Providers in Walsenburg received $820,040 in Medicaid payments for services under the National Codes Established for State Medicaid Agencies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This was a 3.9% uptick compared to 2023, when claims in this category totaled $789,568.
Medicaid is operated by states and supported jointly by state and federal funding. It serves low-income adults, seniors, children, and people with disabilities—making it a major component of U.S. health care infrastructure.
As a taxpayer-funded program, fluctuations in local Medicaid billings illustrate how public healthcare funds are distributed within communities.
The “National Codes Established for State Medicaid Agencies” category encompasses a range of services billed to Medicaid, defined based on standardized HCPCS and CPT code groups. In this analysis, each billing code was assigned to one service category using established code prefixes and numerical ranges, allowing related claims to be grouped and tracked accurately over time without duplications.
Although spending increased across several categories, National Codes Established for State Medicaid Agencies led all service categories by overall Medicaid payments in Walsenburg for 2024.
Statewide, National Codes Established for State Medicaid Agencies also ranked as the top Medicaid service category by total payments in Colorado for 2024.
During the five years prior to 2024, Medicaid payments for National Codes Established for State Medicaid Agencies in Walsenburg rose by $820,040, or 0%. Certain years, including 2022, saw notable year-over-year increases as the pace of spending growth fluctuated during this period.
Spending for National Codes Established for State Medicaid Agencies in 2024 was distributed citywide, though claims were concentrated in several ZIP codes. ZIP code 81089 accounted for $820,040, making up 100% of the category’s Medicaid payments in Walsenburg for the year.
Within the National Codes Established for State Medicaid Agencies service group, Medicaid payments primarily involved a small set of individual billing codes.
For context, Walsenburg’s Medicaid spending in this category rose by 3.9% between 2024 and 2023, while the city-wide rate across all Medicaid claim categories increased by 13.5% in the same time frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023—approximately 18% of total U.S. health expenditures—up sharply from around $613.5 billion in 2019, the year before the COVID-19 pandemic.
This represents about a 40% increase over several years, largely fueled by expanded enrollment and greater medical utilization during and following the pandemic.
Recent federal budgets enacted under the Trump administration have introduced significant proposals to trim federal Medicaid funding and modify the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid funding by more than $1 trillion over the coming decade. It also implements policies such as new work requirements and higher cost-sharing, which could reduce insurance coverage and resources for some recipients, shifting additional costs to states as federal growth slows despite ongoing coverage for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $567,841 | – |
| 2022 | $878,799 | 54.8% |
| 2023 | $789,567 | -10.2% |
| 2024 | $820,040 | 3.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $820,040 | 62.6% |
| 2 | Evaluation and Management | $370,439 | 28.3% |
| 3 | Ambulance and Other Transport Services and Supplies | $63,405 | 4.8% |
| 4 | Dental Services | $52,233 | 4% |
| 5 | Pathology and Laboratory Procedures | $2,226 | 0.2% |
| 6 | Surgery | $2,156 | 0.2% |
| 7 | Medicine Services and Procedures | $0 | <0.1% |
| 8 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $820,040 | 12 |
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.
