Broussard Medicaid Evaluation and Management payments total $298,142 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Broussard Medicaid providers billed $298,142 in 2024 for services grouped under the Evaluation and Management category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 2.1% rise from 2023, when claims in this category totaled $292,041.

Medicaid, a state-administered public health insurance program financed through both federal and state funds, provides coverage for low-income residents, seniors, children, and individuals with disabilities. As a result, it remains one of the largest parts of the U.S. health care system.

With Medicaid primarily funded by taxpayers, shifts in local billing reveal how public health care funds are distributed within communities.

The “Evaluation and Management” classification encompasses a range of Medicaid-billed services defined by the type of care provided, using standardized HCPCS and CPT groups. For this report, all billing codes were assigned to single service categories based on code prefixes and ranges, enabling consistent tracking and eliminating double counting or rank distortion.

Spending across Medicaid service categories saw increases, with Evaluation and Management ranking second in Broussard by total payments for 2024.

Looking statewide, Evaluation and Management was the third highest category for Medicaid spending in Louisiana in 2024.

Between 2019 and 2024, Medicaid payments for Evaluation and Management in Broussard grew by $138,312, an 86.5% increase. Periods of accelerated growth occurred in 2020 and 2023, marked by notable annual jumps.

Spending within the Evaluation and Management group was spread citywide, but concentrated in only a few ZIP codes. In 2024, ZIP code 70518 accounted for the entire $298,142 in Medicaid payments for this category in Broussard, representing 100% of that year’s city total.

A small number of individual billing codes made up most Medicaid payments attributed to the Evaluation and Management category.

For context, Medicaid payments in Broussard for Evaluation and Management services increased 2.1% between 2023 and 2024, while overall Medicaid claims for all categories in the city saw an 11.1% shift in the same timeframe.

Centers for Medicare & Medicaid Services figures indicate combined federal and state Medicaid expenditures reached approximately $871.7 billion in the 2023 fiscal year, making up about 18% of nationwide health spending, up considerably from roughly $613.5 billion in 2019, prior to the pandemic.

This marked an increase of about 40% in just a few years, driven primarily by rises in enrollment and service utilization during and after the pandemic.

Recent federal budget measures finalized during the Trump administration have introduced major reforms aimed at reducing federal Medicaid expenditures and changing program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut over $1 trillion from federal Medicaid funding over the next 10 years and implement policies like work mandates and increased out-of-pocket costs. These changes are projected to shift additional financial responsibility to states and restrict future federal Medicaid growth while the program serves tens of millions nationwide.

Medicaid Payments Tied to Evaluation and Management in Broussard, Louisiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $159,829 89.2%
2021 $209,471 31.1%
2022 $212,931 1.7%
2023 $292,040 37.2%
2024 $298,142 2.1%
Top Categories by Medicaid Payments in Broussard, Louisiana, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $1,503,714 75.4%
2 Evaluation and Management $298,142 14.9%
3 Durable Medical Equipment $139,035 7%
4 Medical And Surgical Supplies $36,916 1.9%
5 Medicine Services and Procedures $8,726 0.4%
6 Durable medical equipment (DME) Medicare administrative contractors (MACs) $7,265 0.4%
7 Pathology and Laboratory Procedures $664 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Broussard, Louisiana, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $235,061 55
99223 1st hosp ip/obs high 75 $28,616 12
99213 Office o/p est low 20 min $18,997 12
99205 Office o/p new hi 60 min $5,332 4
99391 Per pm reeval est pat infant $5,155 6
99407 Behav chng smoking > 10 min $2,752 12
99392 Prev visit est age 1-4 $1,636 2
99231 Sbsq hosp ip/obs sf/low 25 $443 2
99173 Visual acuity screen $145 6

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.



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