Valdese Medicaid claims for Evaluation and Management services reach $140,134 in 2024

Providers in Valdese filed $140,134 in Medicaid claims for services within the Evaluation and Management category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a rise of 48.9% compared to 2023, when claims for the same category totaled $94,084.

Medicaid, operated by states and financed jointly by federal and state governments, provides health insurance for low-income people and families, seniors, children, and individuals with disabilities. It stands as one of the largest segments of the nation’s health care system.

Because Medicaid is funded through taxpayer dollars, changes in billing patterns locally offer insight into how public health resources are distributed in a community.

The Evaluation and Management classification covers a segment of Medicaid-billed services identified by care type, set by standardized HCPCS and CPT code groups. This analysis sorts each code into a single service category through uniform prefixes and numeric ranges, which allows for consistent tracking and related service comparison while preventing duplicate counts and keeping rankings clear over time.

Spending growth occurred in multiple Medicaid service areas, but in 2024, Evaluation and Management ranked third in total payments for Valdese.

On the state level, Evaluation and Management placed second for total Medicaid payments in North Carolina in 2024.

From five years prior to 2024, Medicaid spending connected to Evaluation and Management services in Valdese grew by $116,059, or 482.1%. This uptick accelerated during periods such as 2021 and 2023 when there were significant increases compared to respective prior years.

Spending for Evaluation and Management was distributed in different areas across city ZIP codes. However, 2024 payments were concentrated in just a few, with the 28690 ZIP code making up $140,134. Altogether, the leading ZIP code accounted for 100% of Evaluation and Management Medicaid payments in Valdese that year.

Within this category, the majority of Medicaid payments were linked to just a small number of specific billing codes.

In contrast, when Medicaid payments attached to Evaluation and Management services in Valdese rose 48.9% between 2024 and 2023, all local Medicaid claim categories combined saw a 19.5% increase over that same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled about $871.7 billion in fiscal 2023. That equaled approximately 18% of U.S. health expenditures, rising from $613.5 billion in 2019, before the COVID-19 pandemic began.

The change represents about 40% growth in just a few years, mostly fueled by expanded enrollment and greater use of benefits during and after the pandemic period.

Federal legislation passed under the Trump administration included major proposals for federal Medicaid spending reductions and program restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid funding by over $1 trillion in the next decade. The law introduces measures such as work requirements and increased cost-sharing, potentially reducing access to coverage for certain beneficiaries. As a result, states may account for a larger share of Medicaid costs, restricting future growth in federal aid as Medicaid continues to support millions of Americans.

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.