Medicaid Evaluation and Management claims in Salina jump 71.5% in 2024

In 2024, Medicaid providers in Salina billed $32,207 for services designated under the Evaluation and Management category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects an increase of 71.5% compared with 2023, when claims for these services totaled $18,782.

Medicaid is a public health insurance program administered by the states with funding from both federal and state governments. It serves low-income individuals and families, seniors, children, and people with disabilities, making it a major part of the U.S. health care system.

As Medicaid funding comes from taxpayer contributions, local billing trends provide insight into how public health resources are distributed in a community.

The “Evaluation and Management” category includes a set of Medicaid-billed services organized by the type of care delivered, using standard HCPCS and CPT code groupings. This review grouped each billing code into a single service category by applying consistent prefixes and number ranges, so similar services were analyzed together, avoiding double counting and ensuring accurate ranking over time.

Despite increases in several categories, Evaluation and Management ranked second for total Medicaid payments in Salina for 2024.

Statewide in Utah, Evaluation and Management was third by payment totals in 2024.

From 2019 to 2024, Medicaid payments for Evaluation and Management services in Salina grew by $13,920, an increase of 30.2%. Some years saw marked acceleration, with significant year-over-year growth recorded in 2022 and 2022.

While Evaluation and Management spending covered care throughout the city, the majority of payments came from a small number of ZIP codes. For 2024, ZIP code 84654 saw the highest total at $32,206, with the top ZIP code making up 100% of Medicaid payments in this service group in Salina for the year.

A limited set of individual billing codes accounted for most of the Medicaid payments within the Evaluation and Management category.

For context, Evaluation and Management Medicaid payments in Salina rose 71.5% between 2024 and 2023, while total Medicaid payments across all claim categories in the city changed by 28.5% over that period.

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

This represents about 40% growth over several years, fueled primarily by increased enrollment and higher service use during and following the pandemic.

Recent federal budgets under the Trump administration have proposed major reductions and restructuring of federal Medicaid funding. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over the next decade and includes changes such as work requirements and greater cost-sharing, which may reduce coverage and federal support for some enrollees. These adjustments could shift more responsibility to states and limit future growth of federal Medicaid spending, even as the program continues to serve 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.