In 2024, Medicaid providers in Raymond charged $766,702 for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 252.5% jump from 2023, when $217,476 in claims were submitted for these services.
Medicaid is a government health insurance program operated by individual states and financed collectively by federal and state governments. The program supports low-income individuals, families, seniors, children, and those with disabilities, making it a core part of the national health care infrastructure.
Since Medicaid relies on public funds, variations in local billing reflect how health care resources are distributed in each community.
The “Evaluation and Management” category comprises services billed to Medicaid that are classified by type of care, utilizing uniform HCPCS and CPT code sets. For this report, each relevant code was assigned to a specific service group using shared code prefixes and designated numeric sequences, bringing similar services together, eliminating double counting, and keeping yearly rankings accurate.
Though Medicaid spending rose in multiple categories, Evaluation and Management was the top service category in Raymond for Medicaid payments in 2024.
Statewide in Mississippi, Evaluation and Management ranked as the third-largest Medicaid payment category in 2024.
Between 2019 and 2024, Medicaid payments in Raymond for Evaluation and Management services grew by $465,190, or 154.3%. Growth accelerated at certain points, with significant increases seen in both 2021 and 2022.
While Evaluation and Management payments were made throughout Raymond, the bulk of the spending was centered in a few ZIP codes. In 2024, ZIP code 39154 alone accounted for $766,702, representing 100% of Evaluation and Management Medicaid payments in the city that year.
Within this category, most Medicaid funds were linked to a handful of specific billing codes.
For context, the 252.5% rise in Evaluation and Management Medicaid payments in Raymond from 2023 to 2024 outpaced the 101.3% increase for all Medicaid claim categories in the city across the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined totaled roughly $871.7 billion in the 2023 fiscal year—about 18% of all U.S. health care expenses. This is a sharp rise from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This increase reflects a nearly 40% growth during the period, with expanded enrollment and higher utilization influencing the change amid and after the pandemic.
Recent federal budget policy under the Trump administration included substantial proposals to lower federal Medicaid contributions and change the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid expenditures by over $1 trillion in the next decade and introduce work requirements and increased cost-sharing, which may decrease coverage and funding for certain beneficiaries. As a result, states will likely bear more financial responsibility, while federal support for Medicaid slows—even as the program continues to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $301,511 | -3.7% |
| 2021 | $347,338 | 15.2% |
| 2022 | $276,964 | -20.3% |
| 2023 | $217,476 | -21.5% |
| 2024 | $766,702 | 252.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $766,702 | 66.2% |
| 2 | National Codes Established for State Medicaid Agencies | $270,957 | 23.4% |
| 3 | Medical And Surgical Supplies | $84,450 | 7.3% |
| 4 | Enteral and Parenteral Therapy | $23,882 | 2.1% |
| 5 | Procedures / Professional Services | $12,713 | 1.1% |
| 6 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99308 | Sbsq nf care low mdm 20 | $438,966 | 13 |
| 99307 | Sbsq nf care sf mdm 10 | $223,754 | 12 |
| 99309 | Sbsq nf care moderate mdm 30 | $93,436 | 12 |
| 99310 | Sbsq nf care high mdm 45 | $3,496 | 3 |
| 99213 | Office o/p est low 20 min | $3,275 | 1 |
| 99305 | 1st nf care moderate mdm 35 | $2,244 | 2 |
| 99306 | 1st nf care high mdm 50 | $1,530 | 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.