 97124 | Massage therapy | $59,028 | 9 |
| 97140 | Manual therapy 1/> regions | $58,325 | 44 |
| 90875 | Psychophysiological therapy | $41,228 | 11 |
| 90792 | Psych diag eval w/med srvcs | $35,611 | 9 |
| 90460 | Im admin 1st/only component | $34,535 | 32 |
| 90846 | Family psytx w/o pt 50 min | $32,351 | 9 |
Note: HCPCS codes are presented for identification within the category. Totals and category rankings in this article rely on standardized groupings, not only individual codes.
This article’s information is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.

