Medicaid Evaluation and Management payments in Ronda rise 21.1% in 2024

In 2024, Medicaid providers in Ronda billed $45,804 for Evaluation and Management services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 21.1% rise from 2023, when $37,823 in claims were recorded for the same service category.

Medicaid, a state-operated public health insurance program with joint federal and state funding, covers low-income people, families, seniors, children, and those with disabilities, making it a significant component of the U.S. health care system. Additional details on Medicaid funding are available at this resource.

Since Medicaid funds come from taxpayers, shifts in local billing trends reveal how public health care dollars are allocated within communities.

The “Evaluation and Management” group includes a range of Medicaid services defined by care type, using standardized HCPCS and CPT codes. For this report, each billing code was grouped to a single service type using consistent code prefixes and number ranges, ensuring that similar services are compared while preventing double counting and maintaining accurate ranking across years.

Although Medicaid spending grew across several categories, Evaluation and Management represented the second-largest Medicaid service category by payment in Ronda for 2024.

Statewide in North Carolina, Evaluation and Management also ranked second by payment amount in 2024.

In the five years up to 2024, Medicaid payments connected to Evaluation and Management in Ronda increased by $33,583, or 274.8%. There were substantial year-to-year gains during certain periods, notably in 2021 and 2022.

Spending for Evaluation and Management services was distributed across Ronda, but payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 28670 reported $45,803 in Medicaid payments for this category, making up 100% of Evaluation and Management Medicaid payments citywide that year.

Payments within the Evaluation and Management service group were also focused on a few specific billing codes.

For context, while Evaluation and Management payments in Ronda rose 21.1% from 2023 to 2024, all Medicaid claim categories combined saw only a 0.2% change in the city during the same span.

The Centers for Medicare & Medicaid Services reported that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up around 18% of total U.S. health expenditures—an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth amounts to an approximately 40% increase over a few years, largely driven by expanded enrollment and heightened use of services during and after the pandemic.

Recent major federal budget bills under the Trump administration contain significant Medicaid funding reduction proposals and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and introduces policies like work requirements and increased cost-sharing, potentially restricting coverage and funding for certain recipients. These measures are expected to shift more costs to states and may limit future increases in federal Medicaid support as the program continues to serve tens of 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.