Evaluation and Management Medicaid payments rise to $6,103 in White Pine for 2024

In 2024, Medicaid providers in White Pine reported $6,103 in billing for services within the Evaluation and Management category, according to information released by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 209.5% increase compared with the prior year, when claims for these services amounted to $1,972.

Medicaid is a state-run health insurance initiative that relies on joint funding from federal and state governments. The program delivers coverage to low-income residents, older adults, children, and individuals with disabilities, making it a key component of the nation’s health system.

Because Medicaid is taxpayer-funded, fluctuations in local billing patterns illustrate how public health care funds are directed in individual communities.

The “Evaluation and Management” classification includes services assigned by the type of care delivered, structured by recognized HCPCS and CPT code ranges. In this review, each billing code was linked to a single service group using uniform code prefixes and numerical groupings, allowing related services to be assessed together while avoiding overlap and maintaining accurate rank order over time.

While Medicaid outlays increased among several categories, Evaluation and Management ranked as the second-highest category in White Pine for total Medicaid payments in 2024.

Statewide in Tennessee, Evaluation and Management also held the number 2 spot for Medicaid payment totals during 2024.

Over the five years ending in 2024, Evaluation and Management Medicaid payments in White Pine rose by $6,103, or 0%. Certain intervals within that span saw spending growth accelerate, with pronounced year-over-year increases noted in 2022 and 2022.

In White Pine, payments for Evaluation and Management services were made throughout the city, but a majority of funding was concentrated in select ZIP codes. During 2024, ZIP code 37890 accounted for $6,103 in total Medicaid payments in this category. In sum, this ZIP code represented 100% of White Pine’s Medicaid payments for Evaluation and Management services that year.

Within the Evaluation and Management category, payments were concentrated within a select group of billing codes, reflecting use patterns in the city.

Between 2024 and 2023, White Pine’s Medicaid payments for Evaluation and Management grew by 209.5%. In comparison, all Medicaid claim categories combined saw a 45.2% shift over the same period in the city.

Centers for Medicare & Medicaid Services data show that total combined federal and state Medicaid expenditures reached approximately $871.7 billion in the 2023 fiscal year, accounting for 18% of total national health expenditures and rising sharply since approximately $613.5 billion in 2019, before the COVID-19 pandemic.

That represents an increase of about 40% in just several years, with enrollment expansion and higher utilization, particularly during and after the pandemic, driving the trend.

Recent U.S. budget bills passed under the Trump White House have brought forth major changes aimed at reducing the federal share of Medicaid spending and changing how the program is structured. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over 10 years, introducing updated work requirements and higher cost-sharing rules. These measures may lower benefits and funding for some recipients, increasing financial responsibilities for states while slowing the federal funding growth of the program, even as tens of millions of Americans rely on its coverage.

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.