Evaluation and Management Medicaid payments rise to $81,004 in Stevenson for 2024

Providers in Stevenson billed $81,004 to Medicaid for Evaluation and Management category services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 170.5% jump from 2023, when claims for these services reached $29,942.

Medicaid, a health insurance program operated by states and funded jointly by federal and state governments, covers low-income families, seniors, children, and individuals with disabilities, ranking among the largest components of the U.S. health care system.

Adjustments in local Medicaid billing display how taxpayer-funded health care spending is distributed within the community.

The Evaluation and Management category includes a set of Medicaid-billed services grouped by care type using recognized HCPCS and CPT coding systems. In this review, each billing code was mapped to a single service category by assigning consistent code prefixes and number ranges, ensuring that related services were analyzed collectively while avoiding duplicate counts and maintaining correct longitudinal ranks.

While Medicaid expenditures increased in several service categories, Evaluation and Management was the second-largest in Stevenson for total Medicaid payments in 2024.

Statewide in Washington, Evaluation and Management also placed second by overall Medicaid payments in 2024.

Looking over the five years before 2024, Medicaid payments in Stevenson linked to Evaluation and Management grew by $46,676, or 36.6%. Some years, such as 2022 and 2022, recorded particularly sharp annual increases in spending.

Although such care spending dispersed citywide, a small number of ZIP codes recorded the bulk of these payments. In 2024, ZIP code 98648 alone saw Medicaid payments in Evaluation and Management reach $81,004. The top one ZIP code accounted for 100% of Medicaid payments in this category for Stevenson during the year.

Analysis showed that only a few individual billing codes made up most Medicaid spending within the Evaluation and Management grouping.

To compare, Evaluation and Management-related Medicaid payments in Stevenson grew by 170.5% from 2023 to 2024, while the increase across all claim categories citywide was 17.8% in the same timeframe.

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

This represents an increase of approximately 40% within a few years, influenced by rising enrollment and higher service use during and following the pandemic period.

Recent federal budget measures under the Trump administration have brought significant Medicaid funding changes. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid outlays by more than $1 trillion over 10 years and adds requirements like work mandates and increased cost-sharing. Such provisions could lower coverage or funding for certain beneficiaries, likely shifting additional costs to states and pacing federal support more slowly, while Medicaid remains a major source of health insurance for 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.