In 2024, Medicaid providers in Bicknell billed a total of $114,222 for Evaluation and Management category services, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 21.2% rise from 2023, when providers filed $94,245 in claims for the same category of services.
Medicaid is a public insurance program managed by each state and financed through a joint state and federal partnership. The program covers seniors, families with low incomes, children, and individuals with disabilities and represents a major part of the U.S. health care structure.
Because taxpayers fund Medicaid payments, adjustments in local billing levels indicate how health care resources are distributed in specific communities.
The term “Evaluation and Management” identifies a set of services under Medicaid defined by given care types linked to standard HCPCS and CPT code groupings. For this report, all billing codes were consistently attributed to one service category using established code prefixes and ranges so that providers’ related services could be grouped accurately, avoiding redundancies and supporting precise trend assessments over time.
Alongside an uptick in spending across various categories, Evaluation and Management received the largest Medicaid payment total among all categories in Bicknell for 2024.
Statewide, the Evaluation and Management category ranked third in Utah regarding overall Medicaid payment totals in 2024.
Across the five years leading up to 2024, Medicaid payments for Evaluation and Management services in Bicknell climbed by $112,597, equating to an increase of 6928.1%. The highest periods of growth came in recent years, with significant year-over-year gains noted in 2023 and 2022.
Despite general availability of Evaluation and Management services citywide, Medicaid payment distribution remained concentrated in just a few ZIP codes. Among those, 84715 generated $114,221 in Medicaid payments for Evaluation and Management in 2024. This ZIP code alone accounted for the entire sum of Bicknell’s Medicaid payments in that category for the year.
Most Evaluation and Management payments within Bicknell resulted from a small set of billing codes clustered in the category.
Notably, while Bicknell saw a 21.2% gain in Medicaid Evaluation and Management payments between 2024 and 2023, the city’s aggregate Medicaid spending for all claim categories grew only 0.5% during the same timeframe.
Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid expenditures totaled around $871.7 billion for fiscal year 2023, representing about 18% of total national health spending. In 2019, before the onset of the COVID-19 pandemic, this outlay stood near $613.5 billion.
The difference reflects approximately 40% growth over several years, with enrollment expansion and heightened care utilization throughout and following the pandemic serving as primary factors.
Legislation passed during the Trump administration has included sizable efforts to scale back federal Medicaid funding and adapt the program’s framework. As an example, the “One Big Beautiful Bill Act,” became law in 2025. Projections indicate the bill will decrease federal Medicaid support by over $1 trillion over 10 years, ushering in work mandates and greater cost-sharing—measures expected to prospectively limit both federal assistance and beneficiary coverage, placing increased financial responsibility on individual states.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,625 | -49.4% |
| 2021 | $3,292 | 102.6% |
| 2022 | $11,260 | 242% |
| 2023 | $94,245 | 737% |
| 2024 | $114,221 | 21.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $114,221 | 10<0.1% |
| 2 | National Codes Established for State Medicaid Agencies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $93,288 | 12 |
| 99214 | Office o/p est mod 30 min | $20,932 | 7 |
Note: HCPCS codes are provided to illustrate grouping within each category. Totals and ranks used in this article are based on standardized service groupings, not individual codes.
Data was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original dataset here.

