Bonney Lake sees $117,932 in Medicaid Evaluation and Management payments for 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Bonney Lake submitted $117,932 in claims for Evaluation and Management services in 2024. This amount represents an increase of 5.8% compared with 2023, when $111,494 was billed for the same group of services.

Medicaid is a state-administered public health insurance program, supported jointly by state and federal funds. The program serves low-income populations, including individuals and families, seniors, children, and people with disabilities, making it a central part of the U.S. health system.

Because Medicaid is taxpayer-funded, shifts in local billing can highlight how public health care dollars are spent within a community.

The “Evaluation and Management” category includes Medicaid-billed services defined by care type, using HCPCS and CPT code groups. For this reporting, every billing code was attributed to just one service category based on consistent prefixes and number ranges, ensuring related services were assessed together and rankings accurately preserved without double counting.

Evaluation and Management placed fifth among service categories by total Medicaid payments in Bonney Lake for 2024, though overall Medicaid payments rose across several categories.

Statewide in Washington, Evaluation and Management was the second-highest category by Medicaid payment total in 2024.

From 2019 through 2024, Medicaid Evaluation and Management category payments in Bonney Lake grew by $96,432, or 448.5%. Growth in spending accelerated during select spans, with the most significant year-over-year gains occurring in 2022 and 2023.

Spending on Evaluation and Management care in Bonney Lake was observed citywide, but totals were recorded primarily for a small number of ZIP codes. In 2024, ZIP code 98391 posted $117,931 in such Medicaid payments, accounting for 100% of Evaluation and Management dollars distributed in the city for the year.

Payments within this category also concentrated among just a few specific billing codes.

Medicaid Evaluation and Management payments in Bonney Lake increased 5.8% between 2024 and 2023, compared with a 19.8% rise across all service categories in the city in the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, comprising roughly 18% of national health spending, up sharply from $613.5 billion in 2019, before the COVID-19 pandemic began.

This shift equates to an approximately 40% increase over a few years, largely driven by enrollment surges and heightened service use during and after the pandemic.

In recent years, federal budget actions under the Trump administration brought forward major proposals to trim federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to reduce federal Medicaid outlays by over $1 trillion over 10 years and introduces policies—like work requirements and expanded cost-sharing—that could cut coverage for certain beneficiaries. These adjustments are expected to shift greater costs to states and curb federal Medicaid funding increases, while the program continues covering millions nationwide.

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.