Medicaid payments for Evaluation and Management services reach $121 in Cankton in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Cankton billed a total of $121 for services within the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 92.1% increase from 2023, when billing for these services totaled $63.

Medicaid, a state-run program financed by both federal and state governments, provides public health insurance for low-income individuals and families, as well as for seniors, children, and people with disabilities. As one of the largest components of the U.S. health care system, it serves a vital population.

Since taxpayers fund Medicaid, changes in billing patterns at the community level indicate how public health care funds are distributed locally.

The “Evaluation and Management” category encompasses a set of Medicaid services grouped according to care type, based on standard HCPCS and CPT code definitions. The analysis relied on assigning each billing code to a single service group by consistent code prefixes and number ranges, ensuring related service grouping, avoiding double counting, and supporting clear ranking across time.

With Medicaid spending rising in several service categories, Evaluation and Management placed third for total Medicaid disbursements in Cankton for 2024.

Statewide, Evaluation and Management was also third among categories for Medicaid payments in Louisiana in 2024.

Over five years leading up to 2024, Medicaid payments attributed to Evaluation and Management in Cankton grew by $2,007, or 94.3%. Key increases were observed in 2021 and 2020, as growth rates accelerated over several periods.

Though Evaluation and Management care payment was spread throughout the city, Medicaid funds were concentrated in a select group of ZIP codes. In 2024, the highest amount for this category came from ZIP code 70584, which made up $121—accounting for 100.1% of Cankton’s Evaluation and Management Medicaid payments that year.

Within this service category, Medicaid disbursements were highly concentrated among specific individual billing codes.

Cankton experienced a 92.1% year-over-year increase in Medicaid payments for Evaluation and Management from 2023 to 2024, a much higher rise than the 24% change seen across all Medicaid claim types citywide during that time.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from combined federal and state sources reached about $871.7 billion in fiscal 2023, comprising approximately 18% of all U.S. health expenditures. This marked a significant increase from $613.5 billion in 2019, just before the COVID-19 pandemic.

This growth, roughly 40% higher over several years, was largely due to expanded program enrollment and greater service utilization associated with the pandemic and its aftermath.

Recent federal budget measures enacted under the Trump administration featured substantial proposals to reduce federal Medicaid allocations and alter the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion over a decade, adding changes such as work requirements and higher cost-sharing that may decrease coverage and available funds for certain beneficiaries. These reforms are expected to transfer additional cost responsibility to the states and constrain federal Medicaid growth, although the program still serves tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $2,127 3.5%
2021 $7,622 258.2%
2022 $2,037 -73.3%
2023 $62 -96.9%
2024 $121 93.3%
Top Categories by Medicaid Payments in Cankton, Louisiana, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $433,889 94.7%
2 Alcohol and Drug Abuse Treatment $24,008 5.2%
3 Evaluation and Management $121 <0.1%
4 Drugs Administered Other than Oral Method $0 <0.1%
4 Medicine Services and Procedures $0 <0.1%
4 Pathology and Laboratory Procedures $0 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Cankton, Louisiana, 2024

HCPCS Code Description Medicaid Payments Claims
99213 Office o/p est low 20 min $121 18
99173 Visual acuity screen $0 4
99212 Office o/p est sf 10 min $0 2
99214 Office o/p est mod 30 min $0 18
99394 Prev visit est age 12-17 $0 3
99395 Prev visit est age 18-39 $0 3

Note: HCPCS codes are provided to illustrate the context within the category. Category totals and rankings cited in this article come from standardized service groupings rather than from individual billing codes.

Data for this article derive from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source can be found here.



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