Medicaid providers in Truckee billed $1,134,324 for services in the Evaluation and Management category in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 23.3% rise from 2023, when $919,816 in claims were submitted for these services.
Medicaid is a public health insurance program managed at the state level and funded jointly by federal and state governments. The program insures low-income residents, elders, children, and people with disabilities, making Medicaid one of the most significant segments of the U.S. health system.
Since Medicaid is taxpayer-funded, shifts in local billing amounts highlight how health care dollars are dispersed within a community.
The “Evaluation and Management” category encompasses a set of Medicaid-funded services sorted by care type, utilizing standardized HCPCS and CPT code groups. For this research, each billing code was classified into a specific service group using uniform code prefixes and numeric ranges, ensuring related services were combined accurately, avoiding duplicates and supporting reliable rankings over time.
Although several Medicaid service categories posted spending gains, Evaluation and Management was third-highest by Medicaid payments in Truckee for 2024.
Statewide, Evaluation and Management was the second-largest Medicaid payment category in California during 2024.
Across the five years before 2024, Truckee saw Medicaid payments for Evaluation and Management services jump by $1,017,523, equivalent to an 871.2% increase. Certain periods showed accelerated growth, including significant year-over-year hikes in 2021 and 2022.
While Evaluation and Management care was provided throughout Truckee, payments were mainly concentrated in specific ZIP codes. In 2024, ZIP code 96161 recorded $1,134,324 in these payments. This area alone accounted for 100% of the city’s Medicaid payments assigned to Evaluation and Management that year.
Within this service category, Medicaid spending was focused among a smaller subset of individual billing codes.
Compared with the city-wide increase across all Medicaid claim categories during the same period (41%), spending growth tied to Evaluation and Management in Truckee rose by 23.3% from 2023 to 2024.
According to the Centers for Medicare & Medicaid Services, total combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, about 18% of all U.S. health care costs, up sharply from $613.5 billion in 2019, preceding the COVID-19 pandemic.
This growth equals an increase of nearly 40% in several years, largely fueled by expanded Medicaid rolls and increased usage during, and following, the pandemic.
Federal budget measures passed during the Trump administration included broad proposals reducing federal Medicaid outlays and restructuring the program. As an example, the “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to trim more than $1 trillion from federal Medicaid spending over 10 years. It also introduces changes such as work requirements and more cost-sharing by beneficiaries, potentially reducing coverage and funding for some groups. These modifications are likely to pass additional costs on to states and constrain future growth of federal Medicaid contributions, even as the program continues to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $116,800 | -2.4% |
| 2021 | $249,775 | 113.8% |
| 2022 | $491,004 | 96.6% |
| 2023 | $919,815 | 87.3% |
| 2024 | $1,134,324 | 23.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,658,615 | 31.4% |
| 2 | National Codes Established for State Medicaid Agencies | $1,333,293 | 25.2% |
| 3 | Evaluation and Management | $1,134,324 | 21.5% |
| 4 | Ambulance and Other Transport Services and Supplies | $920,575 | 17.4% |
| 5 | Pathology and Laboratory Procedures | $162,625 | 3.1% |
| 6 | Radiology Procedures | $58,499 | 1.1% |
| 7 | Drugs Administered Other than Oral Method | $8,745 | 0.2% |
| 8 | Anesthesia | $4,249 | 0.1% |
| 9 | Temporary Codes | $1,620 | <0.1% |
| 10 | Surgery | $1,274 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $404,708 | 356 |
| 99281 | Emr dpt vst mayx req phy/qhp | $249,748 | 11 |
| 99285 | Emergency dept visit hi mdm | $98,834 | 55 |
| 99284 | Emergency dept visit mod mdm | $96,698 | 63 |
| 99203 | Office o/p new low 30 min | $92,902 | 81 |
| 99214 | Office o/p est mod 30 min | $90,928 | 107 |
| 99202 | Office o/p new sf 15 min | $40,033 | 3 |
| 99283 | Emergency dept visit low mdm | $21,306 | 5 |
| 99393 | Prev visit est age 5-11 | $8,297 | 11 |
| 99070 | Special supplies phys/qhp | $7,462 | 7 |
| 99204 | Office o/p new mod 45 min | $6,680 | 7 |
| 99391 | Per pm reeval est pat infant | $5,289 | 12 |
| 99215 | Office o/p est hi 40 min | $3,491 | 4 |
| 99392 | Prev visit est age 1-4 | $3,155 | 6 |
| 99395 | Prev visit est age 18-39 | $2,541 | 1 |
| 99394 | Prev visit est age 12-17 | $1,995 | 2 |
| 99212 | Office o/p est sf 10 min | $249 | 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.