Wapato Medicaid providers submitted $30,441 in claims for services classified under the Evaluation and Management category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total reflects a 17.2% uptick from 2023, when $25,982 in claims were reported for the same category of service.
Medicaid is a public health insurance initiative managed by individual states and supported by both federal and state governments. The program provides coverage for low-income adults, children, seniors, and people with disabilities, positioning it as a significant element of the U.S. health system.
Since Medicaid funding originates from taxpayers, shifts in local billing habits reveal how health care resources are distributed within a community.
The “Evaluation and Management” grouping includes Medicaid-billed services organized by the nature of care based on established HCPCS and CPT code ranges. For this research, each code was mapped to a single service group using systematic code labels and numbered brackets, enabling related offerings to be tracked together while avoiding duplication and maintaining consistent rankings through time.
Although several Medicaid service groupings saw spending growth, Evaluation and Management came in third for total Medicaid outlays in Wapato in 2024.
Across Washington, Evaluation and Management was the second-largest category by Medicaid payments statewide in 2024.
During the five years ending in 2024, Wapato’s Medicaid payments for the Evaluation and Management group increased by $22,888, or 303%. The rate of growth quickened at several points, with substantial year-over-year jumps recorded in 2020 and 2021.
Spending for Evaluation and Management services was geographically wide-ranging across Wapato, yet payments remained concentrated within certain ZIP codes. In 2024, ZIP code 98951 recorded the highest Medicaid spending for Evaluation and Management, reaching $30,441. The top ZIP code accounted for the entire share of Medicaid payments in this service category across the city for the year.
Within Evaluation and Management, Medicaid reimbursement was also focused among a select number of specific billing codes.
Comparatively, claims for Evaluation and Management services in Wapato saw a 17.2% increase between 2024 and 2023, while overall Medicaid claims across all categories in the city rose by 21.9% during the same time.
As reported by the Centers for Medicare & Medicaid Services, total combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, amounting to about 18% of U.S. health expenditures—a jump from around $613.5 billion in 2019, before the COVID-19 public health emergency.
This jump marks nearly 40% growth in just a few years, primarily due to rising enrollment and stronger utilization related to the pandemic.
Recent federal budget actions during the Trump administration introduced significant measures to curtail federal Medicaid support and overhaul the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid funding by more than $1 trillion in the coming 10 years. Provisions include work requirements and higher cost-sharing, potentially reducing eligibility and allotments for certain recipients. These adjustments are likely to transfer additional expenses to state governments and restrict future federal Medicaid expansion, despite the program’s continued coverage of tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,553 | 1084.1% |
| 2021 | $28,932 | 283% |
| 2022 | $27,734 | -4.1% |
| 2023 | $25,982 | -6.3% |
| 2024 | $30,441 | 17.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $306,749 | 75.8% |
| 2 | Medical And Surgical Supplies | $43,399 | 10.7% |
| 3 | Evaluation and Management | $30,441 | 7.5% |
| 4 | Drugs Administered Other than Oral Method | $15,886 | 3.9% |
| 5 | National Codes Established for State Medicaid Agencies | $7,652 | 1.9% |
| 6 | Pathology and Laboratory Procedures | $528 | 0.1% |
| 7 | Procedures / Professional Services | $36 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $20,281 | 33 |
| 99214 | Office o/p est mod 30 min | $7,884 | 13 |
| 99212 | Office o/p est sf 10 min | $1,097 | 6 |
| 99393 | Prev visit est age 5-11 | $779 | 6 |
| 99394 | Prev visit est age 12-17 | $324 | 5 |
| 99392 | Prev visit est age 1-4 | $74 | 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.
