In 2024, Ashland Medicaid providers billed a total of $2,491,021 for services within the Evaluation and Management category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented an 8.3% increase from 2023, when providers submitted $2,299,360 in claims for the same service grouping.
Medicaid, a public insurance program administered by states and funded in partnership by federal and state governments, covers low-income individuals and families, seniors, children, and those with disabilities. It is a major component of the U.S. health system.
Because Medicaid is funded by taxpayer dollars, shifts in local claim volumes highlight how public health care spending flows within a community.
The “Evaluation and Management” category includes a range of Medicaid-billed services, grouped by type of care using standardized HCPCS and CPT coding. For this report, each billing code is assigned to a single service group based on code prefixes and number ranges. This method allows related services to be analyzed together, avoids double counting, and ensures consistent category rankings year-over-year.
While Medicaid spending rose across several service groups, Evaluation and Management held the top spot for total Medicaid dollars paid in Ashland in 2024.
Statewide in Oregon, Evaluation and Management also ranked first in Medicaid payment amounts for 2024.
Between 2019 and 2024, Ashland saw Medicaid payments for Evaluation and Management increase by $1,019,551, or 69.3%. This period included stretches of faster spending growth, especially during 2022 and 2023 with marked annual increases.
Within the city, Evaluation and Management spending was spread citywide, but most payments were concentrated in a handful of ZIP codes. In 2024, ZIP code 97520 made up $2,491,020 in Medicaid payments in this category, accounting for 100% of Ashland’s total in the group for the year.
Payments for services within Evaluation and Management were also concentrated among a small set of billing codes.
To compare, the 8.3% year-over-year growth for Evaluation and Management Medicaid payments in Ashland between 2024 and 2023 outpaced the 1.6% increase observed across all Medicaid claim groupings locally for the same period.
Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid spending reached approximately $871.7 billion during fiscal year 2023, representing about 18% of national health expenditures and rising sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth amounts to a nearly 40% increase over several years, driven mostly by expanded enrollment and greater utilization during and after the pandemic.
Recent federal budget measures under the Trump administration have made substantial proposals to trim federal Medicaid contributions and overhaul the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over 10 years and brings new policies such as work requirements and higher cost-sharing, which could limit coverage and cut funding for some recipients. These shifts are projected to transfer greater costs to states and slow the pace of federal Medicaid support as the program continues covering tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,471,469 | -1% |
| 2021 | $1,624,375 | 10.4% |
| 2022 | $2,067,521 | 27.3% |
| 2023 | $2,299,360 | 11.2% |
| 2024 | $2,491,020 | 8.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,491,020 | 63.5% |
| 2 | Medicine Services and Procedures | $993,438 | 25.3% |
| 3 | Ambulance and Other Transport Services and Supplies | $240,316 | 6.1% |
| 4 | Pathology and Laboratory Procedures | $88,420 | 2.3% |
| 5 | Alcohol and Drug Abuse Treatment | $37,997 | 1% |
| 6 | National Codes Established for State Medicaid Agencies | $27,234 | 0.7% |
| 7 | Surgery | $25,810 | 0.7% |
| 8 | Procedures / Professional Services | $8,434 | 0.2% |
| 9 | Radiology Procedures | $6,597 | 0.2% |
| 10 | Drugs Administered Other than Oral Method | $3,208 | 0.1% |
| 11 | Temporary National Codes (Non-Medicare) | $2,032 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99283 | Emergency dept visit low mdm | $1,068,950 | 98 |
| 99284 | Emergency dept visit mod mdm | $908,395 | 96 |
| 99214 | Office o/p est mod 30 min | $123,136 | 50 |
| 99213 | Office o/p est low 20 min | $115,802 | 58 |
| 99285 | Emergency dept visit hi mdm | $69,184 | 8 |
| 98941 | Chiropract manj 3-4 regions | $60,701 | 23 |
| 99282 | Emergency dept visit sf mdm | $55,830 | 14 |
| 98942 | Chiropractic manj 5 regions | $25,079 | 8 |
| 99203 | Office o/p new low 30 min | $17,267 | 13 |
| 99281 | Emr dpt vst mayx req phy/qhp | $16,770 | 7 |
| 99215 | Office o/p est hi 40 min | $13,343 | 6 |
| 99402 | Prev med cnsl indiv apprx 30 | $7,113 | 9 |
| 99443 | $6,262 | 2 | |
| 99403 | Prev med cnsl indiv apprx 45 | $1,244 | 1 |
| 99204 | Office o/p new mod 45 min | $787 | 1 |
| 98927 | Osteopath manj 5-6 regions | $458 | 1 |
| 99396 | Prev visit est age 40-64 | $351 | 1 |
| 99212 | Office o/p est sf 10 min | $341 | 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.
