In 2024, Medicaid providers in Dove Creek billed $40,090 for services under the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 8.6% rise compared with 2023, when $36,915 in claims were submitted for the same services.
Medicaid, operated by the states and funded through a federal-state partnership, offers health insurance coverage to low-income individuals and families, seniors, children, and people with disabilities, making it a key part of the U.S. health care system.
Since Medicaid is taxpayer-funded, shifts in local billing volumes highlight how communities allocate public health care dollars.
The Evaluation and Management category encompasses a group of Medicaid-billed services determined by care type, using standardized HCPCS and CPT code groupings. Codes were grouped for analysis by consistent prefixes and numeric ranges, helping avoid double counting and maintain accurate service rankings over time.
Among various Medicaid service types, Evaluation and Management posted the highest payments in Dove Creek in 2024.
Statewide, this category ranked fourth in Colorado for total Medicaid payments in 2024.
In the five years preceding 2024, Medicaid payments for the Evaluation and Management category in Dove Creek grew by $73,931, or 64.8%. The pace of spending increased at times, with particularly notable annual gains in 2021 and 2022.
The distribution of Evaluation and Management payments covered Dove Creek broadly, but a small number of ZIP codes saw the highest reimbursements. In 2024, ZIP code 81324 reported $40,090 in payments, accounting for all Medicaid payments in this category in the city for the year.
Within this category, a small set of billing codes received the majority of Medicaid payments.
From 2023 to 2024, Medicaid payments tied to Evaluation and Management in Dove Creek grew by 8.6%, while all Medicaid claim categories in the city saw an 81% change over that period.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, or approximately 18% of all U.S. health care spending—a significant jump from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth, about 40% in a few years, was primarily driven by higher enrollment and increased service utilization during and after the pandemic period.
Federal budget actions under the Trump administration have included major proposals to cut federal Medicaid funding and revise the program’s structure. The “One Big Beautiful Bill Act,” passed in 2025, is slated to reduce federal Medicaid spending by more than $1 trillion in the next decade and adds new policies such as work requirements and higher cost-sharing, potentially impacting funding and eligibility for some. The policy changes are expected to shift a greater burden onto states and limit federal Medicaid growth, even as the program continues to cover tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $114,021 | -9.2% |
| 2021 | $135,447 | 18.8% |
| 2022 | $129,582 | -4.3% |
| 2023 | $36,914 | -71.5% |
| 2024 | $40,090 | 8.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $40,090 | 66% |
| 2 | Dental Services | $20,495 | 33.7% |
| 3 | Procedures / Professional Services | $200 | 0.3% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $35,321 | 9 |
| 99212 | Office o/p est sf 10 min | $3,339 | 1 |
| 99214 | Office o/p est mod 30 min | $1,429 | 1 |
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.
