Medicaid Evaluation and Management payments in Coloma reach $59,018 in 2024, up 10.5%

In 2024, Medicaid providers in Coloma billed a total of $59,018 for services categorized under Evaluation and Management, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 10.5% rise from the prior year, when claims for the same services totaled $53,418.

Medicaid is a public insurance program operated by each state with joint federal and state funding from both the federal and state governments. The program provides coverage for low-income families and individuals, seniors, children, and people with disabilities, making it a core part of the nation’s health care system.

Because Medicaid is taxpayer-funded, local changes in billing levels help illustrate how community health care dollars are spent.

The Evaluation and Management classification encompasses a group of Medicaid-billed services defined according to care type, with groupings based on standard HCPCS and CPT code series. For this report, each code was tied to one service category by matching code prefixes and ranges, preventing overlap and supporting accurate rankings over time.

Spending on Medicaid increased across a range of service categories, with Evaluation and Management ranking second by total Medicaid payments in Coloma for 2024.

Statewide in Michigan, Evaluation and Management was third in total Medicaid payments during 2024.

Over the five years preceding 2024, Medicaid payments in Coloma for Evaluation and Management services grew by $22,287, or 60.7%. Several periods saw accelerated spending increases, with significant year-over-year jumps in 2021 and 2023.

Although Evaluation and Management services were provided throughout Coloma, payment data show funds were primarily concentrated in a few ZIP codes. In 2024, ZIP code 49038 accounted for $59,017, representing 100% of Medicaid payments tied to this category in the city during that year.

Within Evaluation and Management, Medicaid payments centered on a small subset of specific billing codes.

For context, the 10.5% growth in Medicaid payments for Evaluation and Management in Coloma between 2024 and 2023 outpaced the 1.1% change seen across all Medicaid service categories in the area during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in the 2023 fiscal year, making up about 18% of all U.S. health expenditures—a significant rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an increase of nearly 40% over a few years, primarily due to higher enrollment and increased use of services during and following the pandemic period.

Recent federal budget law passed under the Trump administration included major measures to reduce federal Medicaid funding and overhaul the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over the next 10 years. The law introduces work requirements and higher cost-sharing that may restrict access and funding for some enrollees, shifting additional costs to states while potentially limiting federal support, even as Medicaid serves tens of millions nationwide.

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.