Blauvelt Medicaid Evaluation and Management billing climbs to $15,270 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Blauvelt recorded $15,270 in billings for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents a 205.8% increase from 2023, when claims for these services totaled $4,994.

Medicaid is a public health insurance initiative operated at the state level and funded jointly by federal and state governments. Serving low-income residents, seniors, children, and individuals with disabilities, it stands as one of the country’s largest health care programs.

Since Medicaid payments rely on taxpayer funds, fluctuations in local billing amounts reveal how public health care resources are distributed within a community.

The “Evaluation and Management” group includes Medicaid services defined by clinical care type, as identified by specific HCPCS and CPT code groupings. This analysis assigned each billing code to just one service category, using uniform code prefixes and number ranges to enable comparative review of related services, avoid duplicate counting, and maintain accurate year-over-year rankings.

Throughout various Medicaid service groups, spending increased, but in Blauvelt, Evaluation and Management placed fourth in total Medicaid payments for 2024.

Statewide in New York, Evaluation and Management was the second largest category by total Medicaid payments in 2024.

In the five-year span preceding 2024, Evaluation and Management Medicaid billings in Blauvelt rose by $15,270, recording 0% overall growth. In some periods, spending grew more quickly, including significant year-on-year gains in 2023 and 2022.

Although services in the Evaluation and Management category were available throughout the city, most Medicaid payments were focused within a small set of ZIP codes. In 2024, ZIP code 10913 accounted for $15,270—representing 100% of all Medicaid Evaluation and Management payments in Blauvelt for that year.

Payments within the Evaluation and Management category also centered on a relatively limited group of individual billing codes.

From 2024 to 2023, Medicaid billing for Evaluation and Management in Blauvelt was up 205.8%, compared with a 35.2% shift across all Medicaid claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal 2023, or about 18% of national health care spending—an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This nearly 40% increase over a few years was largely attributed to rising enrollment and service utilization during and following the pandemic.

Recent federal legislation signed under the Trump administration has featured major proposals to trim federal Medicaid spending and change program structure. The “One Big Beautiful Bill Act,” made law in 2025, is slated to cut federal Medicaid outlays by over $1 trillion over the next 10 years, adding work requirements and greater cost-sharing, which could curb coverage and federal funding for some recipients. These changes are expected to put more responsibility on states and curb federal funding growth, despite the program serving tens of millions nationwide.

Medicaid Payments Tied to Evaluation and Management in Blauvelt, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2023 $4,994 –
2024 $15,270 205.8%
Top Categories by Medicaid Payments in Blauvelt, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $3,355,530 68.9%
2 Temporary National Codes (Non-Medicare) $1,074,811 22.1%
3 Medicine Services and Procedures $413,371 8.5%
4 Evaluation and Management $15,270 0.3%
5 National Codes Established for State Medicaid Agencies $13,619 0.3%
6 Pathology and Laboratory Procedures $38 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Blauvelt, New York, 2024

HCPCS Code Description Medicaid Payments Claims
99215 Office o/p est hi 40 min $7,194 9
99383 Prev visit new age 5-11 $2,225 3
99382 Init pm e/m new pat 1-4 yrs $2,222 2
99401 Prev med cnsl indiv apprx 15 $1,463 2
99392 Prev visit est age 1-4 $954 1
99384 Prev visit new age 12-17 $700 1
99202 Office o/p new sf 15 min $509 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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