Woodway sees $36,839 in Medicaid Evaluation and Management payments in 2024, up 25.8%

In 2024, Woodway Medicaid providers billed a total of $36,839 for services within the Evaluation and Management classification, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 25.8% increase over the previous year, when claims for these services amounted to $29,285.

Medicaid operates as a public health insurance initiative administered by states and funded in partnership by federal and state governments. It supports low-income families and individuals, seniors, children, and those with disabilities, making it a key component of the national health care system.

Shifts in Medicaid billing locally reflect how taxpayer-supported health care dollars are distributed throughout communities.

The “Evaluation and Management” classification encompasses Medicaid-billed services distinguished by the type of care delivered, as organized by consistent HCPCS and CPT coding. For this review, each billing code was assigned to one unique service category based on code structures, allowing accurate grouping of services while ensuring counts were not duplicated and rankings remained consistent over time.

While spending through Medicaid rose across several service groups, Evaluation and Management ranked third by total Medicaid payments in Woodway in 2024.

The Evaluation and Management category also placed third for overall Medicaid reimbursements in Texas in 2024.

From five years earlier up to 2024, Medicaid billings connected to Evaluation and Management in Woodway rose by $36,794, an increase of 82,443.1%. Notable surges occurred in 2021 and 2023, marking periods of heightened growth year over year.

Most payments tied to Evaluation and Management in 2024 in Woodway were concentrated in select ZIP codes. Of these, ZIP code 76712 accounted for $36,838, representing 100% of Medicaid payments categorized as Evaluation and Management in the city that year.

Spending in the Evaluation and Management area centered on a small subset of individual billing codes.

Comparing annual change, Woodway’s Medicaid payments for Evaluation and Management rose by 25.8% between 2024 and 2023, while all Medicaid claim categories in the city saw an 18% rise in the same period.

Centers for Medicare & Medicaid Services data shows that combined state and federal Medicaid expenditures reached about $871.7 billion during the 2023 fiscal year, accounting for approximately 18% of all U.S. health spending. This is a significant rise from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This approximately 40% increase is largely attributed to expanded enrollment and higher service use during and after the pandemic.

Recent federal budget measures enacted under the Trump administration contain major plans to decrease federal Medicaid funds and restructure the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years, bringing in policies like work requirements and higher cost-sharing, potentially lowering both coverage and funding for some enrollees. As a result, more costs may fall to states, constraining the growth of federal support, even as the program continues to cover tens of millions of Americans.

Note: HCPCS codes are listed for information within the category. Totals and rankings in this report are determined based on uniform service grouping rather than by individual billing code.

Data referenced in this article were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. To view the original figures, visit this link.