Medicaid Evaluation and Management payments in Coburg rise to $19,473 in 2024

Medicaid providers in Coburg reported billing $19,473 for services in the Evaluation and Management category during 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 60.5% increase from 2023, when claims under the same service type totaled $12,129.

Medicaid is a public health program administered by states and co-funded by the federal and state governments. The program covers low-income people and families, older adults, children, and individuals with disabilities, representing a key component of the U.S. healthcare landscape.

Since Medicaid funding comes from taxpayers, shifts in billing activity locally demonstrate how public health resources are deployed in communities.

The “Evaluation and Management” classification pertains to a collection of Medicaid-billed services grouped by care type, based on standardized HCPCS and CPT code ranges. For this report, each billing code was grouped into a single category using consistent code prefixes and ranges, which helps track related services together and avoid duplicate counts for more accurate comparisons over time.

While multiple Medicaid service areas showed spending increases, Evaluation and Management ranked as the second highest by total payments in Coburg for 2024.

For Oregon overall, Evaluation and Management topped all Medicaid payment categories by total dollar amount during 2024.

In the five years through 2024, Medicaid payments associated with Evaluation and Management services in Coburg climbed by $9,892, a 103.3% rise. Growth accelerated at certain points, especially in 2020 and 2021, which recorded significant annual increases.

Throughout the city, spending in the Evaluation and Management category occurred in multiple locations, but the bulk of payments were tied to a small group of ZIP codes. In 2024, most Medicaid payments for this category in Coburg came from ZIP code 97408, which accounted for $19,472, or the entire amount recorded in the city that year.

Medicaid payments in the Evaluation and Management service category were largely focused on a small subset of individual billing codes.

To compare, while Evaluation and Management services in Coburg increased by 60.5% between 2024 and 2023, overall Medicaid payments across all service categories in the city rose just 8.8% in the same period.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid outlays hit approximately $871.7 billion for the 2023 fiscal year, making up nearly 18% of all U.S. health spending, a significant increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents about a 40% increase over several years, mainly due to higher enrollment and greater use of services during and following the pandemic.

Recent federal budget policies under the Trump administration have contained major proposals to reduce federal Medicaid spending and revise how the program is managed. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by over $1 trillion over ten years, introducing work requirements and greater cost-sharing, changes that could decrease benefits and financing for some enrollees. These adjustments are set to shift additional costs to individual states and restrict federal Medicaid funding growth, while the program continues to provide care for 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.