In 2024, providers in Snyder billed $367,526 to Medicaid for services within the Evaluation and Management category, according to records from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total reflects a 0.1% increase compared to 2023, when providers filed $367,080 in claims for similar services.
Medicaid operates as a public health insurance initiative managed by individual states but financed through combined federal and state resources. The program supports low-income people, older adults, children, and individuals with disabilities, cementing its place as one of the country’s primary health care systems.
Given that Medicaid funding is sourced from taxpayers, shifts in local billing levels highlight how community health care spending is distributed.
The “Evaluation and Management” designation encompasses services based on care type and is determined using standardized HCPCS and CPT codes. Each billing code in this analysis is assigned to one service group by matching code prefixes and ranges to keep related services together and ensure accurate year-to-year comparisons without duplication.
Evaluation and Management represented the second-highest total for Medicaid payments in Snyder in 2024, despite broader increases across many service groups.
Statewide in Texas, Evaluation and Management was third by total Medicaid payments in 2024.
Over the previous five years, Medicaid payments tied to Evaluation and Management in Snyder rose by $333,507, or 980.4%. Certain periods saw especially pronounced year-over-year increases, notably in 2021 and 2020.
Spending for Evaluation and Management services was found in multiple parts of Snyder, but most payments were concentrated in specific ZIP codes. In 2024, payments in the 79549 ZIP code alone reached $367,525. Altogether, the top ZIP code accounted for 100% of all Evaluation and Management Medicaid payments in Snyder during 2024.
Further, Medicaid payments within Evaluation and Management largely centered on a select few individual billing codes.
By comparison, payments tied to Evaluation and Management in Snyder increased by 0.1% from 2023 to 2024, while Medicaid payments for all service categories grew 32.4% in the city during that same span.
The Centers for Medicare & Medicaid Services report that overall federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023—around 18% of national health costs—up significantly from $613.5 billion in 2019 before the COVID-19 crisis.
This surge reflects nearly 40% growth within just several years, attributed in large part to increasing enrollment and greater service use across and beyond the pandemic timeframe.
Recent federal budget measures under the Trump administration have featured plans to curtail federal Medicaid spending and change how the program is structured. Notably, the “One Big Beautiful Bill Act,” signed in 2025, is expected to trim more than $1 trillion from Medicaid outlays nationwide over the next 10 years, imposing policies like work requirements and expanded cost-sharing. These changes are anticipated to reduce eligibility and funding for some participants and may push greater costs onto states, even as Medicaid continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $34,019 | 510.2% |
| 2021 | $310,951 | 814.1% |
| 2022 | $378,682 | 21.8% |
| 2023 | $367,080 | -3.1% |
| 2024 | $367,525 | 0.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,100,694 | 66.2% |
| 2 | Evaluation and Management | $367,525 | 22.1% |
| 3 | Pathology and Laboratory Procedures | $107,066 | 6.4% |
| 4 | Dental Services | $70,665 | 4.2% |
| 5 | Ambulance and Other Transport Services and Supplies | $7,055 | 0.4% |
| 6 | Medicine Services and Procedures | $6,143 | 0.4% |
| 7 | Vision Services | $2,568 | 0.2% |
| 8 | Radiology Procedures | $1,539 | 0.1% |
| 9 | Surgery | $434 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99391 | Per pm reeval est pat infant | $101,136 | 12 |
| 99283 | Emergency dept visit low mdm | $100,278 | 27 |
| 99392 | Prev visit est age 1-4 | $69,797 | 11 |
| 99284 | Emergency dept visit mod mdm | $42,264 | 5 |
| 99393 | Prev visit est age 5-11 | $32,298 | 9 |
| 99394 | Prev visit est age 12-17 | $16,716 | 4 |
| 99307 | Sbsq nf care sf mdm 10 | $2,648 | 9 |
| 99214 | Office o/p est mod 30 min | $2,209 | 5 |
| 99213 | Office o/p est low 20 min | $175 | 1 |
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.
