According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Lone Tree billed $607,304 in 2024 for services within the Procedures / Professional Services category. This was a 70.3% rise from the $356,550 submitted for similar services in 2023.
Medicaid is a state-administered health insurance initiative funded by both state and federal governments. The program covers individuals with low incomes, older adults, children, and people with disabilities, anchoring it as one of the central components of the U.S. health care infrastructure.
Since Medicaid is financed through public funds, variations in local claims indicate how taxpayer dollars are allocated in health care throughout the community.
The Procedures / Professional Services category encompasses Medicaid-billed services identified by type, aligning standardized HCPCS and CPT codes into groups. Each billing code was mapped to a single group for this analysis based on standard code prefixes and ranges, ensuring accuracy in rankings over time and preventing overlaps.
Though multiple service categories in Lone Tree reported Medicaid payment increases, Procedures / Professional Services placed fifth for total Medicaid payments in 2024.
For all of Colorado, Procedures / Professional Services was the 12th largest category by total Medicaid payouts in 2024.
From the five-year period ending in 2024, Medicaid spending related to Procedures / Professional Services in Lone Tree saw an increase of $607,304 for 0% cumulative growth. Certain years—particularly 2022 and 2023—showed marked increases within that timeframe.
Medicaid outlays for Procedures / Professional Services were distributed citywide, but the majority came from just a few ZIP codes. ZIP code 80124 recorded $607,303 in these linked payments for 2024. As a result, the top 1 ZIP codes constituted 100% of such Medicaid payments in Lone Tree that year.
Spending in the Procedures / Professional Services group was also concentrated among a small set of billing codes.
To place this growth in context, Medicaid reimbursements in Lone Tree for Procedures / Professional Services climbed 70.3% between 2024 and 2023, whereas the aggregate increase across all Medicaid claim types in the city for that period was 33.7%.
According to the Centers for Medicare & Medicaid Services, joint state and federal Medicaid spending was roughly $871.7 billion during fiscal 2023, representing around 18% of overall U.S. health expenditures, a notable increase from $613.5 billion in 2019 prior to the COVID-19 crisis.
This rise reflects about 40% growth in just a handful of years, with leading causes including increased Medicaid enrollment and elevated health care use since the pandemic period.
Major federal budget legislation during the Trump administration included dramatic proposals altering Medicaid finances and structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is slated to reduce federal Medicaid funding by more than $1 trillion over the coming decade. The law launches measures such as work mandates and heightened cost-sharing, which could decrease access and funding for some Medicaid recipients. In turn, responsibility for related expenses is expected to shift to states while federal support levels off, although tens of millions of Americans continue relying on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $0 | – |
| 2022 | $0 | – |
| 2023 | $356,550 | – |
| 2024 | $607,303 | 70.3% |
| 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% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| G0482 | Drug test def 15-21 classes | $374,078 | 12 |
| G0483 | Drug test def 22+ classes | $224,077 | 12 |
| G8431 | Pos clin depres scrn f/u doc | $9,148 | 13 |
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.
