Garland Medicaid Evaluation and Management payments rose 10.8% to $100,445 in 2024

In 2024, Medicaid providers in Garland submitted $100,445 in claims for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represented a 10.8% increase over the prior year, when $90,695 in claims were filed for the same category of service.

Medicaid is a government health insurance program managed by states and financed jointly by state and federal governments. The program serves low-income individuals and families, children, seniors, and those with disabilities, making it one of the central components of the U.S. health care landscape.

Since Medicaid relies on public funding, local changes in billing patterns can illustrate shifts in how health dollars are distributed in a particular area.

The “Evaluation and Management” category encompasses a range of services billed to Medicaid, sorted by care type and standardized HCPCS and CPT code groupings. For this analysis, each billing code was placed into a single service category using consistent code prefixes and number ranges to group related services while avoiding double-counting, maintaining reliable rankings from year to year.

While Medicaid spending rose in several categories, Evaluation and Management was the top category for Medicaid payments in Garland in 2024.

Statewide in Utah, Evaluation and Management ranked third overall for Medicaid payment totals in 2024.

From 2019 to 2024, Medicaid payments for Evaluation and Management services in Garland climbed by $28,292, or 39.2%. Certain periods saw particularly strong growth, especially in 2021 and 2022, reflecting pronounced year-over-year increases.

Although care spending in the Evaluation and Management category was spread citywide, the majority of Medicaid payments were concentrated in a few ZIP codes. In 2024, ZIP code 84312 accounted for $100,444 of the category’s Medicaid payments. Overall, the top single ZIP code comprised 100% of Evaluation and Management Medicaid payments in the city for the year.

Medicaid payments within Evaluation and Management were also centered around a select number of billing codes.

Comparing local and citywide trends, Medicaid payments in Garland tied to Evaluation and Management services grew 10.8% between 2024 and 2023. This contrasts with a 13.9% increase seen across all Medicaid claim categories in Garland during the same interval.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in the 2023 fiscal year, making up roughly 18% of total national health expenditures. This is a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This growth represents an estimated 40% rise over a few years, largely attributed to expanded enrollment and greater use of services during and in the aftermath of the pandemic.

Recent federal legislation signed under the Trump administration introduced major proposals to reduce federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to trim more than $1 trillion from federal Medicaid spending over the next decade and implements measures like work requirements and raised cost-sharing that could decrease coverage or funding for select beneficiaries. These policy changes are likely to shift further costs to states and slow the rate of federal Medicaid growth, even as the program remains vital to millions of Americans.

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.