Medicaid providers in Rocky Ford submitted $937,791 in claims for services under the Medicine Services and Procedures category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 43.3% jump over 2023, when claims for the same category totaled $654,342.
Medicaid is a state-operated health insurance program that receives joint funding from federal and state governments. It provides coverage for low-income individuals, families, seniors, children and people with disabilities, remaining a major component of the U.S. health care system.
Since Medicaid funding comes from taxpayers, fluctuations in local billing highlight how a community allocates its public health care resources.
The “Medicine Services and Procedures” category includes a set of Medicaid-billed services classified by care type, organized by standard HCPCS and CPT code groupings. For this analysis, every billing code was assigned to only one service category using established code prefixes and ranges, enabling consistent tracking of related services while preventing duplicate counts and maintaining ranking integrity over time.
Though Medicaid expenditures rose in several service categories, Medicine Services and Procedures had the highest total Medicaid payments in Rocky Ford for 2024.
Statewide, the Medicine Services and Procedures category ranked fifth in Colorado by total payments in 2024.
Between 2019 and 2024, Rocky Ford saw Medicaid payments for Medicine Services and Procedures grow by $927,025, or 8610.8%. Growth accelerated in certain intervals, with notable year-to-year increases in 2023 and 2021.
Spending for Medicine Services and Procedures in Rocky Ford was distributed citywide, but most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 81067 accounted for $937,790, representing 100% of all Medicaid payments for the category in Rocky Ford that year.
Payments within the Medicine Services and Procedures category were also focused among relatively few billing codes.
Comparatively, Medicaid payments for the Medicine Services and Procedures category in Rocky Ford grew by 43.3% from 2023 to 2024, while overall Medicaid claim categories in the city saw a 21.1% increase during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, making up roughly 18% of all U.S. health spending—a substantial increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This rise equates to growth of around 40% over a span of a few years, mainly due to higher enrollment and service use throughout and following the pandemic.
Recent federal budget measures under the Trump administration have introduced major proposals to cut federal Medicaid funding and alter the structure of the program. The “One Big Beautiful Bill Act,” made law in 2025, is anticipated to reduce federal Medicaid expenditures by more than $1 trillion over 10 years and implements provisions such as work requirements and greater cost-sharing, which could limit coverage and support for some recipients. These changes are expected to push more financial responsibilities onto states and slow growth in federal Medicaid contributions, while the program remains vital for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,765 | 50.4% |
| 2021 | $34,236 | 218% |
| 2022 | $87,899 | 156.7% |
| 2023 | $654,342 | 644.4% |
| 2024 | $937,790 | 43.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $937,790 | 45.7% |
| 2 | National Codes Established for State Medicaid Agencies | $441,397 | 21.5% |
| 3 | Evaluation and Management | $380,325 | 18.5% |
| 4 | Ambulance and Other Transport Services and Supplies | $200,193 | 9.8% |
| 5 | Dental Services | $89,205 | 4.3% |
| 6 | Procedures / Professional Services | $3,296 | 0.2% |
| 7 | Medical And Surgical Supplies | $333 | <0.1% |
| 8 | Pathology and Laboratory Procedures | $0 | <0.1% |
| 8 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 94060 | Evaluation of wheezing | $927,033 | 12 |
| 97530 | Therapeutic activities | $3,998 | 11 |
| 94010 | Breathing capacity test | $2,456 | 12 |
| 97110 | Therapeutic exercises | $2,134 | 10 |
| 97112 | Neuromuscular reeducation | $826 | 7 |
| 90471 | Immunization admin | $625 | 4 |
| 94760 | N-invas ear/pls oximetry 1 | $358 | 12 |
| 94664 | Demo&/eval pt use inhaler | $227 | 10 |
| 97140 | Manual therapy 1/> regions | $123 | 3 |
| 94761 | N-invas ear/pls oximetry mlt | $6 | 10 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $0 | 1 |
| 94640 | Airway inhalation treatment | $0 | 9 |
| 97116 | Gait training therapy | $0 | 6 |
| 97162 | Pt eval mod complex 30 min | $0 | 1 |
| 97166 | Ot eval mod complex 45 min | $0 | 1 |
| 97533 | Sensory integration | $0 | 1 |
| 97535 | Self care mngment training | $0 | 2 |
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.
