Medicaid Evaluation and Management payments reach $419,760 in Brevig Mission for 2024

In 2024, Medicaid providers in Brevig Mission billed a total of $419,760 for Evaluation and Management services, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 0.9% increase from 2023, when claims in this category amounted to $416,103.

Medicaid, which states administer and federal and state governments jointly fund, offers public health insurance to low-income families and individuals, children, seniors, and those with disabilities. It is a significant element of the U.S. health care system. Additional details are available at the Commonwealth Fund.

Since Medicaid is funded by taxpayers, changes in billing locally help demonstrate how public health spending is distributed within communities.

The Evaluation and Management category comprises a set of Medicaid services identified by the nature of care, categorized using designated HCPCS and CPT coding schemes. In this analysis, each code is assigned exclusively to one service group by code range and prefix, allowing for accurate comparisons and avoiding any repeated counts across categories.

In 2024, Evaluation and Management was Brevig Mission’s leading Medicaid service category by total payment, standing out among several categories with increased Medicaid spending.

Evaluation and Management stood as the second-largest category by Medicaid payments for 2024 across all of Alaska.

During the five years ahead of 2024, Brevig Mission’s Medicaid payouts for Evaluation and Management services rose by $191,850, an increase of 84.2%. Certain intervals saw spending growth quicken, including pronounced year-over-year changes logged in 2022 and 2022.

While Medicaid spending in this service category was citywide, the majority of payments were centered in a small set of ZIP codes. For 2024, the leading ZIP code, 99785, accounted for $419,760 in Evaluation and Management Medicaid payments—representing 100% of this category’s Medicaid spending in Brevig Mission for the year.

Payments were also focused on a narrow group of billing codes within the Evaluation and Management set.

Looking at the overall claim mix, Medicaid payments for Evaluation and Management in Brevig Mission went up 0.9% between 2024 and 2023, while all Medicaid claim categories collectively posted a 2% change over the same period in the city.

Centers for Medicare & Medicaid Services data show that state and federal Medicaid spending totaled approximately $871.7 billion for fiscal 2023, or about 18% of total U.S. health expenditures. This reflects a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic fully unfolded.

This surge represents around 40% growth within several years, most of which arose from broader program enrollment and greater care use during and following the pandemic period.

Recent federal budget measures passed during the Trump administration have advanced substantial reductions in future federal Medicaid funding and program structure. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to trim federal Medicaid contributions by over $1 trillion in coming years. The law implements provisions such as work requirements and higher cost-sharing, policies that may curtail coverage and funding for various enrollees. More expenses are expected to shift onto the states under these changes, and the pace of federal support for Medicaid’s expansion will likely slow, despite continuing demand.

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.

This report utilizes information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The originating dataset is accessible here.