Medicaid Evaluation and Management payments in Mccordsville reach $28,214 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Mccordsville billed $28,214 for Evaluation and Management services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 119.8% rise from 2023, when $12,836 was billed for the same category.

Medicaid operates as a joint federal-state public health insurance program. It covers people with low incomes, seniors, children, and individuals with disabilities, making it one of the largest components of the U.S. health care system. Learn more about Medicaid funding here.

Because Medicaid funding is taxpayer-sourced, shifts in billing levels locally illustrate how public medical dollars are directed within a community.

The “Evaluation and Management” grouping includes Medicaid-paid services defined by the care rendered, as organized through standardized HCPCS and CPT code sets. This analysis grouped each billing code to one service category using uniform code ranges and prefixes, ensuring related services were considered together without double counting for accurate year-to-year rankings.

Multiple categories in Mccordsville saw increased Medicaid spending, with Evaluation and Management ranking second in 2024 by total payments.

On a statewide basis, Evaluation and Management ranked first among Medicaid categories in Indiana for total payments in 2024.

From five years prior to 2024, Medicaid expenditures related to Evaluation and Management services in Mccordsville rose by $78,390, an increase of 73.5%. Certain periods, such as 2021 and 2020, experienced accelerated annual growth.

Although Evaluation and Management services were delivered citywide, payment distribution centered in a few ZIP codes. In 2024, ZIP code 46055 had the highest total at $28,214. The top 1 ZIP code accounted for 100% of Medicaid payments in this category in Mccordsville that year.

Within Evaluation and Management, Medicaid payments focused on a small set of individual billing codes.

In comparison, Medicaid payments for Evaluation and Management in Mccordsville climbed 119.8% between 2024 and 2023, while payments across all Medicaid claim categories in the city grew 16.4% during that time.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays totaled approximately $871.7 billion in fiscal 2023. This represented about 18% of national health expenditures and marked a significant increase from $613.5 billion in 2019, before the start of the COVID-19 pandemic.

This jump amounts to roughly 40% growth in a few years, largely due to greater enrollment and use of services during and after the pandemic period.

Recent federal budget measures under the Trump administration introduced major proposals to decrease federal Medicaid money and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over the next 10 years and bring new requirements such as mandatory work and increased cost-sharing. These changes may limit coverage and funding for some recipients, shift more financial responsibility to states, and restrain federal Medicaid growth, though the program continues to insure tens of millions of Americans.

Medicaid Payments Tied to Evaluation and Management in Mccordsville, Indiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $106,603 7.2%
2021 $201,017 88.6%
2022 $82,351 -59%
2023 $12,836 -84.4%
2024 $28,214 119.8%
Top Categories by Medicaid Payments in Mccordsville, Indiana, 2024

Rank Category Medicaid Payments Share of City Total
1 Dental Services $70,805 71.5%
2 Evaluation and Management $28,214 28.5%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Mccordsville, Indiana, 2024

HCPCS Code Description Medicaid Payments Claims
99349 Home/res vst est mod mdm 40 $20,268 35
99350 Home/res vst est high mdm 60 $7,925 14
99490 Chrnc care mgmt staff 1st 20 $20 26
99487 Cplx chrnc care 1st 60 min $0 6
99489 Cplx chrnc care ea addl 30 $0 3
99491 Chrnc care mgmt phys 1st 30 $0 4

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.



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