Troutdale Medicaid billing for Evaluation and Management services hits $19,437 in 2024

In 2024, Troutdale Medicaid providers submitted $19,437 in claims for services within the Evaluation and Management category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 42% uptick from 2023, when the same category saw $13,684 in provider claims.

Medicaid, funded jointly by federal and state governments and run by the states, covers a broad range of people including low-income individuals, families, seniors, children, and those with disabilities, making it a major component of the U.S. health care system.

Since Medicaid spending relies on taxpayers, changes in local billing levels demonstrate how public health care dollars are distributed in a community.

The “Evaluation and Management” category is based on standardized HCPCS and CPT code groupings, representing Medicaid-billed services that are grouped by type of care. Each billing code in this analysis was assigned to a unique service category using consistent code prefixes and number ranges, enabling accurate analysis of related services without overlap or double counting over time.

Although spending rose in several Medicaid service categories, Evaluation and Management led in total Medicaid payments in Troutdale for 2024.

Statewide in Virginia, Evaluation and Management placed third overall for Medicaid category payments that year.

Between the previous five-year period and 2024, Medicaid payments linked to the Evaluation and Management category in Troutdale grew by $19,437, or 0%. Notable increases were seen year-on-year in 2023 and 2022, reflecting periods of faster spending growth.

Spending for Evaluation and Management services spanned the city, but most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 24378 recorded $19,436 in Medicaid payments for this category, accounting for the full amount across Troutdale.

Payments within the Evaluation and Management category were primarily tied to a select set of billing codes.

For context, Medicaid payments for Evaluation and Management services in Troutdale climbed 42% from 2023 to 2024, whereas all Medicaid categories combined rose 12% over the same period in the city.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, amounting to roughly 18% of all U.S. health care expenditures, up from about $613.5 billion in 2019 before the COVID-19 pandemic.

This jump represents approximately 40% growth over several years, primarily due to expanded enrollment and greater use of services during and after the pandemic.

Recent federal budget actions during the Trump administration included prominent proposals to change Medicaid’s structure and shrink federal funding. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to cut federal Medicaid spending by over $1 trillion over the next 10 years, and adds policy measures such as work requirements and more cost-sharing. These changes could limit funding and coverage for certain beneficiaries, potentially shifting a larger share of costs onto states even as Medicaid serves tens of millions of Americans nationwide.

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.