Medicaid Evaluation and Management payments in Sudan up 7.5% in 2024

In 2024, Medicaid providers in Sudan reported $3,448 in claims for Evaluation and Management services, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 7.5% rise from 2023, when such claims totaled $3,208.

Medicaid is a publicly funded health insurance program operated by states and financed by both federal and state governments. It serves low-income individuals and families, seniors, children, and people with disabilities, making it a significant component of the nation’s health care system.

As Medicaid payments are supported by taxpayers, shifts in local billing demonstrate how public health care funds are distributed across communities.

The “Evaluation and Management” category encompasses a set of Medicaid-billed services that are classified by the nature of care provided, using standardized HCPCS and CPT code groups. For this analysis, each billing code fell into one service category based on defined code prefixes and ranges, ensuring related services were analyzed together, double counting was avoided, and accurate rankings were kept through time.

While Medicaid expenditures increased for several categories, Evaluation and Management was the second highest in Sudan by total Medicaid payments in 2024.

Statewide in Texas, Evaluation and Management ranked as the third largest category by Medicaid payments for the year.

From 2019 to 2024, Medicaid payments for Evaluation and Management services in Sudan grew by $1,817, or 34.5%. Growth accelerated in certain years, including marked jumps in 2020 and 2021.

Spending for Evaluation and Management care was distributed throughout the city but was mainly concentrated in a handful of ZIP codes. ZIP code 79371 saw the highest category payments in 2024, totaling $3,448. Altogether, the top 1 ZIP codes represented 100% of Medicaid Evaluation and Management payments in Sudan that year.

Within the category, Medicaid payments were also focused on a small set of billing codes.

For context, payments associated with the Evaluation and Management category in Sudan rose by 7.5% between 2024 and 2023, while payments across all Medicaid claim categories in the city changed by 1% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled roughly $871.7 billion in fiscal year 2023, accounting for about 18% of total national health expenditures—an increase from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This change represents an increase of about 40% within a few years, due mostly to broader enrollment and more usage during and after the pandemic years.

Recent federal budget measures enacted during the Trump administration have included major proposals to decrease federal Medicaid funding and reorganize the program. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the next decade and introduces changes such as work requirements and greater cost-sharing, potentially limiting coverage and support for certain beneficiaries. These updates are anticipated to increase the financial burden on states and slow federal Medicaid funding growth, despite the program still serving tens of 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.