Anza saw $2,511 in Medicaid Evaluation and Management payments for 2024

Anza’s Medicaid providers billed $2,511 in 2024 for services in the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 94.8% rise compared with 2023, when the total for the same services reached $1,289.

Medicaid is an insurance program administered by state governments but funded jointly by the state and federal government. It provides coverage for low-income families and individuals, seniors, children and people with disabilities, making it one of the largest programs in America’s health care system.

Since Medicaid is taxpayer-funded, shifts in billing levels at the local level reveal how public health care dollars are used in each community.

The Evaluation and Management category encompasses a set of Medicaid-billed services categorized by care type, as defined with standardized HCPCS and CPT coding. In this analysis, each billing code is assigned to a single service category using established code prefixes and ranges, which enables grouping of related services without double counting and supports accuracy in year-to-year rankings.

Medicaid payments in Anza increased in multiple service categories, yet Evaluation and Management ranked second in 2024 in total billed payments.

At the state level in California, Evaluation and Management also ranked second for total Medicaid payments in 2024.

Over the five-year period preceding 2024, Anza’s Medicaid payments for Evaluation and Management services climbed by $1,541—an increase of 159%. Spending growth accelerated at certain points, with significant year-over-year gains seen in 2021 and 2020.

While Evaluation and Management spending was distributed throughout the city, the payments were primarily concentrated in a few ZIP codes. For 2024, ZIP code 92539 accounted for $2,511 in Medicaid payments tied to this category. This ZIP code accounted for 100% of all such Medicaid payments for Evaluation and Management in Anza for the year.

Within the Evaluation and Management category, most Medicaid payments were concentrated on a small set of billing codes.

For further perspective, Anza’s Medicaid Evaluation and Management payments rose by 94.8% between 2024 and 2023, in contrast to a citywide 11.1% change for all Medicaid claim categories during the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in fiscal 2023, making up around 18% of the nation’s total health expenditures—up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump reflects approximately 40% growth over just a few years, largely due to expanded program enrollment and increased service utilization during and following the pandemic.

Recent federal budget packages under the Trump administration have brought significant proposals to trim federal Medicaid funding and reshape the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the coming decade and brings policies like work requirements and greater cost-sharing, which could reduce assistance and dollars available for certain beneficiaries. These measures are expected to increase state budgeting responsibility and slow the growth of federal support, even though Medicaid provides coverage for tens of millions nationally.

Note: HCPCS codes are included for context within the category. The totals and rankings referenced are based on standardized groupings rather than individual codes.

Data for this article came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data here.