Eva Medicaid providers bill $49,490 for Evaluation and Management services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Eva Medicaid providers invoiced $49,490 for Evaluation and Management services in 2024, based on U.S. Department of Health and Human Services Medicaid Provider Spending data. This reflected a 22% growth over the $40,565 billed for the same services in 2023.

Medicaid is the public health insurance program jointly funded by federal and state governments and managed by individual states. It supports low-income individuals and families, older adults, children, and people with disabilities, remaining one of the largest pillars of the U.S. health care system. More details are available from the Commonwealth Fund.

Medicaid payments, funded by taxpayers, reflect how local public health care funding is distributed in the community when billing levels change.

The “Evaluation and Management” category includes Medicaid services defined by the care provided and classified via standard HCPCS and CPT code groups. For this report, unique billing codes were assigned to a single service category using consistent prefixes and code ranges, ensuring grouped services were accurately tracked and not counted more than once in category rankings.

Among all Medicaid service categories in Eva, Evaluation and Management accounted for the largest share of total payments in 2024.

Statewide in Alabama, Evaluation and Management placed second in total Medicaid payments for the year.

Between 2020 and 2024, Medicaid payments to Evaluation and Management services in Eva grew by $49,490, equivalent to a 0% change. Notably, payments climbed most sharply in certain periods, with significant year-over-year spikes observed in 2023 and 2022.

Spending for Evaluation and Management care was spread throughout Eva, but the majority of payments were centralized in a few ZIP codes. For 2024, ZIP code 35621 received $49,489 in related Medicaid funds, representing all of the category’s payments in Eva that year.

Within the Evaluation and Management category, disbursements were further concentrated among a select group of billing codes.

Between 2023 and 2024, Medicaid payments for Evaluation and Management services in Eva rose by 22%, compared to a 24.2% increase for all claim categories in the city in the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, accounting for roughly 18% of all national health expenditures, an increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This reflects a rise of approximately 40% in a few years, mainly driven by expanded enrollment and greater service utilization during and after the pandemic.

Recent federal budget decisions made during the Trump administration included significant measures to lower federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to reduce federal Medicaid expenditure by over $1 trillion in the coming decade and introduces policies such as work requirements and increased cost-sharing that could restrict coverage and funding for certain enrollees. These adjustments are expected to shift additional costs to states and limit federal Medicaid growth, even as the program continues to support tens of millions nationwide.

Medicaid Payments Tied to Evaluation and Management in Eva, Alabama Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2022 $11,796
2023 $40,564 243.9%
2024 $49,489 22%
Top Categories by Medicaid Payments in Eva, Alabama, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $49,489 88.5%
2 Pathology and Laboratory Procedures $6,402 11.5%
3 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Eva, Alabama, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $41,579 12
99213 Office o/p est low 20 min $4,961 5
99392 Prev visit est age 1-4 $1,400 2
99212 Office o/p est sf 10 min $595 2
99393 Prev visit est age 5-11 $560 1
99401 Prev med cnsl indiv apprx 15 $301 2
99173 Visual acuity screen $92 2

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.



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