Bylas Medicaid Evaluation and Management payments climb to $37,808 in 2024

In 2024, Medicaid providers in Bylas billed $37,808 for services in the Evaluation and Management category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 42.7% jump from 2023, when payments for the category reached $26,486.

Medicaid is a public health insurance program operated by states and funded jointly by federal and state governments. The program serves low-income families and individuals, seniors, children and those with disabilities, making it a key part of national health care.

As Medicaid is taxpayer funded, shifts in local billing illustrate how public health resources are distributed within communities.

The Evaluation and Management category consists of Medicaid-billed services grouped by type of care, based on standardized HCPCS and CPT code groupings. For this report, each billing code was allocated to a single service category using common code prefixes and ranges, enabling an accurate comparison of related services while preventing double-counting and ensuring consistent ranking over time.

Although Medicaid payments rose across different categories, Evaluation and Management led all service categories in Bylas in total payments for 2024.

Evaluation and Management ranked third among all service categories statewide in Arizona by Medicaid payments in 2024.

From 2020 through 2024, Medicaid Evaluation and Management payments in Bylas increased by $13,276, or 26%. Certain years saw accelerated spending, notably in 2021 and 2022.

Spending within the Evaluation and Management category was spread across Bylas, but a handful of ZIP codes accounted for most of the payments. In 2024, the 85530 ZIP code reported payments totaling $37,807, making up 100% of Evaluation and Management Medicaid payments citywide for the year.

Payments in this category were concentrated among just a few billing codes.

When compared to all Medicaid claim categories in Bylas, Evaluation and Management category payments showed a 42.7% rise between 2024 and 2023—the same percentage increase reflected citywide across all Medicaid claim types over that period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, which represented about 18% of all national health expenditures—a significant rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase amounts to nearly 40% growth in recent years, largely due to expanded Medicaid enrollment and increased service use during and after the pandemic.

Recent federal budget legislation under the Trump administration has included major proposals to reduce federal Medicaid funding and redesign the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade, and includes measures such as work requirements and higher cost-sharing, potentially affecting beneficiary coverage and state Medicaid funding. These modifications are set to shift more Medicaid costs to states and may constrain federal Medicaid growth, even as the program provides coverage for tens of millions of Americans.

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.