In 2024, Medicaid providers in Big Piney billed $5,595 for services categorized as Evaluation and Management, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 17.5% increase from 2023, when claims for this service category totaled $4,762.
Medicaid is a state-managed public health insurance program funded jointly by federal and state governments. It serves low-income people and families, seniors, children, and those with disabilities, standing as a major component of the U.S. health care system.
Because Medicaid funding is sourced from taxpayers, adjustments in billing locally illustrate how public health spending is deployed within specific communities.
The Evaluation and Management category covers a range of Medicaid services grouped by care provided, using standardized HCPCS and CPT codes. This report grouped billing codes into single service categories by code prefix and range for consistent tracking, avoiding duplicate counts and supporting year-over-year comparisons.
While overall Medicaid expenditures rose in several categories, Evaluation and Management was the leading category by total Medicaid payments in Big Piney for 2024.
Statewide in Wyoming, Evaluation and Management was ranked the second highest Medicaid payment category in 2024.
During the five-year period up to 2024, Big Piney’s Medicaid payments for Evaluation and Management increased by $5,595, or 0%. Growth in spending accelerated at certain stages, showing notable increases between years, especially in 2022 and 2022.
Even though the Evaluation and Management category served locations throughout the city, payment amounts were primarily located in a small number of ZIP codes. For 2024, the top ZIP code, 83113, reported $5,594, making up 100% of Medicaid payments in this category within Big Piney for the year.
Most Medicaid payments in the Evaluation and Management category were attributed to a limited selection of billing codes.
Comparatively, between 2024 and 2023, Evaluation and Management payments in Big Piney grew 17.5%, a trend matched across all Medicaid categories in the city within that period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid payments reached approximately $871.7 billion in the 2023 fiscal year, making up about 18% of all U.S. health expenditures. This is a significant increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This nearly 40% growth over several years has largely been attributed to expanded enrollment and more frequent utilization during and after the pandemic period.
Recent federal budget measures during the Trump administration carried key proposals to restrict federal Medicaid support and overhaul the program. The “One Big Beautiful Bill Act,” which took effect in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next 10 years and implements new requirements such as work and increased cost-sharing measures. These adjustments are projected to transfer more costs to states and curb federal Medicaid growth, as the program remains a vital service for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $707 | – |
| 2022 | $5,307 | 650.1% |
| 2023 | $4,761 | -10.3% |
| 2024 | $5,594 | 17.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,594 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $5,594 | 6 |
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.
