Millboro sees 41.4% jump in Medicaid Evaluation and Management payments in 2024

In 2024, Millboro Medicaid providers billed $3,491 for Evaluation and Management services, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total marks a 41.4% rise over 2023, when claims for the same service amounted to $2,469.

Medicaid, a state-run program supported by both federal and state resources, provides health coverage for low-income people, seniors, children, and individuals with disabilities, representing a major part of the U.S. health care framework.

As Medicaid payments rely on taxpayer funding, changes in local billings reflect how public health resources are distributed in each community.

The “Evaluation and Management” classification denotes a type of Medicaid-billed service based on the type of care given, organized by standard HCPCS and CPT code groupings. The analysis assigns each billing code to only one service category, using set code prefixes and numeric sequences to examine related services collectively and avoid double counting, ensuring accurate annual rankings.

While Medicaid outlays rose across different service groups, Evaluation and Management led in total Medicaid payments in Millboro for 2024.

Statewide in Virginia, Evaluation and Management ranked third among all Medicaid service categories by total payments in 2024.

Over the five years leading to 2024, Medicaid payments in Millboro for Evaluation and Management grew by $3,491, remaining flat at 0%. Certain years, like 2023 and 2022, saw more significant annual growth in this category.

Spending for Evaluation and Management services was spread across Millboro but concentrated heavily in a few ZIP codes. For 2024, ZIP code 24460 accounted for the full $3,491 in Medicaid payments in this category. Overall, this single ZIP made up 100% of Millboro’s payments for Evaluation and Management services that year.

Within the category, payments centered on a narrow set of billing codes.

Comparing locally, Medicaid payments for Evaluation and Management in Millboro climbed 41.4% from 2023 to 2024—the same change seen across all Medicaid claim categories in the city during that period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending hit approximately $871.7 billion in fiscal 2023, which represented about 18% of total U.S. health expenditures, up sharply from roughly $613.5 billion in 2019 before the COVID-19 pandemic began.

That jump represents a nearly 40% increase in only a few years, mainly due to higher enrollment and increased use of Medicaid services during and in the aftermath of the pandemic era.

Recent federal budget measures under the Trump administration have featured notable plans to lower federal Medicaid spending and change its structure. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to trim more than $1 trillion in federal Medicaid outlays over ten years while adding measures such as work requirements and greater cost-sharing, which could decrease coverage and federal support for some enrollees. These policies are expected to increase costs to states while capping the federal share, despite Medicaid still serving 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.