Evaluation and Management Medicaid payments rise to $19,662 in Washougal for 2024

Providers billing Medicaid in Washougal collected $19,662 for services grouped under the Evaluation and Management category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending data. This total represents a 219.7% jump over 2023, when bills for these services reached $6,150.

Medicaid operates as a public health insurance program funded by both state and federal governments. The program insures millions of low-income individuals, seniors, children, and those with disabilities, making it a major segment of the national health care system.

Taxpayer funding underpins Medicaid disbursements, so shifts in billing locally reflect how public health funds get allocated within a community.

The “Evaluation and Management” designation applies to a specific set of Medicaid billing services identified by the type of care, captured using standard HCPCS and CPT code groupings. This analysis assigned every billing code exclusively to one service class through systematic prefixes and code ranges, ensuring clear year-to-year comparisons and avoiding overlaps or counting individual claims multiple times.

While increases occurred in multiple categories during 2024, Evaluation and Management was the second-highest category by Medicaid spending in Washougal.

Evaluation and Management also held the second rank for statewide Medicaid payment volume in Washington in 2024.

Between 2019 and 2024, Evaluation and Management Medicaid payments in Washougal increased by $121,555, an 86.1% rise. Patterns of spending growth show notable expansion over certain spans, including marked gains in 2023 and 2022.

Spending in the Evaluation and Management category spanned locations throughout Washougal, with most payments consolidating within a handful of ZIP codes. For 2024, the ZIP code 98671 accounted for $19,661 in payments, comprising 100% of Washougal’s Medicaid billings for Evaluation and Management that year.

Within the same category, payments primarily centered around a few distinct billing codes.

By way of comparison, Evaluation and Management Medicaid billing in Washougal grew 219.7% from 2023 to 2024, while all Medicaid claim types combined in the community rose by 32.2% during the same timeframe.

Centers for Medicare & Medicaid Services data indicate that combined state and federal Medicaid spending reached approximately $871.7 billion for fiscal year 2023, making up about 18% of the nation’s total health expenditures, a significant increase from nearly $613.5 billion in 2019 before the COVID-19 pandemic.

This upward trend amounts to an increase of around 40% in several years, largely due to expanded enrollment and heightened usage following the pandemic’s onset.

Recent congressional budget acts shaped under the Trump administration have targeted Medicaid with notable proposed federal funding cuts and policy adjustments. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid funds by more than $1 trillion over 10 years and introduces changes like work requirements and greater cost-sharing, which could diminish access and federal support for some covered groups. Such reforms are likely to pass increased responsibility to states and slow future expansion of federal financing, even with Medicaid’s large-scale role serving 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.