In 2024, Medicaid providers in Savoonga billed $667,800 for services designated as Evaluation and Management, U.S. Department of Health and Human Services Medicaid Provider Spending data show. That reflects a 56.5% rise from the $426,798 reported for these services in 2023.
Medicaid, administered by states and funded jointly by federal and state governments, offers health coverage to low-income residents, older adults, children, and people with disabilities, representing one of the most significant segments within the national health care framework.
Since Medicaid is financed by taxpayers, fluctuations in local billing indicate how public health dollars are distributed inside the community.
The Evaluation and Management group consists of Medicaid-billed services identified by care type, organized through set HCPCS and CPT code clusters. Each billing code fell into a single service grouping for this review, using uniform code prefixes and numerical intervals, supporting analysis of related service trends without duplication or ranking inaccuracies over time.
Medicaid outlays increased across several service groupings, with Evaluation and Management generating the top total payment amount in Savoonga for 2024.
Evaluation and Management placed second in statewide Medicaid payments in Alaska for 2024.
From five years prior to 2024, Medicaid Evaluation and Management payments in Savoonga grew by $458,350, or 218.8%. Certain periods showed especially strong growth, most notably year on year in 2022 and 2023.
Though Evaluation and Management services were delivered throughout the city, a handful of ZIP codes saw the majority of Medicaid spending. In 2024, ZIP code 99769 made up all payments to the Evaluation and Management group, totaling $667,800. Altogether, the leading ZIP code accounted for 100% of these category claims in the city for the year.
Within Evaluation and Management, a small subset of billing codes represented a substantial portion of Medicaid payments.
To compare, the 56.5% increase in Evaluation and Management Medicaid payments in Savoonga between 2024 and 2023 exceeded the change seen across all Medicaid categories in the area, which was 47.1% for the same timeframe.
Centers for Medicare & Medicaid Services figures show that total federal and state Medicaid expenditures reached an estimated $871.7 billion in fiscal 2023, making up about 18% of total U.S. health spending—rising sharply from $613.5 billion in 2019, before the COVID-19 pandemic began.
This jump equals approximately 40% growth in just several years, largely attributed to expanded Medicaid coverage and higher use since the pandemic’s onset.
Recent federal budget measures enacted under the Trump administration include major proposals to reduce federal Medicaid allocations and modify program structures. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to shrink federal Medicaid support by more than $1 trillion in the next ten years, while introducing policies such as work requirements and higher out-of-pocket costs, potentially impacting coverage and funding for some recipients. As a result, more financial responsibility is likely to shift to states, slowing the rate of federal support growth, while the program continues serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $209,450 | -23.9% |
| 2021 | $83,224 | -60.3% |
| 2022 | $337,365 | 305.4% |
| 2023 | $426,798 | 26.5% |
| 2024 | $667,800 | 56.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $667,800 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $626,460 | 24 |
| 99212 | Office o/p est sf 10 min | $41,340 | 3 |
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.
