La Junta Medicaid providers submitted $5,124,012 in claims for services within the National Codes Established for State Medicaid Agencies grouping in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 20.5% rise over 2023, when claims for this category totaled $4,252,423.
Medicaid is a state-administered, federally and state-financed public insurance program supported by both state and federal funds. It serves low-income individuals, children, people with disabilities, seniors and families, forming a core part of the nation’s health care system.
Medicaid payment levels–comprised of taxpayer resources–provide insight into the distribution of public health care funding at the local level.
The “National Codes Established for State Medicaid Agencies” represents a standardized category of Medicaid-billed medical services, determined by care type using specific HCPCS and CPT code groupings. This evaluation used consistent code prefixes and number ranges to organize billing data by category, ensuring no overlaps while enabling tracking of related service trends.
Spending on many Medicaid service categories rose during the year, but National Codes Established for State Medicaid Agencies led in total Medicaid payments for La Junta in 2024.
Statewide in Colorado, National Codes Established for State Medicaid Agencies was the top-ranked category by total Medicaid payments in 2024.
Over the five years prior to 2024, Medicaid payments in La Junta for the National Codes Established for State Medicaid Agencies grouping rose by $1,204,953, or 30.7%. Growth in spending accelerated in specific years, with notable gains recorded in both 2020 and 2023.
Citywide, Medicaid spending under this category remained widespread but was mostly concentrated in a few ZIP codes. In 2024, 81050 recorded $5,124,012 in Medicaid payments in this category. The top ZIP code (81050) contributed 100% of such category payments across La Junta this year.
At an even more granular level, certain individual billing codes comprised most Medicaid payments within the National Codes Established for State Medicaid Agencies group.
In La Junta, the 20.5% increase for this specific category between 2024 and 2023 was below the 23.3% year-over-year growth seen across all Medicaid claim groupings in the city.
Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid outlays approached $871.7 billion in fiscal year 2023, making up approximately 18% of total U.S. health expenditures, up significantly from $613.5 billion in 2019 prior to the COVID-19 pandemic.
The difference reflects an estimated 40% increase in just a few years, with expanded eligibility and increased use accounting for much of this rise during and after the pandemic.
Under the Trump administration, recent federal budget laws have introduced major steps to trim federal Medicaid funding and modify the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion during the next decade, adding measures like work requirements and cost-sharing that may lower coverage and financial aid for some recipients. These moves are anticipated to raise state costs and limit federal Medicaid growth, while the program continues providing for tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,919,059 | 23% |
| 2021 | $3,731,353 | -4.8% |
| 2022 | $3,853,228 | 3.3% |
| 2023 | $4,252,422 | 10.4% |
| 2024 | $5,124,012 | 20.5% |
| 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% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $1,375,310 | 11 |
| T2021 | Day habil waiver per 15 min | $864,629 | 11 |
| T2023 | Targeted case mgmt per month | $835,988 | 12 |
| T1019 | Personal care ser per 15 min | $802,165 | 17 |
| T2031 | Assist living waiver/diem | $768,146 | 12 |
| T2003 | N-et; encounter/trip | $306,963 | 11 |
| T2024 | Serv asmnt/care plan waiver | $159,847 | 23 |
| T1017 | Targeted case management | $10,962 | 10 |
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.
