Timnath Medicaid payments for state agency National Codes reach $371,955 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Timnath submitted $371,955 in claims for services within the National Codes Established for State Medicaid Agencies category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 19.5% increase over the $311,323 billed in 2023 for the same category of services.

Medicaid is a public health insurance initiative administered by states and financed through a federal-state partnership. The program serves low-income Americans, older adults, children and people with disabilities, and is among the largest components of the nation’s health system.

As taxpayer dollars support Medicaid, fluctuations in local billing reflect how communities distribute public health care funds.

The “National Codes Established for State Medicaid Agencies” grouping encompasses a range of Medicaid services defined by care type, based on standardized HCPCS and CPT code sets. For this report, individual billing codes were classified into single service categories using specific code prefixes and ranges, which allows similar services to be grouped for analysis, eliminates double counting, and ensures accurate rankings over time.

National Codes Established for State Medicaid Agencies was the leading Medicaid service category by total payment in Timnath for 2024, with spending rising in several Medicaid service groupings.

Statewide, the National Codes Established for State Medicaid Agencies category also ranked highest for total Medicaid payments in Colorado in 2024.

During the five years prior to 2024, Medicaid payments related to National Codes Established for State Medicaid Agencies in Timnath grew by $120,008, or 47.6%. Certain years, such as 2022 and 2023, saw accelerated annual increases in spending within this period.

Although distributed across Timnath, Medicaid spending for the National Codes Established for State Medicaid Agencies category was concentrated in a small number of ZIP codes. In 2024, ZIP code 80547 accounted for $371,954 in total, meaning the top ZIP code made up 100% of Timnath’s Medicaid payments for this category that year.

Only a select few billing codes received the majority of Medicaid payments within the National Codes Established for State Medicaid Agencies grouping.

Between 2024 and 2023, Medicaid payments for this category in Timnath increased 19.5%, compared with a 12.4% increase seen across all Medicaid categories citywide during the same timeframe.

The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid spending was about $871.7 billion in fiscal 2023, making up approximately 18% of all U.S. health spending—an increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth reflects an approximate 40% rise in a few years, largely due to higher enrollment and service utilization during and after the pandemic period.

Recent federal budget actions under the Trump administration included proposals to decrease Medicaid funding and alter its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid support by over $1 trillion in the next ten years and implement policies such as work requirements and increased cost-sharing, potentially narrowing coverage and funding for select enrollees. These changes could result in higher state obligations and restrict the expansion of federal support, while Medicaid continues to serve tens of millions nationwide.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Timnath, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $251,947 -0.6%
2021 $222,394 -11.7%
2022 $268,999 21%
2023 $311,323 15.7%
2024 $371,954 19.5%
Top Categories by Medicaid Payments in Timnath, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $371,954 61.6%
2 Evaluation and Management $183,568 30.4%
3 Temporary National Codes (Non-Medicare) $42,066 7%
4 Medicine Services and Procedures $5,097 0.8%
5 Pathology and Laboratory Procedures $1,405 0.2%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Timnath, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
T2021 Day habil waiver per 15 min $242,785 11
T2003 N-et; encounter/trip $107,599 11
T1019 Personal care ser per 15 min $21,569 6

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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