National Codes Established for State Medicaid Agencies tops Medicaid spending in Fruita with $2,594,847 billed in 2024

In 2024, Medicaid providers in Fruita submitted $2,594,847 in claims for services under the National Codes Established for State Medicaid Agencies category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 33.4% increase from 2023, when claims for the same category totaled $1,945,037.

Medicaid, a state-administered public health insurance program funded jointly by the federal and state governments, provides coverage to low-income individuals and families, seniors, children and individuals with disabilities. It is one of the nation’s largest health care programs.

Local billing data for Medicaid, which relies on taxpayer funding, provides a window into how communities allocate public health care funds.

The “National Codes Established for State Medicaid Agencies” category groups certain Medicaid-billed services by care type, utilizing standardized HCPCS and CPT code groupings. Billing codes were allocated to a single service category based on code prefixes and ranges for this analysis, ensuring related services could be assessed together while maintaining accuracy in rankings and avoiding duplicate counts over time.

Although multiple service categories saw Medicaid spending increases, National Codes Established for State Medicaid Agencies led all categories in Fruita for total Medicaid payments in 2024.

Statewide in Colorado, National Codes Established for State Medicaid Agencies also ranked first in total Medicaid payments in 2024.

Comparing five-year trends, Fruita’s Medicaid payments for the National Codes Established for State Medicaid Agencies category increased by $1,332,569, or 105.6%, by 2024. Certain periods, such as 2021 and 2020, showed particularly strong year-over-year gains.

Although care payments were distributed across Fruita, Medicaid spending for the National Codes Established for State Medicaid Agencies category was mainly concentrated within a few ZIP codes. In 2024, ZIP code 81521 alone accounted for $2,594,847, representing 100% of Medicaid spending for this category in the city that year.

Spending within the National Codes Established for State Medicaid Agencies category was also focused on a small number of unique billing codes.

Year-over-year, Fruita’s Medicaid payments for this category rose 33.4% between 2024 and 2023, while overall Medicaid claim payments in the city increased by 5.2% over the same period.

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

The approximate 40% increase in spending over several years has largely resulted from higher enrollment and increased utilization during and following the pandemic.

Recent federal budget laws under the Trump administration have included substantial efforts to reduce federal Medicaid contributions and revise the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid expenditures by more than $1 trillion over the next decade. The law introduces work requirements and greater cost-sharing, which could lessen coverage and available funding for some beneficiaries and shift a larger share of spending to states, influencing the continued support Medicaid provides to millions of Americans.

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.