Littleton Medicaid providers received $52,527,001 in payments for services categorized under the National Codes Established for State Medicaid Agencies in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 36% rise from 2023, when claims for the same services totaled $38,627,367.
Medicaid is a public health insurance initiative financed by both federal and state governments and run by the states. The program offers coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a cornerstone of the U.S. health care system.
Because Medicaid payments use taxpayer funds, shifts in local billing give insights into how health care spending is distributed throughout the community.
The “National Codes Established for State Medicaid Agencies” group includes billable Medicaid services based on specific types of care organized under standard HCPCS and CPT code designations. This analysis organized each billing code into a designated service category using standardized code prefixes and numerical ranges. This approach allows combined review of related services while avoiding duplicate counts and maintaining consistent rankings over time.
Even though Medicaid spending grew across multiple service areas, the National Codes Established for State Medicaid Agencies category saw the highest total payments in Littleton for 2024.
In Colorado as a whole, the National Codes Established for State Medicaid Agencies group also ranked first statewide for Medicaid payments in 2024.
From five years prior to 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Littleton increased by $39,432,338, or 301.1%. More rapid growth was recorded during certain years, notably in 2020 and 2021.
Spending for services in the National Codes Established for State Medicaid Agencies group was present across Littleton but was largely concentrated within a handful of ZIP codes. In 2024, ZIP code 80120 led with $36,200,692, followed by 80127 with $6,588,789 and 80128 with $5,043,911. Altogether, the top three ZIP codes represented 91.1% of all Littleton Medicaid payments for this category.
Within this group, a small number of billing codes accounted for the majority of Medicaid payments.
For perspective, while Littleton’s Medicaid payments linked to the National Codes Established for State Medicaid Agencies grew by 36% between 2024 and 2023, the overall increase across all Medicaid claims in the city was 19.9% in the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of total national health spending, an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This marks roughly 40% growth in a few years, largely a result of higher enrollments and increased demand during and after the pandemic period.
Recent federal budget actions under the Trump administration included substantial proposals to decrease federal Medicaid contributions and overhaul program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years and brings forward measures such as work requirements and higher cost-sharing, potentially reducing coverage and support for some enrollees. These adjustments are predicted to transfer more costs to individual states and curb federal Medicaid growth, despite ongoing coverage for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $13,094,663 | 196.8% |
| 2021 | $22,680,656 | 73.2% |
| 2022 | $30,364,803 | 33.9% |
| 2023 | $38,627,367 | 27.2% |
| 2024 | $52,527,001 | 36% |
| 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 |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $33,411,612 | 35 |
| T2021 | Day habil waiver per 15 min | $6,009,932 | 84 |
| T1019 | Personal care ser per 15 min | $5,581,634 | 88 |
| T2003 | N-et; encounter/trip | $2,022,713 | 69 |
| T2033 | Res, nos waiver per diem | $1,269,218 | 11 |
| T1017 | Targeted case management | $853,292 | 108 |
| T2015 | Habil prevoc waiver per hr | $536,458 | 12 |
| T4534 | Youth size pull-on | $524,119 | 12 |
| T4527 | Adult size pull-on lg | $425,281 | 12 |
| T4526 | Adult size pull-on med | $406,095 | 12 |
| T4535 | Disposable liner/shield/pad | $403,896 | 12 |
| T2019 | Habil sup empl waiver 15min | $381,898 | 21 |
| T4528 | Adult size pull-on xl | $223,193 | 12 |
| T4544 | Adlt disp und/pull on abv xl | $155,602 | 12 |
| T4523 | Adult size brief/diaper lg | $72,097 | 12 |
| T4533 | Youth size brief/diaper | $70,749 | 12 |
| T4522 | Adult size brief/diaper med | $63,245 | 12 |
| T4543 | Adult disp brief/diap abv xl | $48,888 | 10 |
| T2024 | Serv asmnt/care plan waiver | $32,514 | 8 |
| T4524 | Adult size brief/diaper xl | $31,564 | 11 |
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.
