Salina Medicaid payments for evaluation and management services jump 1150.4% in 2024

In 2024, Medicaid providers in Salina submitted $23,907 in claims for services categorized under Evaluation and Management, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a rise of 1150.4% over 2023, when $1,912 in claims were made for the same set of services.

Medicaid is a state-administered public health insurance program jointly funded by state and federal governments according to the Commonwealth Fund. It provides coverage for low-income people, children, seniors, and individuals with disabilities, making it one of the largest components of the U.S. health care sector.

As Medicaid is taxpayer-funded, shifts in local billing reveal patterns in how public health care funds are distributed within a community.

The Evaluation and Management category represents a set of Medicaid-billed services organized by type of care given and based on specific HCPCS and CPT code ranges. In this report, codes were grouped into their corresponding service category using standardized prefixes and numbers for accurate aggregation and to avoid repeated counts or misclassification in rankings over time.

Despite an increase across several service classes, Evaluation and Management placed third for total Medicaid payments in Salina in 2024.

Statewide in Oklahoma, the Evaluation and Management group was the highest by overall Medicaid payments during 2024.

Looking at the five-year span through 2024, Evaluation and Management payments in Salina increased by $21,356, an 837% rise. Notably, significant year-to-year increases were also seen in 2022 and 2020.

While the funds for Evaluation and Management services were used throughout Salina, they were primarily concentrated within a select number of ZIP codes. During 2024, ZIP code 74365 accounted for $23,906 of such claims, making up 100% of Salina’s total Medicaid dollars for that category in the city for the year.

A handful of specific billing codes were linked to much of the category’s total Medicaid claims in Evaluation and Management.

To put this growth in context, Salina’s 1150.4% increase in Evaluation and Management Medicaid claims between 2024 and 2023 substantially outpaced a 19.6% change among all Medicaid categories citywide during the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached around $871.7 billion in the 2023 fiscal year, comprising about 18% of total national health care spending and up significantly from roughly $613.5 billion in 2019 before the coronavirus pandemic.

This growth translates to an approximate 40% increase within just a few years, due in large part to expanding enrollment and increased usage throughout and following the pandemic.

Recent federal budgets passed during the Trump administration have included major Medicaid funding reductions and structural program reforms. The One Big Beautiful Bill Act, signed into law in 2025, is projected to reduce federal Medicaid expenditures by over $1 trillion in the coming 10 years and introduces measures such as work requirements and higher cost-sharing, potentially affecting funding and coverage for some beneficiaries. These changes could push additional costs to states and limit the pace of federal Medicaid growth even as the program remains crucial to millions across the U.S.

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.