Maxton’s Medicaid spending on Evaluation and Management services rises to $160,996 in 2024

In 2024, Medicaid providers in Maxton billed $160,996 for Evaluation and Management services, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 77.5% jump from 2023, when providers filed $90,714 in claims for these services.

Medicaid is a public insurance program administered by each state and funded through joint contributions from federal and state governments. The program covers low-income people and families, seniors, children, and individuals with disabilities, making it one of the largest sectors in the U.S. health care system.

Since taxpayers fund Medicaid, fluctuations in local billing levels illustrate how community health dollars are utilized.

The Evaluation and Management category includes a set of Medicaid-billed services that are structured by the care provided, organized using standardized HCPCS and CPT code groupings. This analysis assigned each billing code to its primary service category through consistent use of code prefixes and numeric sequences, grouping related services by category and preventing duplication to maintain accurate, time-based rankings.

While overall Medicaid expenditures increased in multiple service categories, Evaluation and Management ranked as the third-highest in total Medicaid payments in Maxton during 2024.

Statewide, the Evaluation and Management category held the second-highest Medicaid payment total across North Carolina in 2024.

Looking at the five years preceding 2024, Medicaid payments for the Evaluation and Management category in Maxton rose by $160,996, an increase of 0%. Growth rates varied over time, with significant annual increases noted in 2022 and 2022.

Medicaid spending in this category was distributed citywide—with payments mainly focused in select ZIP codes. For 2024, ZIP code 28364 reported $160,995 in Medicaid payments for Evaluation and Management services; this one ZIP code comprised 100% of the category’s total payments among Maxton providers for the year.

Most Medicaid payments in the Evaluation and Management category were focused within a small subset of billing codes.

By comparison, Medicaid claims tied to Evaluation and Management services increased by 77.5% in Maxton from 2023 to 2024, while the rise across all Medicaid claim categories in Maxton during the same time was 6.5%.

Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid expenditures reached roughly $871.7 billion for fiscal year 2023, amounting to about 18% of all U.S. health spending—an increase from approximately $613.5 billion in 2019 before the COVID-19 pandemic.

The data reflects an increase of about 40% in just a few years, fueled in part by expanded program rolls and greater service use during and after the pandemic.

Recent federal budget policy under the Trump administration has featured notable proposals to reduce federal Medicaid financing and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to cut more than $1 trillion in federal Medicaid spending over 10 years and includes measures such as work requirements and higher cost-sharing. These provisions may restrict coverage and reduce funding for certain participants, potentially shifting a greater financial responsibility to states and slowing the pace of federal support, even as Medicaid remains critical for millions nationwide.

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.