Medicaid spending on Evaluation and Management services reaches $4,443,228 in The Colony for 2024

In 2024, Medicaid providers in The Colony submitted $4,443,228 in claims for Evaluation and Management services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 27.3% increase over the prior year, when claims in this category totaled $3,490,799.

Medicaid, a public insurance program administered by states with joint federal and state funding, offers coverage to low-income individuals, families, seniors, children, and people with disabilities, making it a key part of the U.S. health care system. See how it’s funded at this resource.

Since Medicaid funds are provided by taxpayers, local shifts in billing help illustrate how health care spending is distributed in a community.

The “Evaluation and Management” group covers specific Medicaid-billed services categorized by the nature of care provided, using standardized HCPCS and CPT code groupings. For this report, each code was matched to a single category through consistent numeric ranges and code prefixes, ensuring related services were grouped together, double counting was avoided, and category rankings remained accurate over time.

Evaluation and Management services led all Medicaid categories by total payments in The Colony in 2024, even as spending rose in other groups as well.

Statewide in Texas, the Evaluation and Management category placed third among service categories by Medicaid payment levels during 2024.

Between 2019 and 2024, Medicaid payments dedicated to Evaluation and Management services in The Colony rose by $4,233,466, representing an increase of 2018.2%. There were especially notable year-over-year spending increases in 2020 and 2021.

Spending on Evaluation and Management care was distributed across The Colony, but most payments were focused in certain ZIP codes. In 2024, ZIP code 75056 accounted for $4,443,228 in payments, making up 100% of the total Medicaid spending for this service category in the city for the year.

Within this service category, Medicaid payments were also concentrated within a small number of billing codes.

For reference, Medicaid payments tied to Evaluation and Management services in The Colony climbed 27.3% from 2023 to 2024, compared to a 12.5% overall increase among all claim categories in the city for the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures combined totaled about $871.7 billion for fiscal year 2023, comprising about 18% of total national health spending. This figure represents a sharp rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change marks an increase of approximately 40% within several years, as enrollment growth and higher utilization during and after the pandemic significantly boosted spending.

Recent federal budgets enacted during the Trump administration have included substantial measures aimed at reducing Medicaid funding and reshaping the program. For instance, under the “One Big Beautiful Bill Act,” enacted in 2025, projections show a reduction of more than $1 trillion in federal Medicaid expenditures over the next decade. The bill also introduces requirements such as mandated work and increased cost-sharing, potentially lessening coverage and resources for some beneficiaries. These modifications are expected to increase financial responsibility for states and limit the growth of federal assistance, even as Medicaid continues to serve a wide population.

Note: HCPCS codes are provided for context within the category. Totals and rankings in this article are based on standardized service groupings, not on individual codes.

This article’s data comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.