Littleton Medicaid providers billed $5,896,009 in 2024 for Procedures / Professional Services, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 16.3% jump from 2023, when providers billed $5,071,450 for the same service category.
Medicaid is a state-operated public health insurance initiative jointly funded by state and federal governments. It provides coverage for low-income people and families, seniors, children, and individuals with disabilities, and is a major segment of the U.S. health care infrastructure. More information is available from the Commonwealth Fund.
Since Medicaid dollars come from taxpayers, shifts in community billing levels directly impact how local public health funding is distributed.
The “Procedures / Professional Services” group encompasses a set of Medicaid-billed services determined by the type of care, organized under consistent HCPCS and CPT code prefixes and ranges. For this analysis, each billing code was included in only one service category to maintain accuracy, allowing related services to be grouped together and preventing duplication in rankings over time.
Spending for Medicaid increased in several categories, with Procedures / Professional Services placing fourth by total Medicaid dollar volume in Littleton during 2024.
Across Colorado, the Procedures / Professional Services group ranked 12th in total Medicaid payments for 2024.
In the five years before 2024, Medicaid billing for Procedures / Professional Services in Littleton grew by $5,846,511, a total increase of 11811.6%. Some periods, notably 2021 and 2022, saw sharper year-over-year growth.
While payments in the Procedures / Professional Services category reached all parts of Littleton, a few ZIP codes showed the greatest concentration. In 2024, payments in ZIP codes 80122, 80120, and 80129 were $5,858,399, $36,757, and $663 respectively. These three accounted for 100% of Procedures / Professional Services Medicaid payments in Littleton during the year.
These payments were also highly concentrated among a small set of individual billing codes inside the Procedures / Professional Services category.
Looking at the year-over-year change, Medicaid Procedures / Professional Services payments in Littleton climbed 16.3% from 2023 to 2024, while total Medicaid claim payments for all categories in the city rose by 19.9% in the same period.
Data from the Centers for Medicare & Medicaid Services shows that combined federal and state Medicaid spending was about $871.7 billion for fiscal year 2023—roughly 18% of all U.S. health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This over 40% increase in a short span was mainly attributed to broader enrollment and higher usage rates during and following the pandemic period.
In recent years, major federal budget legislation under the Trump administration proposed lowering federal Medicaid support and changing the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is scheduled to reduce federal Medicaid outlays by more than $1 trillion over the next decade through provisions like work requirements and additional cost-sharing, which may limit coverage and funding for some enrollees. These policy changes are expected to shift costs toward states and slow federal Medicaid growth, even as the program continues to be a key part of health care for tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $49,497 | 13.8% |
| 2021 | $1,383,429 | 2694.9% |
| 2022 | $3,834,229 | 177.2% |
| 2023 | $5,071,449 | 32.3% |
| 2024 | $5,896,009 | 16.3% |
| 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 |
|---|---|---|---|
| G0483 | Drug test def 22+ classes | $5,846,125 | 12 |
| G0310 | Immunize counsel 5-15 min | $16,287 | 13 |
| G8431 | Pos clin depres scrn f/u doc | $13,927 | 30 |
| G0463 | Hospital outpt clinic visit | $12,274 | 8 |
| G8510 | Scr dep neg, no plan reqd | $7,144 | 58 |
| G2211 | Complex e/m visit add on | $249 | 3 |
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.
