In 2024, Medicaid providers in Byram billed $83,793 for Evaluation and Management services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marks an 87.6% increase from 2023, when providers filed $44,669 in claims for the same service category.
Medicaid, funded through both federal and state contributions and managed by states, covers qualifying low-income individuals and families, seniors, children, and people with disabilities. It represents one of the biggest components of the U.S. health care landscape.
Taxpayer-funded Medicaid payments highlight how public health dollars are used locally, with fluctuations in billing revealing shifts in community health care allocation.
The “Evaluation and Management” category includes specific groups of Medicaid-billed services, distinguished by standardized HCPCS and CPT codes. Each billing code for this analysis was assigned to a single service grouping using consistent code prefixes and number ranges. This grouping enabled related services to be analyzed collectively while maintaining accuracy in counts and rankings over time.
While Medicaid spending increased across categories, Evaluation and Management was the third largest by total Medicaid payments in Byram for 2024.
For the state overall, the Evaluation and Management category also ranked third for total Medicaid payments in 2024.
Between 2019 and 2024, Byram’s Medicaid payments connected to the Evaluation and Management category rose by $10,179, an increase of 13.8%. Some years, such as 2022 and 2023, saw more pronounced growth.
Within Byram, Evaluation and Management payments were geographically concentrated. In 2024, ZIP code 39272 accounted for $83,792, representing all of the city’s Medicaid payments in this category for the year.
Medicaid payments under the Evaluation and Management group were further focused within a narrow set of billing codes.
Medicaid payments in Byram for Evaluation and Management services rose 87.6% between 2024 and 2023, exceeding the citywide increase of 14.5% across all Medicaid service categories during that period.
The Centers for Medicare & Medicaid Services report that total federal and state Medicaid outlays reached around $871.7 billion in fiscal 2023—about 18% of total national health expenditures—which is a steep climb from approximately $613.5 billion in 2019 before COVID-19.
This growth equals an increase of about 40% over a few years, mainly fueled by higher enrollment and greater health care usage during and after the pandemic.
Recent federal budgets during the Trump administration have included significant Medicaid reforms. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next decade and introduces measures like work requirements and increased cost-sharing, which could lower coverage or funding for certain groups. The shifts are projected to transfer a larger financial burden onto the states and curb federal Medicaid program growth, even as the program continues to assist tens of millions of people nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $73,614 | -44% |
| 2021 | $65,445 | -11.1% |
| 2022 | $48,884 | -25.3% |
| 2023 | $44,668 | -8.6% |
| 2024 | $83,792 | 87.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $865,603 | 64.8% |
| 2 | Temporary National Codes (Non-Medicare) | $346,729 | 25.9% |
| 3 | Evaluation and Management | $83,792 | 6.3% |
| 4 | Medicine Services and Procedures | $17,238 | 1.3% |
| 5 | Pathology and Laboratory Procedures | $13,533 | 1% |
| 6 | Vision Services | $8,776 | 0.7% |
| 7 | Surgery | $397 | <0.1% |
| 8 | Procedures / Professional Services | $208 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $40,540 | 13 |
| 99214 | Office o/p est mod 30 min | $36,449 | 29 |
| 99203 | Office o/p new low 30 min | $3,568 | 3 |
| 99204 | Office o/p new mod 45 min | $1,244 | 1 |
| 99308 | Sbsq nf care low mdm 20 | $1,102 | 1 |
| 99393 | Prev visit est age 5-11 | $886 | 1 |
| 99173 | Visual acuity screen | $0 | 2 |
| 99401 | Prev med cnsl indiv apprx 15 | $0 | 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.