In 2024, Medicaid providers in Tremonton billed $201,508 for services falling under the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 21.1% climb over 2023, when claims for this service type totaled $166,364.
Medicaid is a public insurance program managed by the states and supported with funds from both federal and state governments. The program assists low-income individuals and families, seniors, children, and those with disabilities, making it a major part of the U.S. health care landscape.
Since Medicaid payments are taxpayer-funded, shifts in local billing represent changes in how public health resources are directed within the community.
The Evaluation and Management category encompasses a group of Medicaid-billed services defined according to the type of care provided, based on standard HCPCS and CPT code groupings. For this review, each billing code was matched to one service category using set code prefixes and number ranges. This method allows an analysis that includes related services without duplication and supports clear year-to-year ranking.
Although other service categories saw increased Medicaid spending, Evaluation and Management topped all Medicaid payment categories in Tremonton in 2024.
Statewide in Utah, Evaluation and Management ranked third by total Medicaid payments in 2024.
From the start of the five-year period up to 2024, Medicaid payments linked to Evaluation and Management in Tremonton grew by $133,668, an increase of 197%. The pace of spending accelerated at times, with notable annual rises observed in 2021 and 2022.
Spending related to Evaluation and Management services was distributed throughout the city, but the majority of payments came from a small number of ZIP codes. In 2024, the largest sum, totaling $201,508, came from ZIP code 84337. The top ZIP code accounted for 100% of Medicaid payments connected to Evaluation and Management in Tremonton during the year.
Within the Evaluation and Management category itself, Medicaid payments were heavily focused on only a few individual billing codes.
Medicaid payments linked to Evaluation and Management in Tremonton saw a 21.1% increase from 2023 to 2024. This contrasts with a 1.3% overall change across all Medicaid claim categories in the city during the same period.
According to the Centers for Medicare & Medicaid Services, in fiscal year 2023, combined federal and state Medicaid spending totaled about $871.7 billion, making up roughly 18% of all national health expenditures. This amount rose from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
That represents an approximate increase of 40% within just a few years, mostly due to higher enrollment and utilization during and after the pandemic.
Recent federal budget measures during the Trump administration included major proposals to reduce federal Medicaid spending and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by more than $1 trillion over the decade. The law also introduces measures such as work requirements and higher cost-sharing, which could reduce coverage and federal support for certain recipients. As a result, more costs may shift to the states and restrictions on federal Medicaid growth are likely, even as the program covers tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $67,840 | -20% |
| 2021 | $180,863 | 166.6% |
| 2022 | $203,248 | 12.4% |
| 2023 | $166,363 | -18.1% |
| 2024 | $201,508 | 21.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $201,508 | 78.5% |
| 2 | Ambulance and Other Transport Services and Supplies | $42,739 | 16.6% |
| 3 | Pathology and Laboratory Procedures | $7,070 | 2.8% |
| 4 | Medicine Services and Procedures | $4,876 | 1.9% |
| 5 | Surgery | $576 | 0.2% |
| 6 | Procedures / Professional Services | $51 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99284 | Emergency dept visit mod mdm | $56,760 | 12 |
| 99213 | Office o/p est low 20 min | $56,712 | 20 |
| 99214 | Office o/p est mod 30 min | $55,595 | 14 |
| 99283 | Emergency dept visit low mdm | $22,225 | 15 |
| 99285 | Emergency dept visit hi mdm | $6,292 | 4 |
| 99391 | Per pm reeval est pat infant | $1,928 | 4 |
| 99392 | Prev visit est age 1-4 | $972 | 3 |
| 99203 | Office o/p new low 30 min | $608 | 1 |
| 99393 | Prev visit est age 5-11 | $411 | 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.
