In 2024, Medicaid providers in Dilkon reported $8,879,385 in Evaluation and Management services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represented a 155.8% increase from 2023, when providers billed $3,471,413 for the same services.
Medicaid, administered by states and funded through federal and state contributions, covers low-income individuals, families, seniors, children, and people with disabilities. The program is a major component of the U.S. health care system.
Because Medicaid draws on taxpayer funding, variations in local billing provide insights into how communities allocate public health dollars.
The Evaluation and Management classification includes a defined group of Medicaid services, structured by consistent HCPCS and CPT code groupings. Each billing code was categorized under a single service group for this report, minimizing double counting and maintaining consistent rankings across years.
Evaluation and Management was the top Medicaid spending category in Dilkon in 2024, even as spending rose across several categories.
At the Arizona state level, Evaluation and Management placed third among Medicaid service categories by total payments for 2024.
In the five years before 2024, Medicaid payments for Evaluation and Management services in Dilkon grew by $8,421,038, marking a 1837.3% rise, with increases accelerating notably in 2023 and 2022.
Though payments for Evaluation and Management services were distributed throughout the city, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 86047 accounted for $8,879,384, making up 100% of Dilkon’s Medicaid payments for this category during the year.
Payments in this category were also focused within a small set of billing codes.
Between 2024 and 2023, Dilkon’s Medicaid payments for Evaluation and Management services climbed 155.8%, while all Medicaid service categories in the city saw a 160.3% change for the same timeframe.
Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023. This amounted to around 18% of total U.S. health spending, a notable jump from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects an approximate 40% increase over just a few years, primarily due to expanded enrollment and heightened service use during and following the pandemic.
Recent federal budget actions under the Trump administration have introduced major proposals for cutting federal Medicaid funds and reshaping the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next decade, adding measures like work requirements and greater cost-sharing that could limit both coverage and funding for certain recipients. These policies are anticipated to shift additional costs to states and moderate the growth of federal Medicaid support, even as the program continues serving millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $458,347 | -69.6% |
| 2021 | $298,425 | -34.9% |
| 2022 | $253,275 | -15.1% |
| 2023 | $3,471,413 | 1270.6% |
| 2024 | $8,879,384 | 155.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $8,879,384 | 98.3% |
| 2 | Ambulance and Other Transport Services and Supplies | $153,857 | 1.7% |
| 3 | Medicine Services and Procedures | $1,777 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $8,368,278 | 33 |
| 99212 | Office o/p est sf 10 min | $511,106 | 12 |
Note: HCPCS codes are displayed to provide context within this category. Category totals and rankings cited are based on standardized groupings, not individual codes.
This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full source data can be accessed here.