Trinidad Medicaid payments for National Codes Established for State Medicaid Agencies rise to $5,467,161 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Trinidad billed a total of $5,467,161 for services under the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 7.7% increase over 2023, when providers recorded $5,074,642 in claims for the same service group.

Medicaid, a health insurance initiative managed at the state level and funded by both federal and state governments, serves low-income groups, seniors, children, and people with disabilities. It is a major component of the U.S. health care system.

Because Medicaid draws from taxpayer dollars, fluctuations in local billing show how health care funding is distributed within a community.

The “National Codes Established for State Medicaid Agencies” category includes Medicaid services defined by care type, based on HCPCS and CPT code groupings. Each billing code within the analysis was mapped to a single service category using code prefixes and ranges, enabling grouped evaluation, minimizing double counting, and maintaining accurate rankings through time.

Among all service categories, National Codes Established for State Medicaid Agencies had the highest total Medicaid payments in Trinidad in 2024.

Statewide in Colorado, this category also placed first for total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Trinidad increased by $2,561,944, or 88.2%. Spending growth outpaced prior trends during several years, with year-over-year gains notably in 2021 and 2022.

Though the payments for this category were distributed citywide, most spending occurred in a small number of ZIP codes. In 2024, ZIP code 81082 saw $5,467,160 in Medicaid payments for this category. This single ZIP code accounted for 100% of all Medicaid payments in the category for Trinidad that year.

Payments within the National Codes Established for State Medicaid Agencies category were concentrated among select billing codes.

For context, Medicaid payments for this category in Trinidad grew by 7.7% from 2023 to 2024. Across all Medicaid claim categories in the city, the increase during the same time frame was 5.7%.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, which accounted for approximately 18% of the nation’s total health expenditures. That is a significant jump from $613.5 billion in 2019, before COVID-19.

This rise represents about 40% growth in a few years, mainly attributed to increased enrollment and higher utilization during and after the pandemic.

Recent federal budget actions under the Trump administration have presented major proposals to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years and includes provisions such as work requirements and greater cost-sharing, which could decrease coverage and funds available to some recipients. These changes are projected to shift greater costs to the states and restrict federal Medicaid growth, even as the program continues to cover millions.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Trinidad, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,905,217 10.5%
2021 $4,105,649 41.3%
2022 $4,863,469 18.5%
2023 $5,074,641 4.3%
2024 $5,467,160 7.7%
Top Categories by Medicaid Payments in Trinidad, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $5,467,160 55.5%
2 Evaluation and Management $2,969,930 30.2%
3 Durable Medical Equipment $437,143 4.4%
4 Ambulance and Other Transport Services and Supplies $321,642 3.3%
5 Dental Services $216,856 2.2%
6 Medicine Services and Procedures $192,267 2%
7 Temporary National Codes (Non-Medicare) $176,372 1.8%
8 Pathology and Laboratory Procedures $31,101 0.3%
9 Medical And Surgical Supplies $18,921 0.2%
10 Coronavirus Diagnostic Panel $11,509 0.1%
11 Vision Services $3,484 <0.1%
12 Surgery $1,815 <0.1%
13 Procedures / Professional Services $1,002 <0.1%
14 Drugs Administered Other than Oral Method $0 <0.1%
14 Radiology Procedures $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Trinidad, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
T1019 Personal care ser per 15 min $3,663,010 46
T2016 Habil res waiver per diem $788,406 11
T2023 Targeted case mgmt per month $561,579 10
T2021 Day habil waiver per 15 min $302,226 11
T2003 N-et; encounter/trip $81,996 11
T2024 Serv asmnt/care plan waiver $59,753 9
T1017 Targeted case management $9,581 9
T2028 Special supply, nos waiver $606 1

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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