Pea Ridge sees $4,320 in Medicaid payments for Evaluation and Management services in 2024

In 2024, providers in Pea Ridge billed $4,320 to Medicaid for Evaluation and Management services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 351.4% jump from 2023, when $957 in claims were submitted for these services.

Medicaid, a joint state and federal program, offers public health insurance for low-income people, older adults, children, and individuals with disabilities. It is a significant part of the U.S. health care landscape, funded by both state and federal governments.

Because Medicaid spending comes from taxpayers, trends in local billing values reflect how community health dollars are distributed.

The “Evaluation and Management” designation encompasses a set of Medicaid-billed procedures identified by care type using standardized HCPCS and CPT code groupings. For this analysis, billing codes were organized under one service category based on consistent code prefixes and ranges, so related services could be reviewed together. This ensured accurate annual rankings without double counting.

Evaluation and Management finished as the third-largest Medicaid service category by total payments in Pea Ridge for 2024, following overall increases among several categories.

Statewide, Evaluation and Management ranked fifth for Medicaid payments in Arkansas in 2024.

Looking at the five-year period leading up to 2024, Medicaid payments in Pea Ridge for Evaluation and Management services totaled $4,320, reflecting an increase of 0%. Certain years, like 2022 and 2021, saw periods of faster growth.

Although payments spanned across Pea Ridge, the spending was concentrated in a small set of ZIP codes. In 2024, all Evaluation and Management Medicaid payments originated from ZIP code 72751, totaling $4,320. That ZIP code accounted for 100% of the category’s Medicaid spending in the city.

Within the Evaluation and Management group, billings were focused among a few primary individual billing codes.

For further context, Medicaid payments linked to Evaluation and Management in Pea Ridge increased by 351.4% between 2024 and 2023. In contrast, all Medicaid claim categories together in the city rose by 44.1% in the same span.

The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid expenditures reached about $871.7 billion during fiscal 2023, representing roughly 18% of national health spending, significantly higher than the $613.5 billion spent in 2019 before the COVID-19 crisis.

This nearly 40% increase over several years reflects higher enrollment and expanded use of services during and after the pandemic period.

Recent federal budgets under the Trump administration included major initiatives to reduce federal Medicaid spending and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to cut federal Medicaid funding by over $1 trillion in the coming decade and features measures such as stricter work rules and greater cost-sharing for enrollees. These provisions may reduce some individuals’ coverage and could increase state costs, while limiting future growth in federal Medicaid support even as enrollment remains high.

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.