Evaluation and Management Medicaid payments in Boise City climb 13.6% to $80,685 in 2024

In 2024, Medicaid providers in Boise City billed $80,685 for services in the Evaluation and Management category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 13.6% rise compared with 2023, when providers billed $71,007 for these services.

Medicaid, a public health insurance program jointly funded by federal and state governments, covers seniors, people with disabilities, children, low-income individuals, and families, making it a major component of the U.S. health care landscape. More information is available from the Commonwealth Fund.

Because taxpayer dollars fund Medicaid, fluctuations in billing locally indicate how health care spending resources are allocated within a community.

The “Evaluation and Management” grouping is determined by care type, using standardized HCPCS and CPT code prefixes and numeric ranges. This approach assigns each code to a single category to ensure accurate comparisons, prevent double counting, and maintain consistent rankings throughout the period analyzed.

Among all Medicaid service types, Evaluation and Management led Boise City for total Medicaid reimbursements in 2024.

Statewide in Oklahoma, the Evaluation and Management category also topped total Medicaid payments in 2024.

From 2019 through 2024, Boise City’s Medicaid payments for Evaluation and Management increased $34,051, or 73%. Spending growth quickened during some periods, with notably high one-year increases occurring in 2021 and 2022.

Although Evaluation and Management care costs were spread around Boise City, payments were concentrated in a few ZIP codes. In 2024, ZIP code 73933 accounted for $80,684 of payments, with the top 1 ZIP codes making up 100% of total Evaluation and Management Medicaid spending in the city that year.

The Evaluation and Management category’s Medicaid payments were also focused in a small set of billing codes.

Comparatively, Evaluation and Management Medicaid payments in Boise City grew by 13.6% from 2023 to 2024, a much higher gain than the 0.2% change observed across all Medicaid claim types in the city for the same timeframe.

Centers for Medicare & Medicaid Services data show that joint federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing nearly 18% of all U.S. health expenditures—up from $613.5 billion in 2019 before the COVID-19 pandemic.

This jump is equivalent to approximately 40% growth in just a few years, largely driven by greater enrollment and increased use during and following the pandemic.

Major budget proposals signed into law during the Trump administration include substantial federal Medicaid funding reductions and program changes. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid funding over ten years, adding policies like work requirements and greater cost-sharing that could affect coverage and payments for some recipients. These changes are projected to transfer more costs to states and slow the pace of federal Medicaid funding growth, though the program continues to cover 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.