Berthoud sees $141,220 in Medicaid spending for Medicine Services and Procedures in 2024

In 2024, Medicaid providers in Berthoud charged $141,220 for services under the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 21% rise from 2023, when providers submitted $116,753 in claims for comparable services.

Medicaid is a public health insurance initiative managed by the states with funding from both federal and state governments. It provides coverage to low-income people and families, as well as seniors, children, and individuals with disabilities, making it a key part of the U.S. health care system. For more details on Medicaid, see how Medicaid is funded.

Medicaid payments reflect taxpayer funding, so local billing trends highlight the way public health dollars are used within a community.

The “Medicine Services and Procedures” group includes a set of Medicaid-billed services defined by the nature of care delivered, organized by standardized HCPCS and CPT code groups. For this report, billing codes were linked to a single category using consistent code prefixes and ranges, enabling analysis of similar services together, while reducing double counting and maintaining correct rankings over time.

Medicaid spending went up in various service categories; however, Medicine Services and Procedures had the highest total Medicaid payments in Berthoud for 2024.

Across Colorado, Medicine Services and Procedures was the fifth-ranked service category by total Medicaid payments in 2024.

Between 2019 and 2024, Berthoud’s Medicaid payments for Medicine Services and Procedures increased by $136,863, a growth rate of 3,141.1%. Certain timeframes, such as 2022 and 2023, saw especially rapid increases.

Although spending on Medicine Services and Procedures was distributed citywide, it was focused within a small number of ZIP codes. In 2024, ZIP code 80513 reported the highest spending, totaling $141,219. This ZIP code represented 100% of Berthoud’s Medicaid payments for this service group in 2024.

Within this category, Medicaid payments were concentrated within only a few billing codes.

Comparing annual changes, Medicaid payments for Medicine Services and Procedures in Berthoud grew by 21% from 2023 to 2024. This change was less than the overall increase of 24.4% among all Medicaid claim categories during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, representing nearly 18% of national health care expenditures. This rose sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth of roughly 40% in just a few years is attributed to rising enrollment and higher utilization rates related to the pandemic and its aftermath.

Recent federal budgets during the Trump administration included major proposals to trim federal Medicaid funding and adjust how the program operates. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade. The law includes measures such as work requirements and increased cost-sharing, which could lower both coverage and funding for certain groups. These federal shifts may result in higher costs for states and slow the growth of federal Medicaid support, though the program will continue to provide health coverage to millions of Americans.

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.