Northglenn Medicaid payments for National Codes Established for State Medicaid Agencies climb to $20,927,511 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Northglenn billed $20,927,511 for services categorized as National Codes Established for State Medicaid Agencies, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 40.4% rise from 2023, when claims totaled $14,908,096 for the same service category.

Medicaid, administered by the states and funded in partnership by federal and state governments, serves low-income individuals and families, seniors, children and people with disabilities, making it a significant component of the U.S. health care system.

Medicaid payments, sourced from taxpayer contributions, indicate how public health funding is distributed within a local community as billing levels shift.

The “National Codes Established for State Medicaid Agencies” category comprises Medicaid-billed services defined by care type, utilizing standardized HCPCS and CPT code groupings. In this analysis, each code was assigned exclusively to a single service group through consistent code prefixes and number ranges, facilitating accurate tracking and comprehensive ranking over time.

National Codes Established for State Medicaid Agencies led all service categories in Northglenn by total Medicaid payments for 2024, even as spending was up across several categories.

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

Examining the five years before 2024, Medicaid payments connected to National Codes Established for State Medicaid Agencies in Northglenn grew by $9,533,835, an increase of 83.7%. There were periods of rapid growth, including notable annual increases in both 2020 and 2023.

While payments for care in this category spread throughout Northglenn, most Medicaid dollars were concentrated in a small number of ZIP codes. In 2024, leading ZIP codes for Medicaid payments in this category included 80233 with $10,845,935, 80234 at $10,079,211, and 80260 with $2,363. The top 3 ZIP codes made up 100% of all Medicaid payments for this category in Northglenn that year.

Within the National Codes Established for State Medicaid Agencies, Medicaid payments were further focused among a small set of billing codes.

Comparing year over year, Medicaid payments for this group in Northglenn increased 40.4% from 2023 to 2024, whereas all Medicaid claim categories in the city combined saw a 15.1% rise in the same period.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing roughly 18% of all U.S. health care spending. This is up sharply from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This upward trend translates to about 40% growth over just a few years, with increased enrollment and utilization during and following the pandemic as key drivers.

Recent federal budget policy enacted during the Trump administration features proposals to significantly reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to decrease federal Medicaid expenditures by more than $1 trillion over a decade, and adds requirements such as work mandates and higher cost-sharing. These changes could limit coverage and shift financial responsibility to states, as the program remains vital for millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $11,393,676 22.3%
2021 $12,159,739 6.7%
2022 $13,340,893 9.7%
2023 $14,908,095 11.7%
2024 $20,927,511 40.4%
Top Categories by Medicaid Payments in Northglenn, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $20,927,511 64.3%
2 Alcohol and Drug Abuse Treatment $4,845,682 14.9%
3 Medicine Services and Procedures $4,418,968 13.6%
4 Temporary National Codes (Non-Medicare) $1,041,710 3.2%
5 Ambulance and Other Transport Services and Supplies $487,283 1.5%
6 Evaluation and Management $359,081 1.1%
7 Dental Services $219,629 0.7%
8 Vision Services $118,642 0.4%
9 Surgery $83,254 0.3%
10 Pathology and Laboratory Procedures $20,887 0.1%
11 Temporary Codes $8,450 <0.1%
12 Durable Medical Equipment $7,008 <0.1%
13 Medical And Surgical Supplies $274 <0.1%
14 Procedures / Professional Services $260 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Northglenn, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
T2016 Habil res waiver per diem $10,369,726 34
T1019 Personal care ser per 15 min $9,550,026 38
T2021 Day habil waiver per 15 min $887,708 22
T2003 N-et; encounter/trip $85,111 10
T1017 Targeted case management $34,938 13

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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