According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Leavenworth billed $501,771 for Evaluation and Management services in 2024. This reflected a 5.5% growth from 2023, when claims for the same category reached $475,563.
Medicaid is a public health insurance system administered by states and funded by both federal and state governments. It offers coverage for low-income people and families, seniors, children, and individuals with disabilities, making it a core component of the U.S. healthcare landscape.
Because taxpayer dollars support Medicaid payments, variations in local billing demonstrate how communities allocate resources for public health care.
The Evaluation and Management category consists of Medicaid-billed services defined by care type, using standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a specific service category according to code prefixes and numeric ranges to track services accurately, eliminate double counting, and maintain reliable rankings across years.
Spending increases covered several service categories, but in 2024, Evaluation and Management placed third for total Medicaid payments in Leavenworth.
At the state level, Evaluation and Management held the second position among Medicaid payment categories statewide in Washington for 2024.
Between 2019 and 2024, Leavenworth’s Medicaid payments for Evaluation and Management services rose by $135,851, or 37.1%. Notable spending growth occurred in certain years, especially in 2022 and 2021.
While Evaluation and Management expenditures appeared throughout the city, they were concentrated in only a few ZIP codes. In 2024, ZIP code 98826 accounted for $501,771 in these Medicaid payments. Altogether, the top ZIP code represented 100% of Leavenworth’s Medicaid dollars tied to Evaluation and Management services for the year.
Within the Evaluation and Management group, most Medicaid payments occurred under a small selection of billing codes.
Comparing local categories, Medicaid payments for Evaluation and Management in Leavenworth increased 5.5% between 2023 and 2024, while all Medicaid claims citywide changed by 8.3% over that period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays totaled about $871.7 billion for fiscal year 2023, making up roughly 18% of all national health expenditures. This marked a significant rise from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This rise represents nearly 40% growth in a brief period, primarily caused by greater Medicaid enrollment and service use during and after the pandemic.
Recent federal budget legislation enacted during the Trump administration has included major proposals for reducing and restructuring federal Medicaid funding. The “One Big Beautiful Bill Act,” which was signed into law in 2025, is expected to cut federal Medicaid funding by over $1 trillion over a decade and implement greater cost-sharing and work requirements, potentially decreasing program coverage and funding for some. These shifts could place more Medicaid financing responsibility on states while federal support growth is limited, though the program will still serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $365,920 | -29.7% |
| 2021 | $454,939 | 24.3% |
| 2022 | $588,448 | 29.3% |
| 2023 | $475,562 | -19.2% |
| 2024 | $501,771 | 5.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $700,420 | 34.5% |
| 2 | National Codes Established for State Medicaid Agencies | $531,175 | 26.2% |
| 3 | Evaluation and Management | $501,771 | 24.7% |
| 4 | Ambulance and Other Transport Services and Supplies | $169,483 | 8.4% |
| 5 | Pathology and Laboratory Procedures | $105,203 | 5.2% |
| 6 | Surgery | $11,538 | 0.6% |
| 7 | Radiology Procedures | $5,760 | 0.3% |
| 8 | Drugs Administered Other than Oral Method | $2,394 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99283 | Emergency dept visit low mdm | $236,912 | 14 |
| 99284 | Emergency dept visit mod mdm | $154,337 | 11 |
| 99285 | Emergency dept visit hi mdm | $71,840 | 5 |
| 99282 | Emergency dept visit sf mdm | $20,110 | 4 |
| 99213 | Office o/p est low 20 min | $13,047 | 14 |
| 99214 | Office o/p est mod 30 min | $5,521 | 5 |
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.
