Green Bank Medicaid claims for Evaluation and Management services jump 272% in 2024

In 2024, Green Bank Medicaid providers submitted $186 in claims for Evaluation and Management services, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 272% increase from 2023, when claims for these services totaled $50.

Medicaid is a public health insurance program operated by states and funded in partnership between federal and state governments. The program covers low-income people, families, seniors, children and people with disabilities, making it one of the nation’s major health care systems.

Since Medicaid reimbursements come from taxpayers, changes in local billing figures indicate how public health care resources are used within communities.

The “Evaluation and Management” classification includes Medicaid-billed services grouped by the kind of care provided and determined by standardized HCPCS and CPT code sets. For this analysis, each billing code was placed into a single service category using consistent code prefixes and number ranges, letting related services be tracked together while preventing double counts and ensuring accurate year-to-year rankings.

While Medicaid outlays increased across several service categories, Evaluation and Management was third highest in Green Bank for total Medicaid payments in 2024.

Statewide in West Virginia, Evaluation and Management placed second in total Medicaid payments in 2024.

During the five years up to 2024, Medicaid payments related to the Evaluation and Management group in Green Bank rose by $186, or 0%. Growth accelerated in certain spans, with noticeable annual increases reported in 2022 and 2023.

Although Evaluation and Management care spending in Green Bank occurred across the city, claims were mainly concentrated within a small number of ZIP codes. In 2024, ZIP code 24944 saw the highest Medicaid payments for Evaluation and Management services, with $185. Overall, the top 1 ZIP codes accounted for 99.8% of such Medicaid payments in Green Bank for the year.

Payments within the Evaluation and Management segment were mainly focused on a limited set of billing codes.

For perspective, Evaluation and Management Medicaid payments in Green Bank grew 272% between 2024 and 2023, compared with a 34% increase across all Medicaid claim categories across the city in the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached about $871.7 billion during fiscal 2023. This represented around 18% of total U.S. health spending, up significantly from about $613.5 billion in 2019, before the COVID-19 public health emergency.

This increase reflects a roughly 40% rise in only a few years, primarily due to expanded Medicaid enrollment and greater utilization during and after the pandemic period.

Recent federal budget actions under the Trump administration have featured major proposals to trim federal Medicaid support and alter its structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years. The law also adds requirements such as work mandates and higher cost-sharing, potentially cutting coverage and resources for certain groups. These changes are expected to shift additional costs to states and curb the federal Medicaid funding increase, even as the program continues to reach 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.