In 2024, Westcliffe Medicaid providers billed a total of $609 for services categorized under Medicine Services and Procedures, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount is a 19.2% increase compared to 2023, when $511 in claims was filed for the same service line.
Medicaid is administered at the state level and funded through both federal and state sources. The program serves low-income citizens, seniors, children, and those with disabilities, ranking among the largest sectors of the U.S. health system.
Since Medicaid is supported by taxpayers, variations in local billing illustrate how public health care resources are distributed in communities.
The “Medicine Services and Procedures” grouping includes services billed under certain Medicaid codes, with standardized HCPCS and CPT classifications. For this analysis, each code was assigned to a single service grouping using established code prefixes and ranges, enabling aligned services to be analyzed together, preventing duplication, and maintaining reliable year-over-year comparison.
Despite rising Medicaid spending in multiple categories, Medicine Services and Procedures ranked as the second-largest category in Westcliffe by total 2024 payments.
At the state level, Medicine Services and Procedures placed fifth among all Medicaid payment categories in Colorado in 2024.
Over the five-year period ending in 2024, Medicaid billing for Medicine Services and Procedures in Westcliffe grew by $609, or 0%. Periods of accelerated spending, particularly in 2023 and 2022, contributed to overall year-over-year increases.
Throughout Westcliffe, spending within Medicine Services and Procedures was spread among neighborhoods but was especially concentrated in a select group of ZIP codes. In 2024, ZIP code 81252 represented the full $609 billed in this category, meaning a single ZIP accounted for 100% of the year’s local Medicaid payments under Medicine Services and Procedures.
Payments in the Medicine Services and Procedures group were also focused on a small group of specific billing codes.
Comparing 2024 and 2023, Medicaid payments for Medicine Services and Procedures rose 19.2% in Westcliffe, compared to a 4.3% increase across all Medicaid billing categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of national health spending, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This uptick represents nearly 40% growth in a few years, largely driven by increased Medicaid enrollment and higher utilization rates throughout and after the pandemic era.
Recent federal budget measures signed during the Trump administration set out to reduce federal Medicaid payments and make changes to the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, will cut more than $1 trillion in federal Medicaid outlays over 10 years and includes requirements such as work mandates and increased individual cost-sharing—steps likely to impact coverage and funding for some. These adjustments are expected to shift more financial responsibility to states, slow federal Medicaid expansion, and maintain the program’s large national footprint.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $241 | -90% |
| 2023 | $510 | 111.3% |
| 2024 | $609 | 19.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $179,454 | 99.7% |
| 2 | Medicine Services and Procedures | $609 | 0.3% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90471 | Immunization admin | $609 | 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.
