Leupp Medicaid providers received $1,259,685 for Evaluation and Management services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Leupp submitted $1,259,685 in claims for services under the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 65.6% higher than in 2023, when $760,526 was billed for the same category.

Medicaid, a public health insurance program, is administered by the states and financed through a partnership between federal and state governments. The program covers low-income people, seniors, children, and individuals with disabilities, contributing significantly to the U.S. health care system.

Because Medicaid is funded by taxpayers, shifts in local billing provide insight into community allocation of public health dollars.

The Evaluation and Management category encompasses a variety of Medicaid services defined by the nature of care provided, using standardized HCPCS and CPT code sets. Each code for this analysis was classified into a specific service category according to consistent code prefixes and number ranges, supporting an accurate review of related services and ranked spending over years.

Though Medicaid spending rose in several categories, Evaluation and Management had the largest total in Leupp during 2024.

Statewide, Evaluation and Management was the third-largest Medicaid payment category in Arizona for 2024.

From 2019 to 2024, Leupp’s Medicaid payments for Evaluation and Management grew by $873,415, a 226.1% increase. Spending accelerated during parts of that period, most notably in 2022 and 2023.

Although citywide spending in this category was spread across Leupp, most payments went to a small number of ZIP codes. In 2024, ZIP code 86035 received $908,813, and 86032 got $350,872. Together, those 2 ZIP codes made up 100% of the category’s local payments for the year.

Within Evaluation and Management, Medicaid payments were also concentrated among a select few billing codes.

Medicaid payments tied to Evaluation and Management in Leupp increased 65.6% between 2024 and 2023, matching the change for all Medicaid claim categories in the city over the same time frame.

According to the Centers for Medicare & Medicaid Services, together, federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023. This represented roughly 18% of total U.S. health expenditures and was a marked increase from $613.5 billion reported in 2019, prior to the COVID-19 pandemic.

This represents about 40% growth in only a few years, spurred mainly by expanded enrollment and increased service use during and after the pandemic.

Recent federal budget legislation signed under the Trump administration introduced major changes affecting Medicaid. The “One Big Beautiful Bill Act,” became law in 2025. It is estimated to reduce federal Medicaid spending by over $1 trillion across the next decade and adds provisions like work requirements and greater cost-sharing by some beneficiaries. As a result, states are expected to assume additional costs while federal Medicaid funding growth slows, although the program will continue serving tens of millions nationwide.

Medicaid Payments Tied to Evaluation and Management in Leupp, Arizona Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $386,270 -72%
2021 $80,332 -79.2%
2022 $352,390 338.7%
2023 $760,525 115.8%
2024 $1,259,685 65.6%
Top Categories by Medicaid Payments in Leupp, Arizona, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,259,685 10<0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Leupp, Arizona, 2024

HCPCS Code Description Medicaid Payments Claims
99213 Office o/p est low 20 min $908,813 12
99212 Office o/p est sf 10 min $350,872 11

Note: HCPCS codes are displayed to show service context. Totals and category rankings are calculated using standardized groupings rather than by individual billing codes.

Details for this article were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.



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