In 2024, Medicaid providers in Cottage Grove reported $1,817,148 in billings under the Evaluation and Management service category, as indicated by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 10.9% uptick from the prior year, during which $1,639,285 was billed for the same types of services.
Medicaid, funded jointly by the federal and state governments, is a public insurance program managed at the state level. It serves low-income residents, seniors, people with disabilities, and children, making it a major part of the nation’s health care safety net.
Since Medicaid is financed by taxpayers, adjustments in local billing patterns demonstrate how funding is directed within the community.
The Evaluation and Management designation reflects groups of Medicaid services, categorized based on care type and organized through standardized HCPCS and CPT code prefixes and ranges. Each billing code used is assigned to a sole service group in this reporting, which maintains accurate service rankings and avoids double-counting related claims over time.
Other Medicaid categories saw increased expenditures, but Evaluation and Management led all categories in total Medicaid payments in Cottage Grove for 2024.
Statewide, Evaluation and Management also held the top position for Medicaid reimbursements in Oregon in 2024.
From five years prior to 2024, spending linked to Evaluation and Management services in Cottage Grove rose by $594,161—a 48.6% increase. Heightened annual gains were also logged in years such as 2021 and 2023.
While claims in this service group occurred throughout the city, payments were largely limited to certain geographic areas. In 2024, ZIP code 97424 supplied $1,817,147 in billings, making up 100% of Cottage Grove’s total Medicaid payments in the Evaluation and Management group that year.
Within Evaluation and Management, just a small set of individual billing codes made up the majority of the total Medicaid payments.
For context, the 10.9% rise between 2023 and 2024 for Evaluation and Management outpaced the citywide Medicaid claim increase of 1.6% across all service categories during the same interval.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses totaled approximately $871.7 billion in fiscal year 2023, about 18% of the nation’s total health spending; this rose from $613.5 billion in 2019 before the pandemic’s onset.
The growth reflects an approximate 40% increase over several years, primarily driven by higher enrollment and greater service use during and after the pandemic.
Recent national legislative measures, such as under the Trump administration, introduced major plans to reduce federal Medicaid support and alter the program structure. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to trim federal Medicaid spending by more than $1 trillion over the coming decade, implementing requirements like work mandates and increased out-of-pocket costs. These changes are likely to shift fiscal responsibilities toward states and limit growth in federal Medicaid financial support, while coverage and benefit reductions may affect beneficiaries as the program continues serving millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,222,987 | -39.4% |
| 2021 | $1,732,219 | 41.6% |
| 2022 | $1,303,830 | -24.7% |
| 2023 | $1,639,284 | 25.7% |
| 2024 | $1,817,147 | 10.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,817,147 | 42.3% |
| 2 | Medicine Services and Procedures | $1,733,707 | 40.4% |
| 3 | Procedures / Professional Services | $362,682 | 8.4% |
| 4 | Ambulance and Other Transport Services and Supplies | $106,042 | 2.5% |
| 5 | Alcohol and Drug Abuse Treatment | $97,605 | 2.3% |
| 6 | Pathology and Laboratory Procedures | $93,248 | 2.2% |
| 7 | Surgery | $48,266 | 1.1% |
| 8 | National Codes Established for State Medicaid Agencies | $34,978 | 0.8% |
| 9 | Radiology Procedures | $1,455 | <0.1% |
| 10 | Dental Services | $791 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99214 | Office o/p est mod 30 min | $487,866 | 189 |
| 99284 | Emergency dept visit mod mdm | $472,964 | 76 |
| 99283 | Emergency dept visit low mdm | $434,583 | 99 |
| 99285 | Emergency dept visit hi mdm | $153,474 | 16 |
| 99213 | Office o/p est low 20 min | $93,976 | 96 |
| 98941 | Chiropract manj 3-4 regions | $67,353 | 19 |
| 98943 | Chiropract manj xtrspinl 1/> | $28,129 | 12 |
| 99215 | Office o/p est hi 40 min | $22,995 | 10 |
| 99391 | Per pm reeval est pat infant | $18,354 | 9 |
| 99392 | Prev visit est age 1-4 | $16,996 | 9 |
| 99203 | Office o/p new low 30 min | $10,750 | 9 |
| 99204 | Office o/p new mod 45 min | $4,311 | 3 |
| 99282 | Emergency dept visit sf mdm | $3,466 | 2 |
| 99393 | Prev visit est age 5-11 | $1,363 | 1 |
| 99177 | Ocular instrumnt screen bil | $427 | 3 |
| 99173 | Visual acuity screen | $134 | 2 |
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.
