Union Medicaid payments for Evaluation and Management services reach $174,528 in 2024

In 2024, providers in Union billed a total of $174,528 to Medicaid for services classified in the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 16.1% increase from 2023, when billing for the same services reached $150,284.

Medicaid, a public insurance program operated by states and funded together by federal and state governments, covers low-income individuals and families, seniors, children, and people with disabilities. The program is one of the largest components in the nation’s health care system.

Because taxpayer dollars support Medicaid, local billing changes provide insight into how community health care resources are distributed.

The “Evaluation and Management” classification represents a set of Medicaid procedures defined by care type, categorized using HCPCS and CPT code groupings. In this analysis, billing codes were each assigned to a single service group by standardized numeric prefixes and ranges, ensuring an accurate analysis without duplication or misranking.

Medicaid payments increased across several service groups, but Evaluation and Management accounted for the fourth-highest total in Union during 2024.

Statewide in Missouri, Evaluation and Management placed second by total Medicaid payments in 2024.

Looking over the five years ending in 2024, Union’s Medicaid payments for Evaluation and Management services rose by $116,591—an increase of 201.2%. Periods of accelerated growth occurred, particularly with distinct annual increases in 2023 and 2022.

Although Evaluation and Management-related spending was citywide, the billing was mainly localized to a small number of ZIP codes. In 2024, ZIP code 63084 accounted for $174,527, meaning the leading ZIP code contributed all Medicaid payments for this category in Union during the year.

The bulk of Medicaid payments within the Evaluation and Management category was tied to just a few billing codes.

Comparatively, payments for Evaluation and Management services jumped 16.1% between 2024 and 2023, whereas all Medicaid claims citywide rose 8.1% during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, or around 18% of all national health spending. This is a sharp rise from nearly $613.5 billion in 2019—preceding the COVID-19 pandemic.

This roughly 40% expansion over several years is owed mainly to growing enrollment numbers and greater service use during and after the pandemic.

Recent federal budget actions from the Trump administration have included major initiatives to cut federal Medicaid awards and reshape the program. The “One Big Beautiful Bill Act,”, enacted in 2025, aims to reduce federal Medicaid expenditures by more than $1 trillion over 10 years, adding measures such as work requirements and greater cost-sharing that may reduce coverage or funding for some participants. As a result, more financial responsibility could shift to states, potentially slow the expansion of federal Medicaid assistance, while the program serves 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.