Medicaid Evaluation and Management payments reach $2,449 in Georgiana in 2024

In 2024, Medicaid providers in Georgiana billed a total of $2,449 for services placed under the Evaluation and Management category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This reflected a 614% jump from the $343 recorded for similar services in 2023.

Medicaid, operated by state governments and financed in partnership between federal and state governments, serves low-income U.S. families and individuals, seniors, children, and people with disabilities, making it a primary component of the nation’s health care structure.

Since Medicaid is funded by taxpayers, changes in local billing reflect how public health funds are distributed within a community.

The ‘Evaluation and Management’ designation covers a collection of services billed to Medicaid, defined according to standardized HCPCS and CPT code groupings. To align related services and avoid duplicate counting, each billing code for this analysis was sorted into one service category according to predetermined prefixes and numeric ranges, allowing for clearer comparisons and rankings over time.

Multiple service categories in Georgiana experienced growth in Medicaid-related spending, with Evaluation and Management taking the second spot for total Medicaid outlays in 2024.

Statewide in Alabama, Evaluation and Management services also held the second-highest ranking among Medicaid payment categories in 2024.

Looking at the period from five years prior to 2024, Medicaid payments associated with the Evaluation and Management group in Georgiana were up by $1,378, measured as a 128.7% increase. Spending climbed more sharply during specific intervals, particularly with pronounced increases cited for 2022 and 2022.

Payments for Evaluation and Management services were spread throughout Georgiana but were notably concentrated in a few ZIP codes. In 2024, ZIP code 36033 alone made up $2,449, meaning a single ZIP accounted for 100% of the city’s Medicaid Evaluation and Management payments that year.

These Medicaid expenditures within the Evaluation and Management group were clustered among just a handful of distinct billing codes.

For an additional metric, the 614% increase in Georgiana’s Medicaid Evaluation and Management payments between 2024 and 2023 contrasted sharply with the 4.4% citywide shift across all claim categories for the same interval.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined to approximately $871.7 billion during the 2023 fiscal year, comprising nearly 18% of the country’s total health expense, moving up sharply since the $613.5 billion before the COVID-19 pandemic in 2019.

This growth equals an approximate 40% gain in a short span, with increasing Medicaid enrollment and utilization during and after the pandemic serving as the main drivers.

Federal budget decisions made during the Trump presidency brought significant suggested reductions to federal Medicaid funding and major program changes. In particular, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to slash more than $1 trillion in federal Medicaid outlays over the next decade and establishes new requirements, including work mandates and greater cost-sharing, which could reduce benefits and funding for certain populations. As a result, states are expected to face increased cost burdens, and growth in federal Medicaid commitments is likely to be checked, even as millions of Americans remain covered under the program.

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.