Enoch Medicaid providers billed $24,419 for Evaluation and Management services in 2024

In 2024, Medicaid providers in Enoch billed a total of $24,419 for services classified under the Evaluation and Management category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was up 331.4% from 2023, when providers submitted $5,661 in claims for the same category of service.

Medicaid is a public health insurance program managed by state governments and financed jointly by federal and state funds. The program provides coverage to low-income families and individuals, seniors, children, and people with disabilities, making it a significant component of the U.S. health care system.

Since Medicaid funding stems from taxpayer dollars, changes in billing on the local level highlight the allocation of public health care funds in specific communities.

The “Evaluation and Management” classification covers a set of Medicaid-billed services that are grouped by the type of care, following standardized HCPCS and CPT code collections. For this analysis, each billing code was assigned to a single service group using consistent prefixes and numerical ranges, allowing for combined examination of related services while avoiding overlap and maintaining precise rankings across years.

Evaluation and Management led all categories in Enoch by total Medicaid payments for 2024, though Medicaid spending also grew across several other service groups.

Statewide in Utah, Evaluation and Management ranked third in terms of total Medicaid payments for 2024.

From 2020 through 2024, Medicaid payments associated with Evaluation and Management in Enoch rose by $24,419, or 0%. There were periods of accelerated growth, with especially strong increases from one year to the next in both 2023 and 2022.

Although Evaluation and Management care was provided throughout Enoch, Medicaid payments during 2024 were predominantly concentrated in a few ZIP codes. The highest total for the year came from ZIP code 84721, accounting for all $24,419 billed. Collectively, the top single ZIP code was responsible for 100% of all Medicaid payments tied to Evaluation and Management care within Enoch for the year.

Within the Evaluation and Management category, few individual Medicaid billing codes accounted for the bulk of payments.

Compared with citywide Medicaid claims in Enoch, payments under the Evaluation and Management category increased by 331.4% between 2023 and 2024, while all categories together saw a 332.3% change over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was approximately $871.7 billion in fiscal year 2023, covering about 18% of the country’s health expenditures, a sharp rise from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

The growth amounts to about 40% over a handful of years, with expanded enrollment and greater utilization during and after the pandemic being main factors.

Federal budget measures passed under the Trump administration in recent years have introduced major proposals to scale back federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over a decade and brings new requirements such as work mandates and higher cost sharing, which may reduce funding and coverage for certain beneficiaries. These policy changes are projected to shift more costs to states and slow federal support, even as Medicaid continues to provide for tens of millions nationwide.

Note: HCPCS codes are displayed for reference within the category. The category totals and rankings in this article are based on standardized service groups rather than individual billing codes.

This article uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data available here.