Medicaid Evaluation and Management payments in Fife rise to $12,325 in 2024

In 2024, Medicaid providers in Fife billed $12,325 for services under the Evaluation and Management group, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 17.1% rise from the previous year, when providers billed $10,524 for similar services.

Medicaid is a state-administered health insurance program with funding provided collaboratively by state and federal governments. The program serves low-income people and families, seniors, children, and individuals with disabilities and stands among the largest components of health care in the United States.

Since Medicaid funding comes from taxpayers, local billing changes reflect how community public health funds are allocated.

The “Evaluation and Management” category covers an array of Medicaid-billed health services as defined by service type, determined by standardized HCPCS and CPT coding. Each code was assigned to one distinct service group for this analysis, using uniform prefixes and number ranges, helping to aggregate related services, avoid duplications, and ensure precise rankings throughout the timeframe.

Although payments grew across a range of service types, Evaluation and Management was the seventh-largest Medicaid payment category in Fife in 2024.

Statewide in Washington, Evaluation and Management was the second-most reimbursed Medicaid service group for the year.

Between 2020 and 2024, Medicaid payments for Evaluation and Management services in Fife climbed by $2,967, equal to a 31.7% increase. Faster spending growth was observed in certain intervals, with the largest annual gains in 2021 and 2020.

Even though Evaluation and Management services were billed citywide, most payments were linked to just a few ZIP codes. For 2024, ZIP code 98424 accounted for the full $12,325 billed in this category, representing 100% of Fife’s total for Evaluation and Management Medicaid payments.

Payments within this category in Fife were focused on a relatively small selection of specific billing codes.

Comparing the 17.1% increase between 2024 and 2023 for Evaluation and Management services, all Medicaid categories in Fife went up 30.4% over that period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays reached about $871.7 billion for fiscal 2023, making up roughly 18% of U.S. health expenditure, a notable jump from around $613.5 billion in 2019 before COVID-19.

This growth, almost 40% in a few years, has been mainly attributed to broadened enrollment and increased use since the onset of the pandemic.

Recent federal budget laws enacted during the Trump administration have outlined major cuts to Medicaid financing and changes to its structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid support by more than $1 trillion over the next 10 years and adds new policies, including work requirements and heightened cost-sharing, which may limit benefits and increase state responsibility even as Medicaid continues to cover millions of people.

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.