Waterville, Washington Medicaid billing for Evaluation and Management services rises to $29,406 in 2024

According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Waterville billed $29,406 for Evaluation and Management services in 2024. This represents an 89.9% gain over 2023, during which providers reported $15,482 in claims for these services.

Medicaid is a state-administered public health insurance program supported through a partnership between federal and state governments. The program serves low-income individuals and families, seniors, children, and those with disabilities, and is a major component of the U.S. health care framework.

Because taxpayer dollars back Medicaid, local billing activity provides insight into public health care funding allocation at the community level.

The “Evaluation and Management” designation covers a subset of Medicaid-funded services formally mapped out by standard HCPCS and CPT code groups. For this analysis, each billing code was classified into a single service group using consistent code ranges, helping to group similar services for review and ensuring accurate trend comparisons without duplication.

Evaluation and Management saw a significant increase among service categories and ranked second by total Medicaid payments in Waterville in 2024.

Statewide in Washington, Evaluation and Management also took the second spot by total Medicaid spending in 2024.

Looking at the five years preceding 2024, Medicaid payments for Evaluation and Management services in Waterville climbed by $16,727, which is a 131.9% increase. Certain years, notably 2020 and 2022, experienced especially sharp annual growth.

Though these payments were made throughout the city, they were concentrated in only a few ZIP codes. In 2024, ZIP code 98858 recorded the highest Medicaid payments attributed to Evaluation and Management services, totaling $29,406. This ZIP code alone accounted for 100% of city Medicaid spending within this category for the year.

In the Evaluation and Management category, most Medicaid dollars were linked to a small number of individual billing codes.

Comparatively, Waterville’s Evaluation and Management Medicaid payments rose 89.9% from 2023 to 2024, while overall Medicaid payments for all claim categories in the city saw a 21.4% rise in that period.

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

This growth amounts to approximately 40% over a few years, largely spurred by higher enrollment and increased use during and after the pandemic.

Federal budget policy under the Trump administration has included major proposals to cut federal Medicaid funding and reshape the program. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is slated to reduce federal Medicaid spending by more than $1 trillion over the next decade and enacts policies like work requirements and increased cost-sharing, which could narrow eligibility and reduce federal funding for some enrollees. These shifts are likely to transfer greater fiscal responsibility to states and limit federal Medicaid growth even as the program remains vital to millions.

Note: HCPCS codes are provided for illustrative context. The totals and rankings discussed in this article derive from grouped service classifications, not from counts of specific billing codes.

Data used in this report originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The raw source data is available here.