Evaluation and Management Medicaid payments reach $13,934 in Creswell for 2024

Creswell Medicaid providers received $13,934 for services in the Evaluation and Management category in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. In comparison, providers billed $2,093 for the same category in 2023, a 565.7% rise from the previous year.

Medicaid is a state-managed health insurance program supported by both federal and state budgets. The program serves low-income people, seniors, children and individuals with disabilities, ranking among the largest health care programs in the nation.

Because Medicaid funding is provided by taxpayers, shifts in billing levels locally demonstrate how public dollars are distributed within communities.

The “Evaluation and Management” group comprises Medicaid-billed services grouped by the type of medical care, as defined by standardized HCPCS and CPT code ranges. For this report, every billing code was mapped to a distinct service group, using uniform code prefixes and numeric assignments. This approach enabled aggregation without duplicating counts and protected service rankings over time.

While Medicaid expenditures increased across different service categories, Evaluation and Management received the largest total in Creswell during 2024.

Statewide in Oregon, the Evaluation and Management class led all Medicaid categories in dollar amounts paid in 2024.

Across the five years ahead of 2024, Medicaid Evaluation and Management payments in Creswell saw growth of $10,477, representing a 303% increase. The pace of this growth accelerated during specific years, especially in 2021 and 2022, with year-over-year increases.

Although payments for the Evaluation and Management category were distributed throughout Creswell, they were mainly concentrated in specific ZIP codes. In 2024, ZIP code 97426 made up $13,933, accounting for 100% of such Medicaid payments in Creswell for that year.

For Evaluation and Management services, Medicaid spending centered on a small number of billing codes.

Comparatively, payments for Evaluation and Management in Creswell rose 565.7% from 2023 to 2024. By contrast, overall Medicaid claim payments in Creswell saw a 36% change in the same period.

The Centers for Medicare & Medicaid Services report that federal and state Medicaid spending combined reached about $871.7 billion for fiscal year 2023. This was roughly 18% of all U.S. health spending, a significant uptick from $613.5 billion in 2019 before COVID-19.

That growth, about 40% over a few years, has been primarily fueled by increased enrollment and higher usage tied to and following the pandemic phase.

Recent federal budget actions during the Trump administration have raised proposals that would scale back federal Medicaid funding and change program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid outlays in the next 10 years and adds work requirements and increased cost-sharing, both of which could reduce benefits for some. These measures are likely to shift more costs onto states and curb future federal support—despite the program still covering 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.