College Station Medicaid Evaluation and Management spending jumps 36.3% in 2024

In 2024, Medicaid providers in College Station reported $575 in claims for services categorized under Evaluation and Management, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 36.3% increase from 2023, when the total for the same category was $422.

Medicaid operates as a public health insurance initiative administered by individual states and financed through a partnership of federal and state funding. It offers coverage for low-income residents, families, older adults, children and individuals with disabilities, positioning it as a core part of the U.S. health system.

Since Medicaid funding comes from taxpayer money, shifts in local billing volumes help illustrate publicly-funded health care resource distribution within a given community.

The “Evaluation and Management” group comprises a set of Medicaid-billed services defined by care type, with assignments based on standardized HCPCS and CPT code groupings. For this analysis, each billing code was affiliated with just one service grouping through consistent code prefix and number ranges, enabling analysis by group, minimizing double counting, and providing stability in year-to-year comparisons.

Spending on Medicaid rose across several service groups, and Evaluation and Management ranked as the second largest category for Medicaid payments in College Station for 2024.

For comparison, in Arkansas overall, Evaluation and Management was the fifth-highest Medicaid category in total payments for 2024.

Reviewing data from the five years preceding 2024, College Station Medicaid claims tied to the Evaluation and Management category grew by $204, a 54.8% rise. Certain years saw sharp gains, including notable year-over-year surges in both 2021 and 2022.

While spending within the Evaluation and Management category was distributed citywide, the bulk of these Medicaid payments were concentrated in a few ZIP codes. In 2024, the largest amount, $574, was reported in ZIP code 72053. The leading ZIP code thus represented 100% of Medicaid Evaluation and Management payments in College Station for the year.

Payments in this category were notably concentrated among just a small subset of billing codes.

Looking at percentage changes, College Station Medicaid payments for Evaluation and Management rose 36.3% between 2024 and 2023, versus a 41% increase across all category claims in the city for the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was approximately $871.7 billion in fiscal year 2023, or about 18% of total national health spending, surging from $613.5 billion in 2019, prior to the COVID-19 crisis.

This amounts to a roughly 40% increase over a few years, largely owing to higher enrollment and more intensive use of services during and after the COVID-19 pandemic.

Major federal budget actions during the Trump administration have featured proposals to cut federal Medicaid contributions and redesign the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next 10 years and introduces requirements like work restrictions and greater cost-sharing. These policies may limit available funding and eligibility for some recipients, shifting more financial responsibility to state governments even as Medicaid continues covering millions of people.

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.