Procedures / Professional Services Medicaid payments climb 92% to $1,906 in Estes Park for 2024

Providers in Estes Park submitted $1,906 in Medicaid claims for services grouped under the Procedures / Professional Services category in 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 91.9% rise from 2023, when Medicaid claims for this category were $993.

Medicaid, a public insurance program managed by states and funded by both federal and state governments, covers people with low incomes, seniors, children, and people with disabilities. It remains one of the largest components of the U.S. health care system.

Fluctuations in local Medicaid billing reflect how taxpayer-funded health care resources are distributed in a community.

The “Procedures / Professional Services” group encompasses a set of Medicaid-billed services defined by the care delivered, using standard HCPCS and CPT codes. This analysis places each billing code into a single category based on consistent code prefixes and ranges, grouping similar services together and ensuring claims are accurately tallied over time.

Though Medicaid expenditures grew across a number of service groups, Procedures / Professional Services placed fourth in total Medicaid spending in Estes Park in 2024.

Statewide, Procedures / Professional Services ranked 12th among Medicaid categories in Colorado by total payments for 2024.

From five years prior to 2024, Estes Park’s Medicaid payments for the Procedures / Professional Services category grew by $1,906, amounting to 0% change. Certain periods saw especially rapid growth, with significant year-over-year increases noted in 2023 and 2022.

Medicaid spending for Procedures / Professional Services in Estes Park was not evenly distributed, with payments concentrated in a few ZIP codes. The 80517 ZIP code received the most, totaling $1,905 in 2024. Collectively, the top single ZIP code represented 100% of that category’s Medicaid spending in the city for the year.

A small number of individual billing codes accounted for the bulk of Medicaid payments in the Procedures / Professional Services category.

Comparing changes, Estes Park saw Procedures / Professional Services payments rise 91.9% between 2024 and 2023, compared with overall Medicaid category payments increasing 76.2% across the city during the same time frame.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid spending reached roughly $871.7 billion in fiscal year 2023, making up about 18% of all national health expenditures. That figure has climbed sharply since about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This approximate 40% growth over a few years has been largely driven by higher enrollment and use during and after the pandemic.

Federal budget measures under the Trump administration have proposed substantial cuts to Medicaid funding and changes to the program’s structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by over $1 trillion over a decade and includes policies such as work mandates and higher cost-sharing, potentially limiting coverage or funding for some recipients. These shifts are expected to pass more costs to states and slow federal support, even as Medicaid continues to serve tens of millions nationwide.

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.