In Blanding, Medicaid providers charged $1,886,360 in 2024 for services within the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 457.2% jump over 2023, when providers submitted $338,571 in claims for these services.
Medicaid, a state-administered health insurance program supported jointly by federal and state governments, serves low-income people and families, seniors, children, and those with disabilities, making it one of the primary components of the U.S. health care system.
Since Medicaid payments are sourced from taxpayer dollars, shifts in billing patterns locally reflect changing distribution of public health expenditures within the community.
The “Evaluation and Management” classification includes a set of Medicaid-billed services determined by the type of care provided, based on standard HCPCS and CPT code groupings. For this analysis, each billing code matched a single service category using defined code prefixes and numeric series, helping examine related services together, minimize overlap, and maintain precise historical comparisons.
Evaluation and Management led all Medicaid spending categories by total payments in Blanding for 2024, amid increased spending across several categories.
This category ranked third by statewide Medicaid payments in Utah in 2024.
Across the five years preceding 2024, Medicaid payments related to Evaluation and Management in Blanding grew by $1,833,140, equal to an increase of 3444.5%. The pace of growth was particularly strong in select years, with significant annual jumps noted in both 2023 and 2021.
While Evaluation and Management claims occurred throughout Blanding, payment data show they concentrated in just a few ZIP codes. In 2024, ZIP code 84511 recorded $1,886,360 in payments—representing 100% of all Medicaid funds for that category in Blanding for the year.
Within the Evaluation and Management grouping, Medicaid payments were predominantly distributed among a small number of billing codes.
For context, the 457.2% increase in Blanding’s Evaluation and Management Medicaid payments from 2023 to 2024 outpaced the 82.4% growth seen across all Medicaid claim categories in the city during the same interval.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, making up roughly 18% of all U.S. health costs, and marking a sharp increase from the $613.5 billion in 2019, prior to the COVID-19 pandemic.
That jump amounts to growth of around 40% in several years, fueled primarily by higher enrollment and increased service utilization during and after the pandemic.
The Trump administration’s recent federal budget included significant plans to decrease federal Medicaid funds and modify program structures. The “One Big Beautiful Bill Act,”, signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and implements changes such as work requirements and expanded cost-sharing, which could affect coverage and funding for certain enrollees. These policies may require states to bear a greater financial burden, potentially slowing federal Medicaid funding growth while the program continues to serve millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $53,219 | 5% |
| 2021 | $87,255 | 64% |
| 2022 | $62,644 | -28.2% |
| 2023 | $338,571 | 440.5% |
| 2024 | $1,886,360 | 457.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,886,360 | 50.9% |
| 2 | Medicine Services and Procedures | $952,786 | 25.7% |
| 3 | Ambulance and Other Transport Services and Supplies | $560,328 | 15.1% |
| 4 | Alcohol and Drug Abuse Treatment | $176,561 | 4.8% |
| 5 | Pathology and Laboratory Procedures | $60,634 | 1.6% |
| 6 | Vision Services | $33,114 | 0.9% |
| 7 | Surgery | $20,142 | 0.5% |
| 8 | National Codes Established for State Medicaid Agencies | $11,223 | 0.3% |
| 9 | Procedures / Professional Services | $1,055 | <0.1% |
| 10 | Durable Medical Equipment | $274 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $1,320,332 | 34 |
| 99214 | Office o/p est mod 30 min | $288,636 | 17 |
| 99212 | Office o/p est sf 10 min | $92,638 | 11 |
| 99284 | Emergency dept visit mod mdm | $77,941 | 16 |
| 99283 | Emergency dept visit low mdm | $49,370 | 17 |
| 99391 | Per pm reeval est pat infant | $43,859 | 4 |
| 99393 | Prev visit est age 5-11 | $8,628 | 1 |
| 99204 | Office o/p new mod 45 min | $2,711 | 1 |
| 99211 | Off/op est may x req phy/qhp | $1,253 | 1 |
| 99282 | Emergency dept visit sf mdm | $988 | 2 |
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.
