Evaluation and Management Medicaid payments in Marion Center reach $24,629 in 2024

Medicaid providers billed $24,629 for Evaluation and Management services in Marion Center during 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 16% over 2023, when $21,236 was billed for these services.

Medicaid, a public insurance program managed by the states and funded by both federal and state governments, provides coverage to low-income people, families, seniors, children and individuals with disabilities. The program represents a major part of the U.S. health care system.

Since Medicaid funds originate from taxes, shifts in local billing amounts reflect how public health care spending is distributed within each community.

The Evaluation and Management label refers to a specific suite of Medicaid services, outlined by standardized HCPCS and CPT codes. During the assessment, billing codes were assigned to distinct service groups using uniform code prefixes and number ranges. This method keeps related services together, prevents double counting, and helps maintain precise rankings through annual comparisons.

Though overall Medicaid expenditures rose in Marion Center for various categories, Evaluation and Management ranked as the highest category by dollars billed in 2024.

Statewide in Pennsylvania, Evaluation and Management placed fourth in Medicaid payment categories for 2024.

Examining the five-year span through 2024, Medicaid billings for Evaluation and Management in Marion Center saw an increase of $21,924 or 810.5%. Pay-outs climbed most quickly in select years, with year-over-year jumps notably in 2020 and 2021.

Spending on Evaluation and Management services was present in multiple areas but heavily concentrated in only a few ZIP codes. In 2024, the 15759 ZIP accounted for $24,628 of payments. This lone top ZIP comprised 100% of all Marion Center’s Medicaid Evaluation and Management billings in 2024.

Within this category, a limited subset of billing codes represented most Medicaid payments.

Between 2023 and 2024, Medicaid payments linked to Evaluation and Management in Marion Center rose 16%, whereas overall Medicaid claim categories citywide saw a 16.5% shift for the same period.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid payments together reached $871.7 billion for fiscal 2023—representing about 18% of national health spending, a considerable increase from the $613.5 billion level reported for 2019, prior to COVID-19 disruptions.

This jump in spending reflects approximatively 40% growth in a short period, mainly attributed to greater enrollment and increased service demand during the pandemic and subsequent recovery.

Recent federal budget actions under the Trump administration have proposed major reductions to federal Medicaid funding and changes to program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over 10 years. The law implements work requirements and higher cost-sharing, potentially decreasing both coverage and financial resources available to some enrollees. Cost-sharing for the program is also expected to shift more toward states, which could slow federal program growth even though Medicaid will continue serving tens of millions in the country.

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.