In 2024, Medicaid providers in Many submitted $4,105,911 in billings for services under the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 32% increase over 2023, when the total for comparable services was $3,110,578.
Medicaid is a state-administered health insurance program financed jointly by the federal and state governments. It provides coverage for low-income individuals and families, as well as seniors, children, and those with disabilities, making Medicaid a prominent segment of the U.S. health care landscape.
Since Medicaid is funded by taxpayers, shifts in area billing activity reflect changes in public health care resource distribution within communities.
The Evaluation and Management category comprises a range of Medicaid services delineated by the type of medical care rendered, organized via specific HCPCS and CPT code groupings. In this analysis, each claim code has been assigned to a single service segment using consistent code prefixes and number boundaries to group comparable services and ensure accurate historical comparisons.
Spending recorded growth in multiple Medicaid service categories, but Evaluation and Management led other categories in Many for total Medicaid payments during 2024.
Statewide in Louisiana, Evaluation and Management ranked as the third largest Medicaid category by total 2024 payments.
Between 2019 and 2024, Medicaid payments in Many associated with Evaluation and Management rose by $2,506,428, a 156.7% increase. Spending picked up during selected periods, particularly in 2023 and 2021, with significant annual jumps.
Although expenditures in this category extended throughout Many, much of the 2024 Medicaid payment volume was concentrated in a small number of ZIP codes. ZIP code 71449 accounted for $4,105,911 in payments tied to the category, making up all—or 100%—of such Medicaid spending locally during the year.
Medicaid reimbursements within the Evaluation and Management group were concentrated in a select group of individual billing codes.
As a point of reference, Evaluation and Management Medicaid payments in Many increased 32% between 2023 and 2024. By comparison, all Medicaid claim categories together experienced a 13.3% change over the same period in Many.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays totaled around $871.7 billion in fiscal year 2023, making up about 18% of U.S. health spending. This figure is up sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth amounts to an increase of roughly 40% over several years, largely attributed to broader enrollment and greater service utilization before and after the pandemic.
Recent federal spending plans under the Trump administration have featured proposals to decrease federal Medicaid contributions and change program structure. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid spending by more than $1 trillion over the next decade and adds policies such as work requirements and higher cost-sharing, which could limit benefits and funding for certain individuals. These adjustments are likely to shift further financial responsibility to the states while placing checks on the increase of federal participation in Medicaid, even as it continues to support millions of people in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,599,483 | -35% |
| 2021 | $2,127,828 | 33% |
| 2022 | $2,156,151 | 1.3% |
| 2023 | $3,110,577 | 44.3% |
| 2024 | $4,105,911 | 32% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $4,105,911 | 43.4% |
| 2 | National Codes Established for State Medicaid Agencies | $3,582,053 | 37.9% |
| 3 | Temporary National Codes (Non-Medicare) | $967,018 | 10.2% |
| 4 | Medicine Services and Procedures | $445,568 | 4.7% |
| 5 | Alcohol and Drug Abuse Treatment | $146,767 | 1.6% |
| 6 | Pathology and Laboratory Procedures | $142,131 | 1.5% |
| 7 | Surgery | $32,713 | 0.3% |
| 8 | Radiology Procedures | $20,852 | 0.2% |
| 9 | Procedures / Professional Services | $9,314 | 0.1% |
| 10 | Drugs Administered Other than Oral Method | $3,915 | <0.1% |
| 11 | Anesthesia | $2,638 | <0.1% |
| 12 | Vision Services | $1,026 | <0.1% |
| 13 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99284 | Emergency dept visit mod mdm | $2,477,956 | 536 |
| 99285 | Emergency dept visit hi mdm | $986,179 | 245 |
| 99283 | Emergency dept visit low mdm | $259,755 | 115 |
| 99214 | Office o/p est mod 30 min | $158,403 | 127 |
| 99232 | Sbsq hosp ip/obs moderate 35 | $79,623 | 29 |
| 99213 | Office o/p est low 20 min | $37,864 | 176 |
| 99231 | Sbsq hosp ip/obs sf/low 25 | $37,621 | 10 |
| 99222 | 1st hosp ip/obs moderate 55 | $20,051 | 13 |
| 99203 | Office o/p new low 30 min | $16,573 | 15 |
| 99204 | Office o/p new mod 45 min | $14,728 | 12 |
| 99221 | 1st hosp ip/obs sf/low 40 | $10,559 | 9 |
| 99051 | Med serv eve/wkend/holiday | $3,324 | 11 |
| 99238 | Hosp ip/obs dschrg mgmt 30/< | $3,177 | 5 |
| 99173 | Visual acuity screen | $94 | 21 |
| 99212 | Office o/p est sf 10 min | $0 | 34 |
| 99215 | Office o/p est hi 40 min | $0 | 4 |
| 99307 | Sbsq nf care sf mdm 10 | $0 | 12 |
| 99308 | Sbsq nf care low mdm 20 | $0 | 30 |
| 99309 | Sbsq nf care moderate mdm 30 | $0 | 1 |
| 99310 | Sbsq nf care high mdm 45 | $0 | 3 |
Note: HCPCS codes are provided for context within the group. All totals and category rankings in this article are based on standardized service classifications, not individual code amounts.
Data for this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.
