Gravois Mills Medicaid billing for Evaluation and Management reaches $115,469 in 2024

Providers in Gravois Mills billed $115,469 to Medicaid for Evaluation and Management services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 46.3% rise compared to 2023, when $78,932 was billed for the same category.

Medicaid is administered by states and funded through a partnership of federal and state governments. The program covers low-income people and families, children, seniors and those with disabilities, making it a major component of the U.S. health care landscape.

Because taxpayer funds support Medicaid payments, shifts in billing patterns reflect how local public health care resources are distributed.

The Evaluation and Management category groups Medicaid-billed services by the nature of care delivered, as defined by standardized HCPCS and CPT codes. In this analysis, service categories were determined using consistent code prefixes and numeric ranges, allowing for comparison of related services without double counting and maintaining accurate trends over time.

Among various service categories, Evaluation and Management led in total Medicaid payments in Gravois Mills for 2024.

Statewide in Missouri, Evaluation and Management placed second among Medicaid service categories based on total payments for 2024.

Over the five years prior to 2024, Medicaid spending associated with Evaluation and Management in Gravois Mills climbed by $115,469, with an overall growth rate of 0%. Periods of accelerated increases were noted in both 2023 and 2022.

Although spending spanned different neighborhoods, the majority of Evaluation and Management Medicaid payments in 2024 came from a small number of ZIP codes, particularly 65037, which accounted for $115,469. These top ZIP codes represented all Medicaid payments within this category in Gravois Mills for the year.

Medicaid billing for Evaluation and Management in Gravois Mills was also concentrated in a small selection of specific billing codes.

Between 2024 and 2023, Medicaid payments for Evaluation and Management services in Gravois Mills rose by 46.3%. In comparison, all Medicaid claim categories in the city saw a 39.8% increase over the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023. This was about 18% of the nation’s total health expenditures, up significantly from around $613.5 billion in 2019, before the COVID-19 pandemic.

This reflects roughly 40% growth in just several years, with much of the increase attributed to expanded enrollment and greater usage during and after the pandemic.

Recent federal budget actions during the Trump administration have included substantial proposals to reduce federal Medicaid support and modify the structure of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over the next decade and enacts policies such as work requirements and higher cost-sharing, potentially reducing coverage and funding for some enrollees. These changes are anticipated to increase the financial responsibility of states and constrain federal Medicaid growth, though the program continues to cover tens of 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.