Ganado Medicaid spending for Evaluation and Management services rises 2.6%, reaching $61,184 in 2024

In Ganado, Medicaid providers billed $61,184 for Evaluation and Management services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 2.6% rise compared with the previous year, when payments for these services totaled $59,621.

Medicaid, a public health insurance program jointly funded by the federal and state governments, covers low-income individuals and families, seniors, children and people with disabilities. This makes it a cornerstone of the American health care system.

Shifts in Medicaid billing at the local level reflect how communities allocate public health care funding sourced from taxpayers.

The “Evaluation and Management” classification includes a set of services Medicaid providers bill for, defined by the type of care according to consistent HCPCS and CPT code groupings. For this analysis, each billing code was assigned to a single service grouping using defined code prefixes and number ranges. This method keeps related services together and maintains accurate historical rankings by avoiding double counting.

Evaluation and Management was the second-highest Medicaid payment category in Ganado for 2024, even as overall Medicaid spending grew across multiple categories.

Statewide in Arizona, Evaluation and Management ranked third among all Medicaid payment categories for 2024.

Between 2020 and 2024, Ganado’s Medicaid payments for Evaluation and Management services increased by $8,389, equating to a 12.1% gain. These payment increases were most notable in certain years, with year-over-year growth seen in both 2023 and 2022.

Within Ganado, Evaluation and Management payments were concentrated within a small number of ZIP codes. For instance, in 2024, ZIP code 86505 alone accounted for $61,183 of these payments. That single ZIP code represented 100% of Ganado’s Medicaid payments for Evaluation and Management services that year.

Medicaid spending in this category was also focused on a few individual billing codes.

Comparatively, Medicaid payments in Ganado for Evaluation and Management services increased by 2.6% from 2023 to 2024, whereas all Medicaid claim categories in the city rose by 3.8% during that same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion in fiscal year 2023, about 18% of total U.S. health expenditures. That amount has jumped significantly from roughly $613.5 billion in 2019 prior to the COVID-19 pandemic.

This represents a roughly 40% overall increase in just a few years, a result largely driven by higher enrollment and greater service use during and after the pandemic.

Recent federal budget measures during the Trump administration included major proposals to reduce federal Medicaid contributions and overhaul the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to trim more than $1 trillion from federal Medicaid spending over 10 years and brings new requirements such as work conditions and higher cost-sharing. This could reduce availability of coverage and federal funds for some beneficiaries, placing a heavier burden on the states and slowing federal support, even as Medicaid serves tens of millions nationwide.

Note: HCPCS codes appear for context within the category. All category totals and rankings in this report are determined by standardized service groupings, not single billing codes.

Data used in this article is provided by the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source is available here.