In 2024, Medicaid providers in Nanuet billed $710,639 for Evaluation and Management services, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marks a 6.1% rise from 2023, when $669,699 in claims were submitted for the same category of service.
Medicaid is operated by states and funded in partnership between federal and state governments. This program provides coverage for low-income people and families, seniors, children, and individuals with disabilities, and is one of the country’s largest health care payers.
Since Medicaid dollars are supported by taxpayers, adjustments in local medical billing reflect the way public health care funds are used within a community.
The Evaluation and Management classification groups Medicaid-billed services by care type, using established HCPCS and CPT code groupings. For this analysis, each billing code was categorized to one service class using uniform code prefixes and ranges, enabling services to be analyzed by group, avoiding duplicate entries, and maintaining accurate rankings over time.
While Medicaid spending increased in several categories, Evaluation and Management was the second-highest in Nanuet for total Medicaid payments in 2024.
Across New York, Evaluation and Management also stood as the second-largest category statewide by total payments in 2024.
Over the five years preceding 2024, Nanuet’s Medicaid payments for Evaluation and Management services grew by $1,569,340, or 68.8%. Certain years, including 2021 and 2020, saw accelerated increases in annual spending.
Evaluation and Management payments were distributed across Nanuet but heavily concentrated in a select group of ZIP codes. In 2024, the ZIP code 10954 accounted for $710,638, representing 100% of all Medicaid spending tied to Evaluation and Management in Nanuet for the year.
Within this category, most Medicaid payments were attributed to a small number of billing codes.
When comparing 2024 to 2023, Evaluation and Management Medicaid payments in Nanuet increased by 6.1%, while the total for all Medicaid claim types in the area grew by 13.6% during the same period.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures climbed to about $871.7 billion for fiscal year 2023, making up approximately 18% of overall national health spending and showing a distinct increase from roughly $613.5 billion in 2019, the year before the COVID-19 pandemic.
This jump represents close to 40% growth in just a few years, largely attributed to expanded Medicaid enrollment and greater health service usage throughout and following the pandemic period.
Recent federal spending laws passed during the Trump administration have contained major proposals to trim federal Medicaid funds and modify the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion during the next 10 years and brings in measures like work requirements and increased cost-sharing. These could cut coverage and funding for certain recipients and are forecasted to shift more financial responsibility to states, restricting federal Medicaid growth even as the program continues serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,279,978 | 5.3% |
| 2021 | $3,181,694 | 39.5% |
| 2022 | $2,115,555 | -33.5% |
| 2023 | $669,698 | -68.3% |
| 2024 | $710,638 | 6.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,013,285 | 53.4% |
| 2 | Evaluation and Management | $710,638 | 18.9% |
| 3 | Medicine Services and Procedures | $464,424 | 12.3% |
| 4 | Orthotic Procedures and services | $198,267 | 5.3% |
| 5 | Dental Services | $158,314 | 4.2% |
| 6 | Temporary National Codes (Non-Medicare) | $116,899 | 3.1% |
| 7 | Pathology and Laboratory Procedures | $39,815 | 1.1% |
| 8 | Procedures / Professional Services | $34,948 | 0.9% |
| 9 | Surgery | $25,038 | 0.7% |
| 10 | Ambulance and Other Transport Services and Supplies | $8,086 | 0.2% |
| 11 | Vision Services | $90 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $6 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $404,872 | 150 |
| 99214 | Office o/p est mod 30 min | $113,180 | 47 |
| 99203 | Office o/p new low 30 min | $50,541 | 23 |
| 99215 | Office o/p est hi 40 min | $31,855 | 11 |
| 99051 | Med serv eve/wkend/holiday | $28,738 | 17 |
| 99393 | Prev visit est age 5-11 | $26,015 | 21 |
| 99392 | Prev visit est age 1-4 | $25,427 | 20 |
| 99394 | Prev visit est age 12-17 | $20,538 | 11 |
| 99212 | Office o/p est sf 10 min | $5,919 | 5 |
| 99391 | Per pm reeval est pat infant | $2,951 | 4 |
| 99173 | Visual acuity screen | $589 | 36 |
| 99000 | Specimen handling office-lab | $8 | 8 |
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.
