Marceline Medicaid Evaluation and Management claims grow 14.1% in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Marceline billed $15,837 for Evaluation and Management services in 2024. This was a 14.1% rise from 2023, when such claims totaled $13,886.

Medicaid is a government health insurance program administered by the states and funded in partnership by the federal and state governments. It provides coverage for low-income individuals and families, as well as seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Because Medicaid funding is sourced from taxpayers, fluctuations in local billing reflect how public health care money is distributed in a given area.

The “Evaluation and Management” category comprises various Medicaid-billed services grouped by types of care, identified through standardized HCPCS and CPT code groupings. For this report, each billing code fell within a single service category based on consistent code prefixes and numeric ranges, enabling related services to be tracked together without duplication and supporting accurate comparisons over time.

Among Medicaid service categories, Evaluation and Management accounted for the highest total payments in Marceline in 2024.

Within Missouri, the Evaluation and Management category held the No. 2 spot statewide for total Medicaid payments in 2024.

In the five years ending in 2024, Medicaid payments for the Evaluation and Management category in Marceline increased by $12,104, or 324.2%. Periods of especially strong growth in spending were observed in 2022 and 2023.

Spending for Evaluation and Management care occurred throughout the city, but payments were predominantly found in a small number of ZIP codes. During 2024, the largest share of Medicaid payments for this category was associated with ZIP code 64658, which made up $15,836. This top ZIP code represented 100% of all Evaluation and Management Medicaid payments in Marceline that year.

Most Medicaid payments for Evaluation and Management services concentrated on a select group of billing codes within the category.

Comparatively, Medicaid payments linked to Evaluation and Management services in Marceline rose by 14.1% between 2024 and 2023, while total Medicaid payments across all claim categories in the city grew by 10.7% during the same timeframe.

The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up nearly 18% of total national health expenditures, a significant jump from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This increase represents roughly 40% growth in just a few years, largely due to expanded enrollment and higher use following the pandemic.

Major federal budget legislation under the Trump administration has included substantial proposals to cut federal Medicaid funding and restructure the program. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade and introduce measures like work requirements and higher cost-sharing, which could limit coverage and funding for certain groups. The result is anticipated to increase state responsibility for costs and slow the growth of federal support, as Medicaid continues serving 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.