Evaluation and Management Medicaid outlays in Freeville climb to $202,420 in 2024

In 2024, Medicaid providers in Freeville billed $202,420 for Evaluation and Management services, federal data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount reflected a 4.2% rise from 2023, when $194,273 was billed for the same service group.

Medicaid is a government health insurance program managed by states and funded jointly by federal and state governments. It serves low-income individuals and families, seniors, children and people with disabilities, making it one of the largest parts of the U.S. health care system.

Since Medicaid is taxpayer funded, local changes in billing patterns reflect how public health care money is distributed in a given area.

The Evaluation and Management category covers a set of Medicaid-billed services according to the type of care delivered, using standard HCPCS and CPT coding. Each billing code was classified into only one service category during the analysis through consistent code prefixes and numeric groupings to maintain accurate annual comparisons and rankings.

While several Medicaid service categories in Freeville reported growth, Evaluation and Management held the third-highest total Medicaid payments in 2024.

Evaluation and Management ranked second for total Medicaid payments among all service categories across New York state that year.

From 2020 to 2024, Medicaid payments for Evaluation and Management in Freeville grew by $119,920 or 145.4%. Some years saw especially rapid increases, most notably in 2021 and 2022.

Spending for Evaluation and Management in 2024 appeared throughout Freeville but was concentrated within a handful of ZIP codes. ZIP code 13068 accounted for $202,419 of the Medicaid amount linked to this service, making up 100% of total category payments in the city for that year.

Within the Evaluation and Management service grouping, most Medicaid payments were attributed to a few high-use billing codes.

By comparison, while Evaluation and Management in Freeville rose 4.2% from 2023 to 2024, payments for all Medicaid claim categories in the city increased by 8.4% over the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached roughly $871.7 billion in fiscal 2023, making up about 18% of the nation’s health care costs—a significant jump from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump amounts to an increase of approximately 40% in just several years, driven primarily by enrollment expansions and higher utilization tied to the pandemic period and its aftermath.

Recent federal budget laws passed during the Trump administration have included notable efforts to decrease national Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to curtail federal Medicaid spending by over $1 trillion through the next decade by introducing policies such as work requirements and higher cost-sharing, changes that could reduce Medicaid coverage for certain groups. Expected results include shifting more of the program’s financial obligations to states while federal contribution slows, even as Medicaid continues to cover tens of millions nationally.

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.