Hyde Park Medicaid payments for Evaluation and Management services rise to $86,835 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Hyde Park Medicaid providers billed $86,835 for Evaluation and Management services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 6.8% rise from 2023, when providers submitted $81,324 in claims for similar services.

Medicaid is a public health insurance initiative overseen by states and funded in partnership by federal and state governments. The program supports individuals and families with low incomes, as well as seniors, children and people with disabilities, making it a major component of the U.S. health system.

Because Medicaid is funded by taxpayers, changes in local billing patterns illustrate how public health funds are distributed in communities.

The “Evaluation and Management” designation covers a set of Medicaid-billed services defined by the nature of care, using standardized HCPCS and CPT coding groupings. In this analysis, every billing code was categorized under a specific service type according to consistent code prefixes and numerical ranges, ensuring related services are considered together while avoiding duplicate counts and maintaining accurate rankings across years.

Medicaid expenditures climbed in several service groups, but Evaluation and Management was the leading category in Hyde Park for total payments in 2024.

Statewide in Utah, Evaluation and Management placed third by total Medicaid payouts in 2024.

Looking at the five years preceding 2024, Hyde Park’s Medicaid payments for Evaluation and Management services increased by $57,418, or 195.2%. Several years saw particularly rapid growth, notably 2021 and 2023, which posted strong year-over-year gains.

Although care in the Evaluation and Management category was delivered throughout the city, payment distribution was concentrated in a small number of ZIP codes. In 2024, ZIP code 84318 accounted for $86,834 in Medicaid payments for this category. This top ZIP code represented 100% of the city’s Medicaid payments for Evaluation and Management services in 2024.

Within the Evaluation and Management group, most Medicaid payments were associated with a select number of billing codes.

Comparing increases, Hyde Park’s Medicaid payments tied to Evaluation and Management rose 6.8% from 2023 to 2024, while all Medicaid claim categories in the city saw a change of 5.1% during the same period.

Centers for Medicare & Medicaid Services data shows that combined federal and state Medicaid spending totaled approximately $871.7 billion in fiscal year 2023, making up about 18% of national health expenditures. That’s an increase from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This equates to about a 40% growth in a few years, primarily due to higher enrollment and greater utilization during and after the pandemic.

Recent federal budget laws under the Trump administration include notable proposals to scale back federal Medicaid funding and restructure how the program operates. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next decade. The legislation enacts new work requirements and higher cost-sharing, which could decrease coverage and federal support for some recipients, while shifting increased costs to states.

Medicaid Payments Tied to Evaluation and Management in Hyde Park, Utah Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $29,416 -23.3%
2021 $57,376 95%
2022 $61,096 6.5%
2023 $81,323 33.1%
2024 $86,834 6.8%
Top Categories by Medicaid Payments in Hyde Park, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $86,834 97.8%
2 Pathology and Laboratory Procedures $1,251 1.4%
3 Medicine Services and Procedures $367 0.4%
4 Surgery $359 0.4%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Hyde Park, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $43,923 21
99213 Office o/p est low 20 min $33,403 18
99203 Office o/p new low 30 min $9,507 7

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.



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