Florence Medicaid spending for Evaluation and Management services climbs 5% in 2024

Florence Medicaid providers submitted $150,102 in claims under the Evaluation and Management category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount was 5% higher than the $142,890 reported for these services during 2023.

Medicaid is a public health insurance program run by the states and funded jointly by both state and federal governments. It offers coverage for low-income residents, senior citizens, children, and individuals with disabilities, making it a major part of the nation’s health care system.

Since Medicaid funds originate from taxpayers, shifts in local billing patterns highlight how community health care dollars are used.

The “Evaluation and Management” designation refers to types of Medicaid-billed care identified by common HCPCS and CPT coding groups. In this review, services were categorized by primary billing code groups, using uniform code prefixes and ranges, to ensure grouped analysis without overlapping claims and to provide accurate comparisons over time.

Medicaid spending rose in multiple categories, but Evaluation and Management saw the highest total Medicaid payments in Florence during 2024.

Evaluation and Management ranked third statewide in New Jersey when measured by total Medicaid payment volume for 2024.

Between 2019 and 2024, Florence saw an increase of $46,911—or 45.5%—in Medicaid funds linked to Evaluation and Management. Spending often accelerated during several of these years, especially with strong annual increases recorded for both 2022 and 2021.

Payments for Evaluation and Management services in Florence, while distributed citywide, were heavily focused in a small number of ZIP codes. In 2024, ZIP code 08518 recorded $150,102 and accounted for the full amount billed in the category, comprising 100% of claims for Evaluation and Management within Florence.

Only select individual billing codes made up the bulk of local Medicaid payments within the Evaluation and Management group.

Comparing rates, Florence’s Medicaid payments for the Evaluation and Management category increased 5% from 2023 to 2024, while all Medicaid categories in the city showed a 14% change in the same period.

The Centers for Medicare & Medicaid Services reported that combined state-federal Medicaid outlays reached about $871.7 billion in fiscal 2023—roughly 18% of the nation’s total health spending, and substantially higher than the approximately $613.5 billion spent in 2019, prior to the onset of COVID-19.

This total reflects an estimated 40% jump in a few years, fueled mainly by greater enrollment and increased use of services during, and subsequent to, the height of the pandemic.

Recent U.S. budget measures under the Trump administration brought major suggested cuts to Medicaid and new structural changes. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid outlays by more than $1 trillion over the coming decade, while adding policy adjustments like work rules and higher cost-sharing. These changes could decrease funding and coverage for some Medicaid members and are expected to place increased funding responsibility on states as federal support levels off, despite enrollment figures staying high.

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.