Cibecue Medicaid Evaluation and Management payments increase 24.1% in 2024

In 2024, Medicaid providers in Cibecue submitted $56,080 in claims for services within the Evaluation and Management category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 24.1% rise compared with 2023, when the billed amount totaled $45,206 for the same category of service.

Medicaid, a public health insurance program administered by individual states and funded collectively by state and federal governments, provides coverage for low-income families, seniors, children, and people with disabilities. It stands as one of the largest components of the U.S. health care system.

Since Medicaid spending comes from taxpayer funds, shifts in local billing levels reflect how communities allocate public health dollars.

The “Evaluation and Management” category includes a range of Medicaid-billed services defined by the nature of care provided, grouped using standardized HCPCS and CPT code classifications. This analysis assigned each billing code to a single service category based on uniform code prefixes and numerical ranges, helping ensure related services were grouped together appropriately, double counting was avoided, and accurate rankings were maintained over time.

While Medicaid outlays rose in various service categories, Evaluation and Management led Cibecue in total Medicaid payments during 2024.

Statewide in Arizona, Evaluation and Management placed third for total Medicaid payments in 2024.

From 2019 through 2024, Medicaid spending in Cibecue linked to the Evaluation and Management category rose by $55,434, or 8574.9%. Certain years saw especially rapid growth, with pronounced increases in both 2023 and 2020.

Medicaid payments for Evaluation and Management services were disbursed throughout Cibecue, though they were concentrated within a small number of ZIP codes. For 2024, ZIP code 85911 saw the highest payments, accounting for $56,079. This single ZIP code represented 100% of Medicaid payments tied to the Evaluation and Management category in Cibecue for the year.

A small number of billing codes accounted for the majority of Medicaid spending in the Evaluation and Management category.

Between 2023 and 2024, Medicaid payments for Evaluation and Management services in Cibecue went up by 24.1%. This trend matched the overall 24.1% change seen across all Medicaid claim categories in the city during the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up nearly 18% of the nation’s health spending. This marks an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

That change equals growth of approximately 40% within just a few years, mainly attributed to expanded Medicaid enrollment and a higher rate of service utilization during and following the pandemic.

Major federal budget legislation signed under the Trump administration featured notable efforts to decrease federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is slated to cut more than $1 trillion from federal Medicaid allocations over the next 10 years. The law initiates policies such as work requirements and increased cost sharing, potentially limiting coverage and public funding for some Medicaid recipients. These changes are expected to increase the financial responsibility of states and could slow federal funding growth for Medicaid, even as the program continues serving tens of millions in the U.S.

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.