West Richland Medicaid Evaluation and Management payments reach $8,506 in 2024

In 2024, Medicaid providers in West Richland submitted $8,506 in claims for services under the Evaluation and Management category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure represents a 1306% jump from 2023, when $605 was billed for these services.

Medicaid is a public health insurance program administered by states and funded jointly by federal and state governments. It provides coverage to low-income people, children, seniors, and individuals with disabilities, making it a significant component of the U.S. health care system.

Since Medicaid payments are publicly funded, variations in local billing reveal how health care dollars are distributed within a community.

The “Evaluation and Management” category comprises services grouped according to care type, classified with standardized HCPCS and CPT billing code ranges. For this analysis, billing codes were mapped to specific service categories through consistent code prefixes and numeric spans, allowing aggregated analysis without double counting and maintaining accurate rankings through the years.

Alongside rising spending across service groups, Evaluation and Management was the third highest category by Medicaid payments in West Richland for 2024.

Statewide in Washington, the Evaluation and Management classification placed second by dollar amount in Medicaid payments in 2024.

Over the five years preceding 2024, total Medicaid spending in West Richland for Evaluation and Management grew by $8,506, or 0%. Growth was particularly strong during some intervals, with substantial annual increases noted in 2021 and 2022.

Although Evaluation and Management spending occurred citywide, payments in 2024 were concentrated mainly in a single ZIP code. ZIP code 99353 accounted for $8,505, representing 100% of the Medicaid payments in this category for the year.

Within this category, most Medicaid payments were tied to a small number of billing codes.

For further context, payments associated with Evaluation and Management services in West Richland climbed 1306% from 2023 to 2024, while all Medicaid claim categories during this period posted a 65.2% increase in the city.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled about $871.7 billion in fiscal 2023, accounting for roughly 18% of nationwide health expenditures. That’s up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an approximate 40% jump over several years, primarily driven by expanded Medicaid rolls and increased service utilization during and after the pandemic.

Recent federal appropriations bills signed in the Trump administration have proposed major reductions in federal Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and adds measures like work requirements and greater cost-sharing, which could reduce both coverage and federal funds for some recipients. These policies are anticipated to shift more responsibility to states and curtail the rate of growth in federal Medicaid contributions, even as the program continues to cover millions of Americans.

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.