Clifton Medicaid payments for national codes exceed $1 million in 2024

In 2024, Medicaid providers in Clifton received $1,025,198 for services listed under the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 15.6% increase over 2023, when billings for these services totaled $886,722.

Medicaid is a government-run health insurance program funded through a partnership between federal and state governments. It primarily serves low-income individuals and families, older adults, children and people with disabilities, making it a central part of the U.S. health care system.

With Medicaid supported by taxpayer funding, fluctuations in community billings demonstrate how health care resources are utilized locally.

The “National Codes Established for State Medicaid Agencies” category includes a set of Medicaid-billed services grouped by type of care, following standardized HCPCS and CPT code sets. For this report, each billing code was assigned to one category using the same code prefixes and number ranges to analyze related services together, prevent duplicate counting and consistently compare rankings across years.

National Codes Established for State Medicaid Agencies represented the largest Medicaid spending category in Clifton in 2024, with other categories seeing smaller total payments.

Statewide in Colorado, this category also led Medicaid spending by overall payments during 2024.

Over the five years before 2024, Medicaid billings for this category in Clifton rose $380,736, or 59.1%. Periods of more rapid spending growth were noted in 2020 and 2021, based on annual data.

Spending for these services occurred throughout Clifton, but payments largely concentrated in a few ZIP codes. In 2024, the highest total—$1,025,197—came from ZIP code 81520, which made up 100% of Medicaid payments in this category for the city.

Within this broad service category, payments were further focused among several individual billing codes.

Medicaid payments linked to National Codes Established for State Medicaid Agencies in Clifton increased 15.6% from 2023 to 2024, compared to a 9.1% rise when looking at all Medicaid claim categories in the city over the same period.

The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid expenditures reached about $871.7 billion nationwide in fiscal year 2023, accounting for about 18% of U.S. health spending. This figure marked a significant jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth of roughly 40% over a few years is largely attributed to higher enrollment and increased use of services during and after the pandemic.

Recent federal budgets approved under the Trump administration have introduced significant Medicaid funding cuts and plans to change the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next decade and bring in measures such as work requirements and increased cost-sharing, which could limit benefits and shift financial responsibility to state governments as federal support grows more slowly, despite millions of Americans remaining enrolled.

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.