Evaluation and Management Medicaid payments climbed 25.4% in Kimberling City in 2024

In 2024, Medicaid providers in Kimberling City submitted $61,381 in claims for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 25.4% jump over 2023, when providers filed $48,966 in claims for the same service category.

Administered by the states and supported by both federal and state funding, Medicaid is a major health insurance program for low-income families, seniors, children, and people with disabilities. It stands among the largest components of the U.S. health care system. Additional details are available from the Commonwealth Fund.

Since taxpayers finance Medicaid, changes in community billing patterns reveal how public health funds are distributed at the local level.

The “Evaluation and Management” section refers to a set of Medicaid-billed services classified by care type and sorted using standard HCPCS and CPT code groupings. This analysis assigns billing codes to individual service categories by matching code prefixes and numerical ranges, which helps compare services and maintain accurate tracking and ranking over time.

Though Medicaid spending increased across several categories, Evaluation and Management stood as the top Medicaid payment category by total spending in Kimberling City in 2024.

Statewide in Missouri, Evaluation and Management was the second-largest Medicaid payment category in 2024.

From 2019 through 2024, Medicaid payments for Evaluation and Management services in Kimberling City surged by $56,504, an increase of 1158.5%. Much of this growth was recorded during periods such as 2023 and 2021, which showed sharp year-over-year gains.

Although Evaluation and Management service spending was spread throughout the city, payments were mainly concentrated in just a few ZIP codes. In 2024, ZIP code 65686 saw $61,381 in Medicaid payments related to Evaluation and Management. The top ZIP code alone accounted for the entire category total across the city for the year.

A small subset of specific billing codes made up most Medicaid spending within Evaluation and Management in 2024.

For context, the 25.4% rise in Medicaid payments for Evaluation and Management in Kimberling City from 2023 to 2024 outpaced the 14.8% increase seen across all Medicaid service categories in the city during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending climbed to roughly $871.7 billion in fiscal 2023, about 18% of all national health outlays. This marks a steep increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

The total represents about 40% growth in a few years, primarily driven by more enrollees and higher service use during and after the pandemic.

Federal budget measures passed under the Trump administration have advanced proposals to scale back federal Medicaid funding and alter program requirements. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over 10 years and adds policies such as work requirements and expanded cost-sharing, which could reduce benefits and funding for some beneficiaries. These adjustments are likely to shift increased costs to states and place limits on future federal Medicaid growth, even as the program continues to serve millions 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.