East Wenatchee Medicaid providers billed $637K for Evaluation and Management services in 2024

Medicaid providers in East Wenatchee charged $636,902 for services categorized under Evaluation and Management in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure represents a 13% increase over 2023, when $563,794 was submitted in claims for these services.

Medicaid is a state-administered public health insurance program funded in partnership by federal and state governments. The program provides coverage to low-income individuals and families, seniors, children, and people with disabilities, and it is a key component of the U.S. health care system.

Since Medicaid payments are taxpayer-funded, shifts in local billing patterns reflect how public healthcare funding is spent within a community.

The “Evaluation and Management” category encompasses services defined by the type of care delivered, using standardized HCPCS and CPT code groups. Each billing code was attributed to a single service category for this analysis, based on specific code prefixes and number ranges, to group similar services accurately and ensure correct rankings over time.

While Medicaid expenditures rose across several service types, Evaluation and Management represented the second-largest category for Medicaid payments in East Wenatchee in 2024.

Statewide in Washington, Evaluation and Management was also the second-highest category for Medicaid payments during 2024.

From 2019 to 2024, Evaluation and Management Medicaid payments in East Wenatchee grew by $290,451, equaling an 83.8% increase. Certain years, notably 2020 and 2022, saw particularly significant year-over-year gains in spending.

Though Evaluation and Management Medicaid spending covered care across East Wenatchee, payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 98802 accounted for the entire sum of $636,902 billed for Evaluation and Management services, making it responsible for 100% of the category’s Medicaid payments in the city that year.

Within the Evaluation and Management classification, a limited set of billing codes comprised the majority of Medicaid spending.

Evaluation and Management Medicaid payments in East Wenatchee rose by 13% between 2024 and 2023, compared with a 27.2% overall increase in Medicaid claims across all service categories for the city during that period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached roughly $871.7 billion in fiscal year 2023, constituting about 18% of total national health expenditures. This marked a steep rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth represents an increase of around 40% over a few years, largely due to greater enrollment and increased service use during and after the pandemic.

Recent federal budget measures from the Trump administration have proposed extensive cuts and restructuring for federal Medicaid funding. The “One Big Beautiful Bill Act,” signed into law in 2025, aims to trim over $1 trillion from federal Medicaid spending over 10 years and implements requirements such as work mandates and higher cost-sharing, which could decrease funding and coverage for certain beneficiaries. These policies could shift more financial responsibility to states and limit future federal growth in the Medicaid program, which continues to cover 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.