Stony Point Medicaid Evaluation and Management payments jump 520.7% to $66,031 in 2024

According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, providers in Stony Point billed $66,031 for Medicaid services listed under the Evaluation and Management category in 2024. This figure reflects a significant increase of 520.7% compared with 2023, when $10,639 was billed for similar services.

Medicaid operates as a public health insurance initiative managed by states and financed through federal and state contributions. The program provides coverage to low-income residents, seniors, families, children, and people with disabilities, representing a major component of the U.S. health care system.

Since Medicaid payments come from public funds, shifts in local spending patterns show how community health dollars are distributed.

The “Evaluation and Management” category includes a range of Medicaid-billed services determined by care type and grouped by standardized HCPCS and CPT codes. In this review, each coding prefix and range was assigned to a specific service category, allowing connected services to be evaluated together, preventing double counting and ensuring accurate comparisons across years.

Increasing Medicaid spending occurred in several categories, but Evaluation and Management led Stony Point with the highest total Medicaid payouts in 2024.

Statewide, Evaluation and Management was the second-largest category for Medicaid payments in North Carolina during 2024.

Over the five years before 2024, Evaluation and Management-related Medicaid payments in Stony Point rose by $66,031, or 0%. Spending gains quickened during some intervals, with significant increases from year to year in 2023 and 2022.

Although these services were provided throughout Stony Point, Medicaid payments were largely concentrated in a few ZIP codes. In 2024, ZIP code 28678 accounted for $66,030, or the entirety of Medicaid Evaluation and Management payments locally. Overall, the top ZIP code made up 100% of payments for this service group in Stony Point for the year.

Payments within the Evaluation and Management group were also concentrated in a relatively small number of billing codes.

In comparison, Stony Point saw a 520.7% increase in Medicaid Evaluation and Management category payments between 2024 and 2023, while the rise across all Medicaid claim categories in the city during that same time was 638.9%.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled about $871.7 billion in fiscal 2023. This made up approximately 18% of total national health spending, a marked increase from about $613.5 billion in 2019, before the COVID-19 pandemic.

This equates to an approximate 40% growth in recent years, mainly due to more Americans enrolling and using Medicaid services during and after the pandemic.

Recent federal budget actions during the Trump administration have brought forth major measures aiming to reduce federal Medicaid outlays and modify the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid spending by more than $1 trillion over the coming decade. It introduces changes such as work requirements and heightened cost-sharing, which could restrict coverage and reduce funding for some beneficiaries. As a result, more expenses may shift to states, with diminished growth in federal Medicaid support, even while the program continues to assist 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.