Centennial Medicaid bills for National Codes Established for State Medicaid Agencies reach $34.9 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Centennial’s Medicaid providers billed $34,863,078 in 2024 for services categorized under the National Codes Established for State Medicaid Agencies, based on U.S. Department of Health and Human Services Medicaid Provider Spending data. This was a 19.2% rise from 2023, which saw $29,259,258 in claims for these same services.

Medicaid, a public health insurance program operated by individual states and funded in partnership by federal and state governments, provides coverage for low-income people, seniors, children, and those with disabilities, making it a major component of the U.S. health care system.

Medicaid payments, which come from taxpayers, reflect how public health spending is distributed locally as billing fluctuates.

The “National Codes Established for State Medicaid Agencies” classification includes Medicaid-billed services defined by care type using standardized HCPCS and CPT groupings. In this review, each billing code was placed into a specific service group using established code prefixes and ranges to ensure related services were evaluated together, while preventing duplicate counting and preserving consistent rankings over time.

Throughout multiple service categories, Medicaid spending increased, and National Codes Established for State Medicaid Agencies topped Centennial’s list by total Medicaid payments for 2024.

Statewide, in Colorado, the National Codes Established for State Medicaid Agencies category was first in payments for 2024.

Over the five years leading to 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Centennial went up by $21,254,593, or 156.2%. Notably, this growth picked up pace in select years, with significant year-over-year increases recorded in 2022 and 2023.

Although spending on care under this category was distributed throughout Centennial, most payments were found in a few ZIP codes. In 2024, ZIP code 80112 totaled $28,466,303, 80015 accounted for $2,732,623, and 80122 had $2,348,921 in relevant Medicaid payments. These 3 ZIP codes combined made up 96.2% of all Medicaid payments tied to the National Codes Established for State Medicaid Agencies in the city for the year.

Within this service category, a limited set of individual billing codes received the bulk of Medicaid payments.

In comparison, between 2024 and 2023, Medicaid payments for National Codes Established for State Medicaid Agencies in Centennial increased 19.2%, while payments across all Medicaid claim types in the city changed by 7.9% over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023, or roughly 18% of total U.S. health spending, rising significantly from $613.5 billion in 2019, before the COVID-19 pandemic.

This reflects an increase of approximately 40% over the span of several years, mainly due to higher enrollment and increased utilization related to and following the pandemic.

Recent federal budget measures under the Trump administration have introduced sweeping plans to curtail federal Medicaid funding and reorganize the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the coming decade, launching policies like work requirements and increased cost-sharing that could diminish coverage and funds for some recipients. These shifts are likely to shift additional costs to states and limit federal support growth, while Medicaid continues to provide for tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $13,608,484 30.1%
2021 $15,906,544 16.9%
2022 $22,294,651 40.2%
2023 $29,259,258 31.2%
2024 $34,863,078 19.2%
Top Categories by Medicaid Payments in Centennial, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $34,863,078 51.3%
2 Temporary National Codes (Non-Medicare) $8,305,465 12.2%
3 Alcohol and Drug Abuse Treatment $6,636,635 9.8%
4 Medicine Services and Procedures $6,299,331 9.3%
5 Ambulance and Other Transport Services and Supplies $3,371,312 5%
6 Medical And Surgical Supplies $2,990,260 4.4%
7 Evaluation and Management $1,378,634 2%
8 Enteral and Parenteral Therapy $1,023,283 1.5%
9 Procedures / Professional Services $1,015,045 1.5%
10 Durable Medical Equipment $763,379 1.1%
11 Dental Services $341,463 0.5%
12 Pathology and Laboratory Procedures $312,145 0.5%
13 Surgery $210,650 0.3%
14 Drugs Administered Other than Oral Method $179,654 0.3%
15 Hearing Services $100,913 0.1%
16 Vision Services $96,131 0.1%
17 Durable medical equipment (DME) Medicare administrative contractors (MACs) $71,541 0.1%
18 Radiology Procedures $5,958 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Centennial, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $22,162,000 81
T2016 Habil res waiver per diem $6,541,761 34
T2021 Day habil waiver per 15 min $5,050,506 47
T2003 N-et; encounter/trip $962,955 34
T2036 Camp overnite waiver/session $125,233 3
T4526 Adult size pull-on med $12,214 8
T4534 Youth size pull-on $7,855 6
T1017 Targeted case management $549 1
T2034 Crisis interven waiver/diem $0 2

Note: HCPCS codes are provided for context. Totals and rankings reported here use standardized service groupings, not individual billing codes.

This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. To access the source data, see here.



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