Providers in Stovall billed a total of $67,873 to Medicaid for Evaluation and Management services during 2024, figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount represents a 102% jump from 2023, when claims for this service category totaled $33,602.
Medicaid, a public health insurance program managed by states and funded in partnership by the federal and state governments, covers low-income people, seniors, children, and individuals with disabilities, making it a central component of health care in the United States.
Because taxpayer dollars fund Medicaid, shifts in local billing volumes demonstrate how community health care resources are used.
The “Evaluation and Management” section includes Medicaid-billed services identified by care type, using standardized HCPCS and CPT code ranges. Codes were grouped consistently to avoid duplications and track service trends over years.
Although Medicaid spending rose across several service areas, Evaluation and Management led Stovall in 2024 by total Medicaid payments.
For North Carolina overall, Evaluation and Management ranked as the second largest Medicaid payment category in 2024.
Between 2019 and 2024, Medicaid payments tied to Evaluation and Management in Stovall increased by $67,873, or 0%. The highest growth periods occurred in recent years, including notable increases during 2023 and 2022.
Although care in the Evaluation and Management category spanned Stovall, the majority of payments were limited to a few ZIP codes. In 2024, ZIP code 27582 recorded the highest payments, totaling $67,872, and was responsible for 100% of local Medicaid payments in this category during the year.
Most Medicaid payments within Evaluation and Management were concentrated in a small subset of billing codes.
Looking at 2024 and 2023, Medicaid payments for Evaluation and Management in Stovall rose 102%, while total Medicaid claims across all categories showed a 167.1% increase during the same period.
Centers for Medicare & Medicaid Services data show that federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023. That comprised about 18% of all U.S. health spending, a notable rise from $613.5 billion in 2019, before the COVID-19 pandemic.
This upturn equates to a roughly 40% increase in just a few years, mainly attributable to increased enrollment and utilization since the pandemic.
Recent federal legislation enacted during the Trump administration includes sizable proposed cuts to federal Medicaid support and would restructure the program. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and implement actions like work requirements and higher out-of-pocket costs, which could impact coverage and support for some recipients. As a result, projected changes are likely to mean greater cost burdens for states and slower federal Medicaid spending growth, even though the program still serves millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $7,499 | – |
| 2022 | $13,064 | 74.2% |
| 2023 | $33,602 | 157.2% |
| 2024 | $67,872 | 102% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $67,872 | 55.3% |
| 2 | National Codes Established for State Medicaid Agencies | $54,883 | 44.7% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99199 | Unlisted special svc px/rprt | $67,872 | 12 |
| 99213 | Office o/p est low 20 min | $0 | 3 |
| 99215 | Office o/p est hi 40 min | $0 | 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.
