Stafford Medicaid Evaluation and Management service spending rises to $59,163 in 2024

In 2024, Medicaid providers in Stafford submitted $59,163 in claims for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 10% rise over 2023, when claims for these services totaled $53,762.

Medicaid, a public health insurance initiative, is operated by state governments in partnership with the federal government and covers low-income families and individuals, the elderly, children, and people with disabilities. It remains a major component of the U.S. health care system.

As Medicaid uses taxpayer funds, shifts in local billing reflect how a community allocates its public health resources.

The Evaluation and Management category includes a set of services recognized under Medicaid billing, grouped by care type through standardized HCPCS and CPT codes. Each code is assigned to a single service category using set code prefixes and numeric ranges, so related services are grouped together, preventing double counting and preserving ranking accuracy over time.

Evaluation and Management led all Medicaid service categories in Stafford by total payment amount for 2024, though overall spending grew in other categories as well.

Statewide in Kansas, Evaluation and Management placed third in total Medicaid payment rankings for 2024.

Between the previous five years and 2024, Medicaid spending on Evaluation and Management in Stafford climbed by $59,163, which translates to 0%. Spending growth was more pronounced during certain years, particularly in 2023 and 2022 when year-over-year increases were marked.

Spending for Evaluation and Management care was spread throughout Stafford, but most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 67578 alone accounted for $59,162 in Medicaid payments, making up 100% of the city’s Medicaid payments for Evaluation and Management.

Within the category, a small number of individual billing codes accounted for the majority of Medicaid payments.

To compare, Stafford’s Medicaid payments for Evaluation and Management services went up 10% from 2023 to 2024, matching the 10% overall increase seen across all Medicaid claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses reached about $871.7 billion in fiscal 2023, making up approximately 18% of national health spending—significantly higher than the roughly $613.5 billion figure in 2019, prior to the COVID-19 pandemic.

This growth equals an approximate 40% surge over several years, primarily attributed to greater enrollment and higher service use during and after the pandemic.

Federal budget laws enacted under the Trump administration have included major proposals targeting federal Medicaid reductions and program restructuring. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut over $1 trillion in federal Medicaid spending through the next decade and introduces work requirements and higher cost-sharing that may limit coverage or funding for some people. These adjustments are likely to increase state financial responsibility and curb federal Medicaid growth, even as the program aids tens of 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.