Milford Medicaid providers bill $70,319 for Evaluation and Management services in 2024

Medicaid providers in Milford billed $70,319 for services under the Evaluation and Management category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 9.3% increase from 2023, when providers filed $64,324 in claims for the same type of service.

Medicaid is a government health insurance program managed by the states with joint funding from both federal and state governments. It serves low-income individuals and families, seniors, children, and people with disabilities and is a major component of the American health care system. For more details, see this resource.

As Medicaid funding comes from taxpayer resources, shifts in local billing help illustrate how health care spending is distributed within communities.

The Evaluation and Management group includes Medicaid services determined by type of patient care, classified using established HCPCS and CPT code groupings. In this analysis, each code was mapped to one service category using established code prefixes and numeric ranges, which enables tracking related services, maintains rankings by year, and avoids overlap.

Evaluation and Management had the highest Medicaid payments total in Milford among all service categories in 2024, despite several categories also posting increases.

Statewide in Utah, Evaluation and Management was the third highest category for total Medicaid disbursements in 2024.

Looking at the past five years through 2024, Medicaid payments for Evaluation and Management in Milford grew by $70,319, holding steady at 0% growth. However, the segment saw more significant yearly increases in certain periods, notably during 2023 and 2022.

Payments related to Evaluation and Management services in Milford were mostly concentrated in a few ZIP codes. The leading ZIP code in 2024 was 84751, which saw $70,318 in Medicaid payments, making up 100% of the city’s Medicaid payments for this service group that year.

A small set of billing codes represented the bulk of Evaluation and Management Medicaid payments in Milford.

Between 2024 and 2023, Medicaid payments for Evaluation and Management in Milford were up by 9.3%, compared with an 8.1% change for all Medicaid claim categories in the city for the same timeframe.

Data from the Centers for Medicare & Medicaid Services show combined federal and state Medicaid expenditures hit about $871.7 billion in fiscal year 2023, which was around 18% of total national health spending. This is a significant increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This rise marks roughly 40% growth in just a few years, mainly due to expanded enrollment and increased utilization during and after the pandemic.

Federal budgets passed during the Trump administration featured significant plans to decrease federal Medicaid contributions and overhaul program rules. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is intended to cut more than $1 trillion from federal Medicaid support over 10 years. The law introduces measures such as work requirements and higher cost-sharing, which may impact coverage and reduce funds for some recipients. These shifts are likely to move more fiscal responsibility to states and restrain federal Medicaid expansion, even as millions rely on the program.

Note: HCPCS codes are displayed for context within the category. The totals and rankings cited in this article are based on overarching service group definitions, not individual billing codes.

This article uses data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access the source data here.