Rich Creek Medicaid payments for Evaluation and Management services climb 2.5% in 2024

In Rich Creek, Medicaid providers billed a total of $20,295 for Evaluation and Management category services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount was 2.5% higher than in 2023, when claims for the same category totaled $19,805.

Medicaid, the state-administered public health insurance program jointly financed by federal and state governments, provides coverage for low-income residents, seniors, children, and individuals with disabilities, making it a primary component of the U.S. health care system. More details are available at Commonwealth Fund.

Since Medicaid is supported by taxpayer funding, changes in billing at the local level can indicate how health care dollars are distributed throughout a community.

The “Evaluation and Management” group covers Medicaid services defined by care type, organized under standardized HCPCS and CPT code sets. Each code was allocated to a single service type for this analysis, using consistent prefixes and numeric patterns. This approach enables accurate tracking of related services and avoids any repeated counting over the years.

Among different Medicaid service classifications, Evaluation and Management led all others in Rich Creek by total payment amounts in 2024.

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

Looking at the five years prior to 2024, Medicaid payments directed to the Evaluation and Management category in Rich Creek grew by $12,230—increasing 151.7%. During that span, periods like 2020 and 2022 saw significant annual spending jumps.

Though spending on Evaluation and Management services was spread across Rich Creek, payments were mostly centralized within a handful of ZIP codes. The most significant ZIP code in 2024 was 24147, with $20,294 in Medicaid claims. This single ZIP code comprised 100% of all payments in the category for the city that year.

Medicaid disbursements within Evaluation and Management were also focused on a small group of billing codes.

From 2023 to 2024, the 2.5% uptick in Rich Creek’s Medicaid payments for Evaluation and Management paralleled a matching 2.5% shift for total Medicaid claims in the city during that time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal year 2023, making up close to 18% of all national health spending—a rise from $613.5 billion in 2019, before COVID-19 disrupted health care systems.

This jump shows a growth of about 40% over a few years, mainly caused by increased enrollment and greater health care usage during and following the pandemic.

Federal budget acts under the Trump administration proposed substantial reductions in Medicaid budgets and program restructuring. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is set to curtail federal Medicaid funding by over $1 trillion in the next decade while introducing new policies such as work requirements and higher cost-sharing, potentially limiting funding and coverage for some recipients. This rebalancing is likely to increase state responsibilities for costs and restrict federal Medicaid growth, even as the program remains a safety net for millions.

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.