Shishmaref Medicaid providers billed a total of $76,320 for services categorized as Evaluation and Management in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This amount reflects an 88.4% increase over 2023, when submitted claims for the same services amounted to $40,514.
Medicaid is a joint federal and state public health insurance program. It covers low-income people, families, children, seniors, and those with disabilities, making it one of the most significant components of the U.S. healthcare landscape. Funding is shared between federal and state governments.
Shifts in local Medicaid billing levels illustrate how taxpayer-financed health dollars are distributed across communities.
The Evaluation and Management category represents a set of Medicaid services grouped by care type, using standardized HCPCS and CPT code prefixes and ranges. For this assessment, every billing code was allocated to only one service category, supporting consistent review of service trends and maintaining precise rankings without duplication.
Medicaid spending increased in several categories, with Evaluation and Management taking the lead in Shishmaref’s Medicaid payments for 2024.
Statewide, Evaluation and Management placed second among payment categories in Alaska for 2024.
From five years before 2024, Medicaid payments in Shishmaref linked to Evaluation and Management services rose by $59,280, equaling 347.9%. Growth rates accelerated in specific years, with significant increases registered in both 2023 and 2021.
Most Evaluation and Management spending in Shishmaref was concentrated in just a few ZIP codes in 2024. The single largest, 99772, accounted for $76,320, making up 100% of the category’s Medicaid payments in the city for the year.
Within this category, a small selection of billing codes accounted for the majority of payments.
Comparing categories, Evaluation and Management Medicaid payments in Shishmaref jumped 88.4% from 2023 to 2024, while all Medicaid claim categories in the area saw a 42.8% change in the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached around $871.7 billion in fiscal year 2023, about 18% of total U.S. health care expenses—a steep increase from $613.5 billion in 2019, before the COVID-19 emergency.
This growth amounts to nearly 40% over several years, primarily fueled by higher enrollment and increased utilization during and after the pandemic.
Recent federal budget actions during the Trump administration included major Medicaid funding reduction initiatives and plans to modify the program. For example, the “One Big Beautiful Bill Act,” signed in 2025, is estimated to decrease federal Medicaid spending by more than $1 trillion over 10 years while introducing work requirements and more cost-sharing measures. These changes could reduce coverage for some enrollees and increase the funding responsibility of individual states, even as Medicaid continues serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $17,040 | -91.3% |
| 2021 | $22,624 | 32.8% |
| 2022 | $29,295 | 29.5% |
| 2023 | $40,514 | 38.3% |
| 2024 | $76,320 | 88.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $76,320 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $76,320 | 5 |
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.