Yountville Medicaid spending on Evaluation and Management services rises to $381 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Yountville billed $381 in 2024 for Evaluation and Management services. Compared with 2023, when providers submitted $52 in claims for these same services, this represents a 632.7% increase.

Medicaid, which covers low-income individuals, families, seniors, children, and people with disabilities, is run by the states and funded together by federal and state governments. It serves as a core element of the U.S. health care system.

Because Medicaid funding comes from taxpayer dollars, shifts in local billing levels provide insight into how public health care resources are used within a community.

The Evaluation and Management billing category includes a range of Medicaid services that are identified based on defined HCPCS and CPT code groupings. For this report, billing codes were grouped into distinct service categories through uniform code prefixes and number sets, allowing a clear analysis of related services while ensuring accuracy in rankings and avoiding duplicate counts.

While Medicaid payments rose across multiple care categories, Evaluation and Management led all groups in Yountville by total Medicaid dollars in 2024.

Across California as a whole, Evaluation and Management was the second-largest Medicaid category by total payments in 2024.

From 2020 to 2024, Medicaid spending associated with Evaluation and Management in Yountville grew by $381 or 0%. This spending saw a faster rate of increase in certain years, with particularly large gains in 2023 and 2022.

Spending on Evaluation and Management was spread throughout the city but concentrated within specific ZIP codes. In 2024, area 94599 reported Medicaid payments totaling $381 under this category, with the top 1 ZIP code comprising 100.1% of all such payments in Yountville during the year.

Within the Evaluation and Management area, Medicaid payments largely centered around a limited number of distinct billing codes.

For further context, Medicaid claims for the Evaluation and Management category in Yountville jumped 632.7% between 2023 and 2024. For all categories combined, Yountville saw a 707.2% shift in the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid program spending was estimated at $871.7 billion for fiscal year 2023, making up around 18% of all health expenditures, a significant increase from $613.5 billion in 2019, just before the COVID-19 pandemic.

This represents an overall increase of roughly 40% over several years, propelled by higher enrollment and increased utilization in the pandemic and post-pandemic periods.

Congressional budget measures under the Trump administration brought significant plans aimed at reducing the federal share of Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” signed into law in 2025, forecasts to reduce federal Medicaid expenditures by more than $1 trillion over a decade and adds new requirements, like work obligations and higher cost-sharing, which could impact coverage and reduce federal support. With these policies, responsibility for funding could increasingly shift to the states even as program demand continues for tens of millions.

Medicaid Payments Tied to Evaluation and Management in Yountville, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $0
2021 $0
2022 $448
2023 $52 -88.4%
2024 $381 633.5%
Top Categories by Medicaid Payments in Yountville, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $381 91%
2 Surgery $38 9.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Yountville, California, 2024

HCPCS Code Description Medicaid Payments Claims
99310 Sbsq nf care high mdm 45 $381 5
99213 Office o/p est low 20 min $0 1

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.



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