Medicaid billing for Evaluation and Management services up 107.4% in Gobles for 2024

Gobles Medicaid providers reported $1,624 in billed services under the Evaluation and Management category for 2024, as documented by the U.S. Department of Health and Human Services Medicaid Provider Spending dataset. This reflected a 107.4% growth from 2023, when billings totaled $783 for these services.

Medicaid, which is a public insurance program administered on the state level and funded collaboratively by federal and state governments, provides coverage to low-income people, seniors, those with disabilities, and children—making it a substantial component of U.S. health care.

Since Medicaid dollars come from taxpayers, fluctuations in local billing highlight the ways that public health funding is distributed across communities.

The “Evaluation and Management” category encompasses groups of Medicaid-billed care as defined by HCPCS and CPT code groupings. This assessment categorized billing codes based on conventional code prefixes and ranges to group related services and avoid overlap or double counting in reported totals and rankings.

Evaluation and Management was the fourth largest Medicaid service category in Gobles for 2024 by total amount paid, though other categories also saw increases.

Statewide, Evaluation and Management was the third largest service category in Michigan that year by overall Medicaid payments.

From five years earlier through 2024, Gobles saw a $1,582 increase in Evaluation and Management Medicaid payments—a 3785.2% rise. Certain years, such as 2021 and 2022, recorded significant jumps in spending.

Payments for Evaluation and Management services, while spread citywide, were notably higher in specific ZIP codes. For 2024, ZIP code 49055 led, accounting for $1,623—representing all Medicaid payments for the category in Gobles that year.

Payments in the Evaluation and Management category were largely concentrated within a few individual billing codes.

Comparatively, the 107.4% jump in Gobles for this category from 2023 to 2024 was slightly below the 115.9% change observed across all Medicaid services in the city over the same period.

Data from the Centers for Medicare & Medicaid Services shows total federal and state Medicaid spending climbed to about $871.7 billion in fiscal year 2023—roughly 18% of all national health expenses—up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents a roughly 40% increase in a few years, mainly fueled by expanded enrollment and greater usage of services during and after the pandemic period.

Recent federal budget acts from the Trump administration introduced substantial proposals to decrease federal Medicaid contributions and adjust the structure of the program. The “One Big Beautiful Bill Act,” which became law in 2025, outlines more than $1 trillion in federal Medicaid cuts over the next decade, creating new work requirements and greater cost-sharing provisions that could affect coverage and funding for some recipients. These policy changes are anticipated to place greater financial obligation on states and restrict future growth of federal Medicaid support even as the program continues serving millions of Americans.

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.