In 2024, Medicaid providers in Bishop reported $305,758 in claims for services under the Evaluation and Management category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 20.5% increase over 2023, when claims for these services totaled $253,779.
Medicaid, overseen by the states and financed through a partnership between federal and state governments, provides health coverage to low-income residents, seniors, children, and those with disabilities, making it one of the largest sectors of the U.S. health care structure.
Since Medicaid funding is sourced from taxpayers, local shifts in billing volume reflect how public health care funds are divided at the community level.
The “Evaluation and Management” label covers a range of Medicaid-billed care characterized by care type, with grouping determined by standardized HCPCS and CPT code sets. For this research, each billing code was placed in one service group using consistent code prefixes and numbers, enabling related services to be aggregated without duplication and maintaining consistent year-over-year rankings.
Though Medicaid expenditures rose across various service categories, Evaluation and Management stood as the third-highest category by total Medicaid payments in Bishop in 2024.
Statewide in California, Evaluation and Management held the second spot for total Medicaid payments in 2024.
Over the five years before 2024, Evaluation and Management-related Medicaid payments in Bishop climbed by $81,028, or 36.1%. Periods of more rapid growth were seen, notably with substantial annual increases in both 2021 and 2023.
While Evaluation and Management spending was reported across several areas of the city, a few ZIP codes saw most of the payments. In 2024, ZIP code 93514 reported $305,758, meaning the top 1 ZIP code accounted for all Medicaid payments in this service category for Bishop in that year.
Within the Evaluation and Management category, most Medicaid payments focused on a small range of billing codes.
To compare, Medicaid payments associated with Evaluation and Management in Bishop rose 20.5% from 2023 to 2024, whereas payments across all Medicaid claim categories in the city increased by 27.6% over the same span.
According to the Centers for Medicare & Medicaid Services, Medicaid spending from federal and state governments totaled about $871.7 billion in the 2023 fiscal year, which represented approximately 18% of total U.S. health expenditures, a steep rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth equates to an increase of about 40% in a few years, largely propelled by broader program enrollment and greater utilization during and after the pandemic.
Recent federal budget actions under the Trump administration brought major changes to Medicaid, including new proposals to cut federal funding and redesign the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years and introduces elements like work mandates and greater cost-sharing, changes that could reduce benefits and funding for some populations. As a result, more financial responsibility may shift to states, limiting growth in federal Medicaid contributions even as the program continues to cover many Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $224,730 | -12.6% |
| 2021 | $241,663 | 7.5% |
| 2022 | $220,540 | -8.7% |
| 2023 | $253,779 | 15.1% |
| 2024 | $305,758 | 20.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,600,162 | 59.6% |
| 2 | Ambulance and Other Transport Services and Supplies | $723,222 | 16.6% |
| 3 | Evaluation and Management | $305,758 | 7% |
| 4 | Medicine Services and Procedures | $272,791 | 6.3% |
| 5 | Procedures / Professional Services | $175,447 | 4% |
| 6 | Pathology and Laboratory Procedures | $116,733 | 2.7% |
| 7 | Anesthesia | $57,950 | 1.3% |
| 8 | Radiology Procedures | $56,808 | 1.3% |
| 9 | Durable Medical Equipment | $41,333 | 0.9% |
| 10 | Drugs Administered Other than Oral Method | $7,231 | 0.2% |
| 11 | Surgery | $3,660 | 0.1% |
| 12 | Alcohol and Drug Abuse Treatment | $2,600 | 0.1% |
| 13 | Medical And Surgical Supplies | $104 | <0.1% |
| 14 | Dental Services | $0 | <0.1% |
| 14 | Vision Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $99,714 | 124 |
| 99214 | Office o/p est mod 30 min | $72,472 | 81 |
| 99283 | Emergency dept visit low mdm | $51,762 | 53 |
| 99284 | Emergency dept visit mod mdm | $41,078 | 14 |
| 99285 | Emergency dept visit hi mdm | $31,047 | 7 |
| 99215 | Office o/p est hi 40 min | $3,904 | 9 |
| 99199 | Unlisted special svc px/rprt | $3,331 | 2 |
| 99204 | Office o/p new mod 45 min | $1,403 | 1 |
| 99391 | Per pm reeval est pat infant | $789 | 1 |
| 99212 | Office o/p est sf 10 min | $202 | 6 |
| 99173 | Visual acuity screen | $52 | 2 |
| 99000 | Specimen handling office-lab | $0 | 3 |
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.
