Greenwood Village Medicaid providers submitted $4,562,122 in claims for services within the Evaluation and Management category in 2024, using data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 29.2% rise from 2023, when $3,530,063 was billed for these services.
Medicaid, administered by each state and jointly financed by state and federal governments, provides coverage to low-income families and individuals, seniors, children, and people with disabilities and remains a significant component of the nation’s health care system.
Since Medicaid funds come from taxpayers, changes in local billing highlight how community health care resources are used.
The Evaluation and Management category pools Medicaid-billed services according to care type, based on standardized HCPCS and CPT codes. Consistent code prefixes and numeric ranges were used to assign billing codes to a single category for this analysis, supporting accurate tracking of related services and preventing double counting in rankings.
Although expenditures rose across several types of Medicaid services, Evaluation and Management stood as the second-largest category by total Medicaid payments in Greenwood Village for 2024.
Statewide in Colorado, Evaluation and Management placed fourth among all Medicaid payment categories in 2024.
During the five years before 2024, Medicaid payments in Greenwood Village tied to Evaluation and Management increased $961,824, or 26.7%. Spending growth quickened at certain intervals, with sharp rises seen in 2020 and 2023.
Payments for Evaluation and Management care were distributed throughout Greenwood Village but were concentrated in a few ZIP codes. In 2024, Medicaid payments in this category were highest in ZIP code 80111 at $2,512,450, followed by 80112 at $2,002,975, and 80121 at $46,696. Combined, these top 3 ZIP codes made up 100% of all Medicaid payments for Evaluation and Management services in Greenwood Village that year.
Within Evaluation and Management services, payments were focused among a small group of individual billing codes.
For perspective, Medicaid spending on Evaluation and Management in Greenwood Village jumped 29.2% from 2023 to 2024, compared with a 0.3% overall change in Medicaid claim payments within the city during this period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached nearly $871.7 billion in fiscal 2023, or around 18% of total U.S. health expenditures. That’s a significant jump from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase amounts to roughly 40% growth over several years, fueled by wider program enrollment and greater use during and after the pandemic era.
Federal budget laws enacted during the Trump administration introduced major proposals to lower federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to trim more than $1 trillion from federal Medicaid outlays over the next 10 years. It introduces policies such as work requirements and higher cost-sharing that may decrease coverage and federal funding for some beneficiaries. The measures are anticipated to transfer greater financial responsibility to states and restrict future federal Medicaid growth, though the program will continue supporting tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,600,298 | 35.5% |
| 2021 | $3,163,014 | -12.1% |
| 2022 | $2,792,025 | -11.7% |
| 2023 | $3,530,063 | 26.4% |
| 2024 | $4,562,122 | 29.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $10,040,929 | 44.5% |
| 2 | Evaluation and Management | $4,562,122 | 20.2% |
| 3 | Medicine Services and Procedures | $2,789,830 | 12.4% |
| 4 | Alcohol and Drug Abuse Treatment | $2,450,251 | 10.9% |
| 5 | Temporary National Codes (Non-Medicare) | $971,662 | 4.3% |
| 6 | Durable Medical Equipment | $582,882 | 2.6% |
| 7 | Procedures / Professional Services | $507,899 | 2.3% |
| 8 | Medical And Surgical Supplies | $237,396 | 1.1% |
| 9 | Vision Services | $204,110 | 0.9% |
| 10 | Hearing Services | $133,803 | 0.6% |
| 11 | Anesthesia | $57,729 | 0.3% |
| 12 | Dental Services | $10,074 | <0.1% |
| 13 | Radiology Procedures | $9,206 | <0.1% |
| 14 | Surgery | $4,949 | <0.1% |
| 15 | Temporary Codes | $1,492 | <0.1% |
| 16 | Pathology and Laboratory Procedures | $1,453 | <0.1% |
| 17 | Prosthetic Procedures | $1,330 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99233 | Sbsq hosp ip/obs high 50 | $1,025,993 | 329 |
| 99291 | Critical care first hour | $701,926 | 136 |
| 99309 | Sbsq nf care moderate mdm 30 | $665,637 | 485 |
| 99310 | Sbsq nf care high mdm 45 | $522,205 | 295 |
| 99214 | Office o/p est mod 30 min | $397,746 | 150 |
| 99232 | Sbsq hosp ip/obs moderate 35 | $389,256 | 100 |
| 99223 | 1st hosp ip/obs high 75 | $351,634 | 151 |
| 99239 | Hosp ip/obs dschrg mgmt >30 | $151,161 | 136 |
| 99213 | Office o/p est low 20 min | $76,930 | 32 |
| 99215 | Office o/p est hi 40 min | $66,486 | 27 |
| 99306 | 1st nf care high mdm 50 | $47,219 | 38 |
| 99204 | Office o/p new mod 45 min | $40,817 | 22 |
| 99203 | Office o/p new low 30 min | $33,916 | 25 |
| 99490 | Chrnc care mgmt staff 1st 20 | $18,919 | 135 |
| 99497 | Advncd care plan 30 min | $17,946 | 36 |
| 99395 | Prev visit est age 18-39 | $15,409 | 10 |
| 99385 | Prev visit new age 18-39 | $13,915 | 7 |
| 99205 | Office o/p new hi 60 min | $8,196 | 7 |
| 99238 | Hosp ip/obs dschrg mgmt 30/< | $6,255 | 9 |
| 99344 | Home/res vst new mod mdm 60 | $4,354 | 2 |
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.
