In 2024, Manzanita Medicaid providers billed $675 for Evaluation and Management services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 68.8% uptick from 2023, when provider claims under the same category totaled $400.
Medicaid is a state-operated public health insurance program funded in partnership by federal and state governments. It provides coverage for low-income residents, seniors, children, and people with disabilities, making it a major element of the U.S. health care system.
Because taxpayer dollars fund Medicaid, shifts in local billing patterns provide insight into how public health care funds are deployed within communities.
The “Evaluation and Management” grouping includes a set of services billed to Medicaid, categorized by the type of care given using standardized HCPCS and CPT codes. Each billing code in this analysis was mapped to one service category using uniform prefixes and numeric ranges, facilitating comparison of similar services while preventing duplication and keeping time series rankings accurate.
Multiple service categories saw increases in Medicaid spending, but Evaluation and Management led in total Medicaid payments in Manzanita for 2024.
This category also ranked first by overall payments statewide in Oregon in 2024.
During the five years preceding 2024, Medicaid payments tied to Evaluation and Management in Manzanita rose by $675, or 0%. Certain intervals saw more rapid spending growth, including notable increases between 2022 and 2023.
While payments were distributed throughout Manzanita, spending in Evaluation and Management primarily centered on a small number of ZIP codes. The area with the highest payments in 2024 was 97130, accounting for $674. These top ZIP codes made up 100% of all local Medicaid payments in this category for the year.
Within the Evaluation and Management grouping, most Medicaid payments were attributed to a small subset of individual billing codes.
Comparatively, the increase in Manzanita’s Evaluation and Management Medicaid payments from 2023 to 2024 was 68.8%, slightly outpacing the 68.5% jump observed across all Medicaid claim categories in the city over the same timeframe.
The Centers for Medicare & Medicaid Services reports that combined federal and state spending on Medicaid reached approximately $871.7 billion in fiscal year 2023. This represents roughly 18% of national health spending, a significant increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth—approximately 40% over several years—has been driven mainly by increased enrollment and greater utilization during and after the pandemic.
Recent federal budget actions during the Trump administration have proposed considerable reductions to federal Medicaid funds and a restructuring of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and implements measures such as work requirements and higher cost-sharing, potentially impacting coverage and funding for some enrollees. These changes are likely to transfer additional costs to states and restrain federal Medicaid growth, while the program continues serving many Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $279 | – |
| 2023 | $400 | 43.1% |
| 2024 | $674 | 68.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $674 | 100.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99214 | Office o/p est mod 30 min | $674 | 4 |
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.
