Medicaid spending for Evaluation and Management services up 46.7% in Eudora in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Eudora Medicaid providers submitted $16,507 in claims for Evaluation and Management services in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total represents a 46.7% rise compared with 2023, when $11,250 was billed for the same classification of care.

Medicaid, operated by the states with joint federal and state funding, provides health coverage for low-income people, seniors, children, and those with disabilities. The program constitutes a major portion of the U.S. healthcare framework, as detailed by Commonwealth Fund.

Since Medicaid funding is sourced from tax dollars, changes in billing highlight how a community allocates public health resources.

The Evaluation and Management category includes a range of Medicaid services, grouped by care type, based on standardized HCPCS and CPT coding. This analysis categorizes each billing code under one service area, using uniform prefixes and number ranges to ensure accurate group comparisons and trend rankings over time.

Evaluation and Management emerged as the second-largest Medicaid service category by total payments in Eudora for 2024 despite broad spending increases across numerous categories.

Statewide in Kansas, Evaluation and Management ranked third by Medicaid payment volume during 2024.

Looking at a five-year window through 2024, Medicaid disbursements for Evaluation and Management services in Eudora jumped by $14,003, representing a 559.3% increase. Several periods showed especially rapid spending growth, including notable year-over-year gains in 2022 and 2023.

Although payments for Evaluation and Management care were distributed across Eudora, most were concentrated in just a handful of ZIP codes. In 2024, ZIP code 66025 accounted for $16,506, representing 100% of the city’s Medicaid payments in this category for the year.

Within the broader Evaluation and Management category, disbursements primarily focused on a limited set of billing codes.

Between 2024 and 2023, Medicaid payments in this category in Eudora increased by 46.7%, outpacing the 37.1% growth observed across all categories of Medicaid claims citywide during that same period.

Centers for Medicare & Medicaid Services data shows that total federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, about 18% of total U.S. health expenditures and up from $613.5 billion in 2019 prior to the COVID-19 pandemic.

This marks an increase of roughly 40% in just a few years, largely due to increased enrollment and greater care utilization during and following the pandemic.

Recent federal spending legislation during the Trump administration included major proposals to reduce federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to slash more than $1 trillion in federal Medicaid spending over the next decade while adding requirements such as work mandates and higher cost sharing that could reduce eligibility and financial support for certain recipients. These changes are projected to increase cost burdens on states and slow federal Medicaid spending even as millions continue to rely on the program.

Medicaid Payments Tied to Evaluation and Management in Eudora, Kansas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,503 -58.8%
2021 $3,359 34.2%
2022 $7,472 122.4%
2023 $11,249 50.6%
2024 $16,506 46.7%
Top Categories by Medicaid Payments in Eudora, Kansas, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $45,562 73.4%
2 Evaluation and Management $16,506 26.6%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Eudora, Kansas, 2024

HCPCS Code Description Medicaid Payments Claims
99402 Prev med cnsl indiv apprx 30 $8,450 10
99213 Office o/p est low 20 min $6,195 11
99214 Office o/p est mod 30 min $1,671 3
99401 Prev med cnsl indiv apprx 15 $190 1

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.



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