Lone Tree Medicaid spending on durable medical equipment reaches $1.4 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Lone Tree billed $1,400,805 for services grouped under the Durable Medical Equipment category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 0.7% increase over 2023, when claims for the same service category totaled $1,390,498.

Medicaid is a public health insurance initiative administered by states and funded by both federal and state governments. It serves low-income individuals and families, as well as seniors, children, and people with disabilities, making it a key component of the U.S. health care system.

Since Medicaid is supported by taxpayers, shifts in billing at the local level indicate how communities allocate public health care funding.

The Durable Medical Equipment category represents a set of Medicaid-billed services defined by the type of care provided, based on standardized HCPCS and CPT code categories. For this analysis, each code was aligned to a single service category according to established prefixes and numeric ranges, allowing similar services to be grouped without double counting and preserving accurate comparisons over time.

While overall Medicaid spending in Lone Tree increased in several service areas, Durable Medical Equipment was the third-highest category by total Medicaid payments for 2024.

Statewide, the Durable Medical Equipment category placed eighth in total Medicaid payments in Colorado for 2024.

Between 2019 and 2024, Medicaid payments for the Durable Medical Equipment category in Lone Tree rose by $966,514, an increase of 222.6%. Spending growth was particularly strong during certain years, with notable year-over-year jumps in 2020 and 2021.

Although Medicaid spending on Durable Medical Equipment occurred throughout the city, payments were heavily focused in a few ZIP codes. In 2024, ZIP code 80124 accounted for total Medicaid payments of $1,400,805, representing 100% of those linked to this service category in Lone Tree during the year.

Within the category, payments were concentrated among a small number of individual billing codes.

For context, Lone Tree’s Medicaid payments in this category saw a 0.7% rise between 2023 and 2024, compared to a 33.7% change across all Medicaid claim categories in the city during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, making up about 18% of all national health expenditures. This was up from $613.5 billion in 2019, before the COVID-19 pandemic.

This represents roughly 40% growth over the few years, driven mainly by higher enrollment and increased use during and after the pandemic.

Recent federal budget measures under the Trump administration have included major proposals to reduce federal Medicaid contributions and change the structure of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion in federal Medicaid funding over the next decade and establish new requirements—such as work mandates and increased cost-sharing—which could restrict some beneficiaries’ coverage and resources. These adjustments are likely to shift more costs to states and slow the growth of federal Medicaid support, even as enrollment remains high.

Medicaid Payments Tied to Durable Medical Equipment in Lone Tree, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $434,290 85.7%
2021 $734,885 69.2%
2022 $889,572 21%
2023 $1,390,497 56.3%
2024 $1,400,805 0.7%
Top Categories by Medicaid Payments in Lone Tree, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Prosthetic Procedures $19,354,859 73.7%
2 Evaluation and Management $2,513,291 9.6%
3 Durable Medical Equipment $1,400,805 5.3%
4 Surgery $794,889 3%
5 Procedures / Professional Services $607,303 2.3%
6 Medical And Surgical Supplies $348,327 1.3%
7 National Codes Established for State Medicaid Agencies $294,038 1.1%
8 Durable medical equipment (DME) Medicare administrative contractors (MACs) $186,603 0.7%
9 Dental Services $160,778 0.6%
10 Radiology Procedures $139,073 0.5%
11 Pathology and Laboratory Procedures $135,941 0.5%
12 Medicine Services and Procedures $126,965 0.5%
13 Enteral and Parenteral Therapy $85,634 0.3%
14 Administrative, Miscellaneous and Investigational $58,856 0.2%
15 Drugs Administered Other than Oral Method $26,408 0.1%
16 Anesthesia $10,540 <0.1%
17 Vision Services $3,551 <0.1%
18 Temporary National Codes (Non-Medicare) $0 <0.1%
Top 20 HCPCS Codes Within the Durable Medical Equipment Category in Lone Tree, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
E1399 Durable medical equipment mi $226,515 16
E1236 Folding ped wc adjustable $209,362 12
E2611 Gen use back cush wdth <22in $184,285 11
E0973 W/ch access det adj armrest $175,050 11
E0143 Walker folding wheeled w/o s $80,529 12
E2601 Gen w/c cushion wdth < 22 in $65,371 11
E0247 Trans bench w/wo comm open $62,029 11
E0240 Bath/shower chair $56,140 12
E0261 Hosp bed semi-electr w/o mat $54,040 12
E0990 Wheelchair elevating leg res $48,741 12
E0971 Wheelchair anti-tipping devi $45,952 11
E0118 Crutch substitute $25,811 12
E2201 Man w/ch acc seat w>=20″<24" $23,473 5
E1390 Oxygen concentrator $21,191 12
E0163 Commode chair with fixed arm $20,809 11
E0630 Patient lift hydraulic $20,239 11
E1226 Manual fully reclining back $15,689 12
E0978 W/c acc,saf belt pelv strap $14,337 11
E0149 Heavy duty wheeled walker $10,021 11
E0156 Walker seat attachment $8,533 12

Note: HCPCS codes are provided for reference within the category. The totals and rankings in this article use grouped service categories instead of individual billing codes.

The data for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data source is available here.



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