Procedures / professional services drive $681 in Evergreen Medicaid payments in 2024

In 2024, Evergreen Medicaid providers billed $681 for services categorized under Procedures / Professional Services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 6.9% rise from 2023, when claims for this service category totaled $637.

Medicaid is a state-administered, publicly funded health insurance program, supported by both federal and state governments. It serves low-income people and families, seniors, children, and individuals with disabilities, constituting a major segment of the U.S. health system.

Because taxpayer dollars support Medicaid payments, fluctuations in local billing figures help show how health care resources are distributed within communities.

The “Procedures / Professional Services” category encompasses a range of Medicaid-covered services, grouped by care type according to established HCPCS and CPT coding structures. Each billing code was assigned to a single service category for this analysis based on code prefixes and numeric ranges, which enabled a focused review of service group trends while preventing duplicate counts and ensuring consistent ranking comparisons year to year.

Although overall Medicaid spending increased in several service areas, Procedures / Professional Services stood as the sixth-largest Medicaid payment category in Evergreen for 2024.

Statewide in Colorado, Procedures / Professional Services placed 12th when Medicaid payments were ranked by category in 2024.

Looking over the five years leading up to 2024, Evergreen’s Medicaid payments for Procedures / Professional Services rose by $444, or 39.4%. Certain periods saw sharper increases, with notable jumps in 2021 and 2023.

While these payments were distributed across Evergreen, a small number of ZIP codes saw most of the spending. The ZIP code 80439 accounted for $680 of Medicaid payments in this category in 2024, representing 99.9% of the city’s total for Procedures / Professional Services.

Most Medicaid payments in this category were also concentrated among a select group of billing codes.

For context, Evergreen’s Medicaid payments for Procedures / Professional Services climbed 6.9% from 2023 to 2024; this compares to a 50.9% change across all Medicaid claim types in the city in the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached nearly $871.7 billion in fiscal 2023. This represented around 18% of total U.S. health expenditures, a sharp increase from about $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.

This growth amounts to roughly 40% in several years, largely due to increased Medicaid enrollment and higher utilization during and following the pandemic.

Major federal budget legislation enacted under the Trump administration included proposals aimed at reducing federal Medicaid contributions and modifying aspects of the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade. It introduces measures such as work requirements and higher individual cost-sharing, which could curtail both funding and coverage for some recipients. These adjustments are likely to shift greater financial responsibility to states and slow growth in federal support, even as Medicaid continues to provide for tens of millions nationwide.

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.