Mcconnellsburg Medicaid payments for evaluation and management services reach $5,901 in 2024

Providers billing Medicaid in Mcconnellsburg submitted claims totaling $5,901 under the Evaluation and Management category in 2024, as reported by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a sharp 161.3% rise compared with 2023, when local providers received $2,258 for the same services.

Medicaid is a public health insurance program administered by states with funding provided in partnership by federal and state governments. It insures low-income individuals, families, children, seniors and people with disabilities, making it one of the main components of health care delivery in the U.S.

Because taxpayer dollars fund Medicaid payments, fluctuations in local claim totals offer insight into distribution of public health funds within a community.

The “Evaluation and Management” segment represents a specific collection of Medicaid-billed services categorized by their type, organized around recognized HCPCS and CPT codes. For the analysis, every billing code was mapped to a single service group using established code prefixes and numeric outlines to analyze related services without duplicating totals and to ensure consistency in rankings over multiple years.

While Medicaid spending saw increases in several service groups, Evaluation and Management had the second-highest Medicaid billing in Mcconnellsburg in 2024.

Across Pennsylvania, the Evaluation and Management grouping was fourth statewide in total payments that year.

Looking at the five years before 2024, Medicaid payments in this category for Mcconnellsburg grew by $4,858, a cumulative 465.5%. The pace of spending quickened during certain years, with especially strong year-over-year increases in 2021 and 2022.

Though spending on Evaluation and Management was distributed, billing totals were concentrated in just a few ZIP codes. In 2024, ZIP code 17233 accounted for all Medicaid payments of $5,901 in this service category within Mcconnellsburg. As a result, the top ZIP code was responsible for 100% of local Medicaid payments within this classification that year.

Within the Evaluation and Management category, payments were heavily focused among a select group of billing codes.

To provide context, Medicaid payments for Evaluation and Management services in Mcconnellsburg increased by 161.3% from 2023 to 2024, a much steeper jump than the 19.3% change seen across all Medicaid claim types in the city over that time frame.

According to the Centers for Medicare & Medicaid Services, overall state and federal Medicaid expenditures reached about $871.7 billion during fiscal year 2023—reaching around 18% of the nation’s total health care spending, compared to $613.5 billion in 2019, before the COVID-19 pandemic.

This increase marks roughly 40% growth in only a few years, largely because of expanded Medicaid enrollment and greater usage during and after the pandemic period.

Recent federal budget measures under the Trump administration have featured substantial proposals to reduce federal funding and change the structure of Medicaid. For example, the “One Big Beautiful Bill Act,” signed in 2025, is anticipated to trim at least $1 trillion from federal Medicaid expenditures over a decade and is set to establish measures such as work requirements and additional cost-sharing that may narrow eligibility and federal support for certain beneficiaries. These adjustments are projected to transfer more financial responsibility to states and moderate the growth of federal Medicaid funding, while the program continues to serve tens of 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.