Providers in Weiner billed a total of $130,400 to Medicaid for services in the Evaluation and Management category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 23.3% rise compared with 2023, when claims for the same service category amounted to $105,755.
Medicaid is a public health insurance initiative operated by states with funding provided jointly by federal and state governments. It serves low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health system.
As Medicaid is taxpayer-funded, changes in local billing illustrate how public health care dollars are used within a community.
The “Evaluation and Management” classification covers a set of Medicaid-billed services organized according to care type, determined by standard HCPCS and CPT code groupings. In this analysis, each billing code was grouped under a single service category using standardized code prefixes and numeric ranges, enabling analysis of related services together while preventing double counting and ensuring consistent rankings over time.
Although Medicaid spending grew across several service types, Evaluation and Management led all categories in Weiner for total Medicaid payments in 2024.
Statewide in Arkansas, Evaluation and Management placed fifth among Medicaid payment categories for 2024.
Examining the five years leading up to 2024, Medicaid payments for Evaluation and Management services in Weiner grew by $18,076, or 16.1%. The pace of spending accelerated during some years, with notable annual increases seen in 2021 and 2022.
While Evaluation and Management services were utilized across Weiner, Medicaid payments were heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 72479 accounted for $130,399 in Medicaid payments, representing 100% of payments in the category for the city during that year.
Within Evaluation and Management, Medicaid payments were also condensed among a small number of billing codes.
For context, the 23.3% growth in Evaluation and Management Medicaid payments in Weiner from 2023 to 2024 compares to a 25.2% increase seen across all Medicaid claim categories in the city during that same period.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, representing approximately 18% of total national health expenditures, up significantly from around $613.5 billion in 2019 before the COVID-19 pandemic.
This surge marks nearly 40% growth over a few years, largely driven by expanded enrollment and higher health service utilization during and after the pandemic period.
Recent federal budget measures under the Trump administration have featured significant proposals to decrease federal Medicaid support and rework the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade. This law introduces policies such as work requirements and greater cost-sharing, which could reduce access and funding for certain beneficiaries. These modifications are projected to shift more responsibility to the states and curb growth in federal Medicaid assistance, while the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $112,323 | – |
| 2021 | $131,228 | 16.8% |
| 2022 | $132,547 | 1% |
| 2023 | $105,755 | -20.2% |
| 2024 | $130,399 | 23.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $130,399 | 79.2% |
| 2 | Procedures / Professional Services | $24,944 | 15.2% |
| 3 | Surgery | $9,294 | 5.6% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99308 | Sbsq nf care low mdm 20 | $72,171 | 12 |
| 99309 | Sbsq nf care moderate mdm 30 | $58,228 | 11 |
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.
