White Mountain Medicaid Evaluation and Management payments total $18,020 in 2024

White Mountain Medicaid providers billed $18,020 in 2024 for services within the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represented a 60.8% rise from 2023, when claims in the same category totaled $11,206.

Medicaid operates as a public health insurance initiative managed by the states with funding from both the federal and state governments. It covers low-income families and individuals, children, seniors, and people with disabilities, making it a major component of the U.S. health care landscape. For more information, see this explainer.

Because Medicaid is taxpayer-funded, changes in local billing provide insight into how public health care resources are directed at the community level.

The “Evaluation and Management” category includes a set of services billed to Medicaid based on the nature of the care provided, as defined by HCPCS and CPT coding rules. In this analysis, billing codes were systematically assigned to one service group, using code prefixes and ranges, to enable accurate tracking over time and avoid duplicate counting.

Spending through Medicaid rose in different service groups this year, but Evaluation and Management had the highest totals in White Mountain for 2024.

Across Alaska, Evaluation and Management ranked as the state’s second-largest Medicaid payment category for 2024.

During the five years preceding 2024, Evaluation and Management-related Medicaid payments in White Mountain rose by $18,020, or 0%. Growth accelerated at points, particularly with marked year-over-year increases in 2023 and 2022.

Although care within the Evaluation and Management group was billed throughout the city, Medicaid payments concentrated in a small number of ZIP codes. In 2024, ZIP code 99784 accounted for all $18,020 in Medicaid claims for this category in White Mountain, representing 100% of such payments.

Payments for Evaluation and Management services further clustered within a limited set of billing codes.

Between 2024 and 2023, Evaluation and Management Medicaid payments in White Mountain grew 60.8%, a rate in line with the overall 60.8% increase across all Medicaid categories in the city during the period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, about 18% of all national health spending. This was a sharp increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents roughly 40% growth within several years, largely fueled by increased enrollment and greater health service use during and after the pandemic.

Recent federal budget laws passed under the Trump administration have introduced substantial federal Medicaid funding reductions and reforms. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut federal Medicaid spending by more than $1 trillion over 10 years. The law’s provisions—such as work requirements and greater cost-sharing—aim to reduce federal Medicaid outlays and coverage for some enrollees. As a result, more costs could shift to state governments, potentially slowing federal program growth despite the continued high numbers of Americans covered.

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.