Kieler Medicaid spending on Evaluation and Management services reaches $16,981 in 2024

Medicaid providers in Kieler billed $16,981 for Evaluation and Management services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflected a 28.8% uptick over 2023, when providers billed $13,183 for services in this category.

Medicaid is a state-administered health insurance program funded jointly by federal and state governments. It provides coverage to low-income families and individuals, seniors, children, and people with disabilities, making it a significant component of the U.S. health care infrastructure.

Because Medicaid is publicly funded, changes in local billing levels reflect how health care dollars are distributed within a community.

The “Evaluation and Management” classification includes various services billed to Medicaid, grouped according to standardized HCPCS and CPT codes. For this analysis, each billing code was grouped into one service category, based on specific code prefixes and numerical ranges, allowing for accurate tracking of related services and improved consistency in rankings.

While Medicaid outlays rose across multiple categories, Evaluation and Management led all service categories in Kieler by total payments in 2024.

Statewide in Wisconsin, Evaluation and Management was the second-largest category by Medicaid payment amount in 2024.

In the five years preceding 2024, Medicaid payments related to Evaluation and Management services in Kieler increased by $16,981, reflecting 0% growth overall. Notable spending increases occurred in certain years, including jumps in 2023 and 2022.

Evaluation and Management payments in Kieler were distributed throughout the city, but most were concentrated in select ZIP codes. In 2024, ZIP code 53812 recorded the highest Medicaid payments for this category, amounting to $16,980. Altogether, the leading ZIP code captured 100% of Medicaid payments for Evaluation and Management in Kieler during the year.

Payments within the Evaluation and Management group were also increasingly focused on a small set of billing codes.

Comparing 2024 and 2023, Medicaid payments for Evaluation and Management services in Kieler grew by 28.8%, mirroring the 28.8% increase recorded across all Medicaid claim categories in the city during the same timeframe.

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

The surge marks about 40% growth over several years, mainly due to increased enrollment and greater service utilization during and after the pandemic.

Recent federal budget measures during the Trump administration have included major efforts to decrease federal Medicaid spending and change the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut more than $1 trillion from federal Medicaid funding over 10 years and implements new policies such as work requirements and greater cost-sharing, potentially reducing benefits and payments for some recipients. These policy changes are expected to shift more of the funding burden to states and limit further growth in federal Medicaid commitments, as the program continues serving tens of millions nationwide.

Note: HCPCS codes are provided for reference within the category. Category totals and rankings in this article are based on standardized groupings rather than individual 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.