La Junta Medicaid payments for vision services climb 9.8% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in La Junta charged $570,481 for services categorized under Vision Services, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That amount represented a 9.8% rise from 2023, when billings for these services were $519,517.

Medicaid is a public health insurance program administered by individual states and paid for in partnership by federal and state governments. The program covers low-income residents, seniors, children and people with disabilities, making it a major component of the national health care system.

Since Medicaid funds are drawn from taxpayers, variations in local billing patterns indicate how community health care resources are distributed.

The “Vision Services” classification includes a group of Medicaid-billed services based on the care type provided, utilizing standardized HCPCS and CPT code classifications. For this report, each billing code was linked to a specific service area according to prefix and numerical range, supporting grouped analysis and preventing double counting while keeping rankings consistent over time.

Spending on Vision Services grew along with increases in other Medicaid categories, ranking fourth for total Medicaid dollars paid out in La Junta during 2024.

Across Colorado, Vision Services was the ninth-largest category for total Medicaid payments statewide in 2024.

During the five years ahead of 2024, Vision Services-related Medicaid payments in La Junta jumped by $364,021, or 176.3%. Growth accelerated in certain years, with especially sharp increases noted in 2021 and 2023.

Although care in the Vision Services category was provided citywide, payment amounts were highest within a small set of ZIP codes. For 2024, the 81050 ZIP code accounted for $570,480, representing 100% of payments in this category in La Junta that year.

Within Vision Services, most Medicaid payments were focused on a select group of specific billing codes.

For context, Medicaid payments tied to Vision Services rose 9.8% from 2023 to 2024, compared with a 23.3% overall rise across all Medicaid claim types in the city for the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures were close to $871.7 billion for fiscal year 2023, making up about 18% of all health care spending nationally. This is a substantial increase from the roughly $613.5 billion recorded in 2019 prior to the COVID-19 pandemic.

This jump marks about 40% growth in just a few years, largely driven by greater enrollment and increased use of services during and following the pandemic.

More recent federal budget laws from the Trump administration have included proposals targeting federal Medicaid spending reductions and restructuring. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut federal Medicaid funds by over $1 trillion in the coming decade and installs measures like work requirements and higher cost-sharing. These changes are anticipated to shift more financial responsibility onto states and restrict increases in federal Medicaid support while the program continues to cover millions.

Medicaid Payments Tied to Vision Services in La Junta, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $206,459 50.4%
2021 $407,680 97.5%
2022 $293,902 -27.9%
2023 $519,517 76.8%
2024 $570,480 9.8%
Top Categories by Medicaid Payments in La Junta, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $5,124,012 43.4%
2 Evaluation and Management $3,395,115 28.7%
3 Temporary National Codes (Non-Medicare) $764,108 6.5%
4 Vision Services $570,480 4.8%
5 Alcohol and Drug Abuse Treatment $534,580 4.5%
6 Medicine Services and Procedures $386,785 3.3%
7 Durable Medical Equipment $309,842 2.6%
8 Dental Services $228,160 1.9%
9 Ambulance and Other Transport Services and Supplies $195,931 1.7%
10 Radiology Procedures $86,267 0.7%
11 Pathology and Laboratory Procedures $68,659 0.6%
12 Medical And Surgical Supplies $59,700 0.5%
13 Surgery $43,961 0.4%
14 Procedures / Professional Services $29,740 0.3%
15 Durable medical equipment (DME) Medicare administrative contractors (MACs) $14,148 0.1%
16 Drugs Administered Other than Oral Method $513 <0.1%
17 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Vision Services Category in La Junta, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
V2410 Lens variab asphericity sing $253,569 31
V2784 Lens polycarb or equal $115,707 36
V2020 Vision svcs frames purchases $73,308 22
V2103 Spherocylindr 4.00d/12-2.00d $54,553 23
V2750 Anti-reflective coating $49,044 36
V2025 Eyeglasses delux frames $18,293 10
V2100 Lens spher single plano 4.00 $2,654 2
V2744 Tint photochromatic lens/es $1,693 4
V2104 Spherocylindr 4.00d/2.12-4d $1,655 1

Note: HCPCS codes are included for reference within this category. Totals and rankings presented in this article are determined by standardized service groupings instead of individual billing codes.

Data in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access the source data here.



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