Sheridan Medicaid outlays on medicine services and procedures climb to $48,782 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In Sheridan, Medicaid providers billed $48,782 for the Medicine Services and Procedures category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 7.1% increase over 2023, when claims for the same service type reached $45,551.

Medicaid, a public health insurance program operated by individual states with joint federal and state funding, provides coverage for low-income people and families, seniors, children, and those with disabilities. This makes the program a large part of the U.S. health care landscape.

Because Medicaid payment flows originate from taxpayers, variations in local billing amounts reflect shifts in how public health care resources are distributed in a given community.

The “Medicine Services and Procedures” designation groups Medicaid-reimbursed care by service type, using established HCPCS and CPT code groupings. This analysis sorted each billing code into a single service category according to standardized prefixes and numerical ranges, enabling related services to be evaluated collectively without duplication and ensuring consistent rankings year over year.

Medicaid expenditures increased in several categories, with Medicine Services and Procedures ranking fourth in total Medicaid dollars paid out in Sheridan during 2024.

Statewide, Medicine Services and Procedures was the fifth-largest Medicaid payment category in Colorado in 2024.

Over the five-year span prior to 2024, Sheridan’s Medicaid payments in the Medicine Services and Procedures group rose by $48,141, or 7505.6%. The rate of growth sped up in certain years, particularly with sharp increases observed in 2022 and 2021.

While Medicine Services and Procedures payments were disbursed throughout Sheridan, they were concentrated in just a few ZIP codes. In 2024, ZIP code 80110 made up the entirety with $48,781 in Medicaid payments for services in this category. This top ZIP code accounted for 100% of Sheridan’s Medicaid spending for Medicine Services and Procedures during the year.

Within the category, a small number of billing codes made up most of the Medicaid payments.

To compare, Medicaid spending for Medicine Services and Procedures in Sheridan increased by 7.1% from 2023 to 2024, while all Medicaid claim categories combined saw a 24.5% change within the city during the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled around $871.7 billion for fiscal year 2023, making up approximately 18% of U.S. health care spending. This is a significant increase from about $613.5 billion in 2019, before the COVID-19 emergency.

This growth amounts to roughly a 40% increase over several years, largely the result of expanded program enrollment and higher usage rates during and since the pandemic.

Recent federal budget laws during the Trump administration featured major proposals to reduce federal Medicaid contributions and alter program rules. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion from federal Medicaid spending in the coming decade and implement work requirements and higher cost-sharing. These changes could curtail coverage and funding for some recipients, leading states to shoulder a greater share of program costs even as enrollment remains high.

Medicaid Payments Tied to Medicine Services and Procedures in Sheridan, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $641 -78.8%
2021 $2,322 262.1%
2022 $64,066 2658.6%
2023 $45,551 -28.9%
2024 $48,781 7.1%
Top Categories by Medicaid Payments in Sheridan, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Durable Medical Equipment $1,526,477 86.7%
2 Alcohol and Drug Abuse Treatment $106,044 6%
3 Medical And Surgical Supplies $77,174 4.4%
4 Medicine Services and Procedures $48,781 2.8%
5 Evaluation and Management $1,654 0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Sheridan, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $48,382 14
92133 Cptrzd oph dx img pst sgm on $398 1

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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