Procedures / Professional Services Medicaid claims in Holly total $7,031 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Holly submitted $7,031 in claims for services within the Procedures / Professional Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented an 11.1% rise from 2023, when providers billed $6,330 for the same services.

Medicaid, administered by the states and funded jointly by federal and state governments, covers low-income individuals and families, seniors, children, and people with disabilities. It remains one of the largest components of the U.S. health care system.

Since Medicaid is financed by taxpayers, trends in local billing reflect how public health dollars are spent within each community.

The “Procedures / Professional Services” category includes a collection of Medicaid-billed services based on the type of care provided, determined by standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to one service category using uniform code prefixes and ranges, ensuring that related services were grouped together, double counting was avoided, and rankings over time stayed accurate.

Despite increases in several service categories, Procedures / Professional Services was the second highest-ranked Medicaid payment category in Holly for 2024.

Statewide in Colorado, the Procedures / Professional Services category placed 12th for total Medicaid payments in 2024.

From 2020 to 2024, Medicaid claims for Procedures / Professional Services in Holly climbed by $1,895, or 36.9%. Notable increases occurred during certain periods, including marked year-over-year jumps in both 2023 and 2020.

Spending for Procedures / Professional Services was distributed across Holly, but payments were concentrated in few ZIP codes. In 2024, ZIP code 81047 accounted for $7,031, making up 100% of all Medicaid payments tied to this category in the city that year.

Medicaid payments in the Procedures / Professional Services category were also focused on a small set of specific billing codes.

Comparison shows that Medicaid payments in Holly for this category grew 11.1% between 2023 and 2024, while payments for all Medicaid claim categories increased by 71% citywide in the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023—around 18% of all U.S. health spending—up from approximately $613.5 billion in 2019 before the COVID-19 pandemic.

This notable increase, about 40% over several years, was largely due to greater enrollment and higher use during and following the pandemic.

Federal budget legislation enacted during the Trump administration brought forward major proposals to reduce federal Medicaid funding and alter the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over 10 years and includes provisions for work requirements and increased cost-sharing, which could decrease coverage and funding for some participants. These adjustments are projected to shift more costs to the states and slow the pace of federal support to Medicaid, even as the program continues to serve tens of millions of Americans.

Medicaid Payments Tied to Procedures / Professional Services in Holly, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $5,135 68.7%
2021 $2,954 -42.5%
2022 $3,572 20.9%
2023 $6,329 77.2%
2024 $7,031 11.1%
Top Categories by Medicaid Payments in Holly, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $32,036 82%
2 Procedures / Professional Services $7,031 18%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Holly, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
G0467 Fqhc visit, estab pt $7,031 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.



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