Stanton Medicaid spending for Evaluation and Management services climbs to $93,199 in 2024

In 2024, Medicaid providers in Stanton charged $93,199 for services under the Evaluation and Management category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure represents an increase of 12.1% from 2023, when $83,145 in claims were filed for the same service type.

Medicaid, a public health program operated by the states with joint federal and state funding, covers groups including low-income families and individuals, children, seniors, and people with disabilities. It is one of the nation’s largest health insurance programs, according to the Commonwealth Fund.

Because taxpayer dollars support Medicaid, shifting local billing volumes indicate how public resources are allocated for health care within communities.

The “Evaluation and Management” grouping includes a set of Medicaid-billed services, distinguished by care type and defined by standardized HCPCS and CPT code classifications. Each billing code in this analysis was assigned to a single service group, using uniform code prefixes and ranges to ensure accurate rankings and prevent double counting across years.

While Medicaid expenditures increased in several service areas, Evaluation and Management stood as the largest category by total Medicaid payments in Stanton during 2024.

Statewide in Texas, Evaluation and Management was the third-highest Medicaid payment category by total dollars billed in 2024.

Over the five-year span through 2024, Evaluation and Management-related Medicaid payments in Stanton rose by $86,925, a 1385.5% increase. There were notable jumps in annual spending, particularly in 2021 and 2022.

Spending on Evaluation and Management services was present throughout Stanton but was heavily concentrated in a single ZIP code. In 2024, ZIP code 79782 accounted for $93,198 of these Medicaid payments, making up 100% of the category’s local total that year.

Within the Evaluation and Management category, Medicaid payment activity was focused on a relatively small selection of unique billing codes.

In comparison, Medicaid payments for Evaluation and Management services in Stanton saw a 12.1% rise between 2024 and 2023, while all Medicaid claim categories together grew by 22.3% during the same period in the city.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending for Medicaid hit approximately $871.7 billion in fiscal year 2023, making up about 18% of the nation’s total health care expenditures. This was a significant increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This marks a roughly 40% jump in just a few years, stemming primarily from expanded enrollment and greater utilization during and after the pandemic.

Major changes to federal Medicaid funding have been included in recent budget laws enacted under the Trump administration. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years and introduces requirements such as mandatory work participation and increased cost-sharing, which are anticipated to impact beneficiary coverage and funding levels. These policy shifts are expected to increase the financial responsibility of states and slow the federal share of Medicaid funding growth, even as the program continues to cover tens of millions across the country.

Note: HCPCS codes are provided to indicate their grouping within the category. In this article, category totals and rankings use standardized service groupings instead of individual billing codes.

The U.S. Department of Health and Human Services Medicaid Provider Spending database supplied the information for this report. The primary data can be accessed here.