Woodville Medicaid Evaluation and Management payments climb to $3,327 in 2024

Woodville Medicaid providers received $3,327 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. That figure represents a 125.3% increase over 2023, when $1,477 was billed for the same service category.

Medicaid, a public health insurance program managed by state governments and backed financially by both state and federal sources, provides coverage for low-income populations, older adults, children, and individuals with disabilities. As such, it remains a central pillar of health care access in the U.S.

Since Medicaid payments originate from taxpayers, shifts in billing levels locally can indicate how public health funds are being deployed within a community.

The “Evaluation and Management” category corresponds to a collection of Medicaid services grouped by the nature of care delivered, using standardized ranges of HCPCS and CPT billing codes. In this analysis, each code was assigned to a single, broad category based on prefix and numerical group, helping avoid double counting and enabling precise year-to-year comparisons and rankings.

Evaluation and Management was third among Woodville’s Medicaid service categories by total 2024 payments, as spending rose across several segments.

Statewide, the Evaluation and Management category placed second overall in Medicaid payments for California in 2024.

Between five years preceding 2024, Medicaid payments linked to the Evaluation and Management category in Woodville rose by $1,871, or 128.5%. There were periods of pronounced growth, particularly in 2020 and again in 2022, reflecting accelerated spending in certain years.

Local Medicaid spending on Evaluation and Management care was distributed across Woodville but saw concentrations in a few ZIP codes; in 2024, ZIP code 93257 recorded all $3,327 of the city’s total, making it responsible for 100% of related payments.

A handful of specific billing codes accounted for most Medicaid Evaluation and Management payments in the city that year.

Compared with all categories, Medicaid payments for Evaluation and Management services in Woodville climbed 125.3% from 2023 to 2024, while overall Medicaid payments citywide changed by 6% over the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached approximately $871.7 billion for fiscal 2023, making up about 18% of all national health spending. This is a sharp increase from the approximate $613.5 billion seen in 2019 before the COVID-19 public health emergency.

This rise—about 40% over several years—was driven by growth in enrollment and increased utilization tied to the pandemic and its aftermath.

Recent federal budget changes enacted under the Trump administration proposed large reductions to federal Medicaid outlays and reformed several aspects of the program. As an example, the “One Big Beautiful Bill Act,” which became law in 2025, calls for over $1 trillion in federal Medicaid cuts during the next 10 years, introducing work requirements and more cost-sharing policies that may lead to diminished funding and narrower coverage for some enrollees. With those adjustments, the funding burden could increase for states while growth in federal Medicaid support slows, even as the program remains critical to tens of millions nationwide.

Note: HCPCS codes are included here to provide context. For this story, category totals and rankings are based on standardized groupings of services instead of itemized billing codes.

The U.S. Department of Health and Human Services Medicaid Provider Spending database served as the source for the information in this report. Source data is accessible here.