Garfield Medicaid spending on Evaluation and Management services climbs to $62,672 in 2024

Providers billing Medicaid in Garfield reported $62,672 in claims under the Evaluation and Management category for 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 3.8% rise over 2023, when $60,396 in claims were made for these services.

Medicaid is a state-run public health insurance program supported cooperatively by the federal and state governments. It covers individuals and families with low incomes, seniors, children, and people with disabilities, representing a major segment of the U.S. health care landscape.

As Medicaid spending draws on taxpayer funds, fluctuations in billing highlight how public health resources are distributed locally.

The Evaluation and Management category includes groups of Medicaid-billed services defined by care type, based on standardized HCPCS and CPT coding ranges and prefixes. For this study, each billing code falls into a designated service group, which allows related services to be analyzed together without duplication and keeps rankings precise over time.

Evaluation and Management led all Medicaid service categories in Garfield by total spending for 2024, even as Medicaid expenditures grew across multiple types of care.

At the state level in Arkansas, Evaluation and Management ranked fifth in total Medicaid payments during 2024.

During the five years up to 2024, Garfield’s Medicaid payments for the Evaluation and Management category grew by $25,444, or 68.3%. Spending increases were more pronounced in certain years, with notable gains seen in both 2022 and 2023.

Spending on Evaluation and Management care was reported throughout the city but concentrated in a few ZIP codes. For 2024, ZIP code 72732 accounted for $62,672, representing 100% of these Medicaid payments in Garfield for this service category during the year.

A limited selection of billing codes was responsible for most Medicaid spending within the Evaluation and Management service category.

Between 2024 and 2023, Medicaid payments for Evaluation and Management in Garfield increased by 3.8%, while overall Medicaid claim categories in the city saw a 7% change during that time frame.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending reached around $871.7 billion in fiscal year 2023, making up about 18% of total health expenditures nationally—a significant jump from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase equates to nearly 40% growth over a few years, driven mainly by greater enrollment and increased utilization both during and following the pandemic.

Recent budget legislation signed under the Trump administration put forward substantial cuts and structural changes to federal Medicaid funding. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion through the next decade, enforcing work requirements and higher cost-sharing that could limit coverage and funding for some enrollees. The measures are anticipated to shift greater financial responsibility to states and tighten federal support, though Medicaid continues to provide coverage for millions across the nation.

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.