Montfort sees $7,281 in Medicaid payments for Evaluation and Management services in 2024

In 2024, Medicaid providers in Montfort billed a total of $7,281 for services within the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 97.1% jump from 2023, when providers filed $3,694 in claims for these services.

Medicaid, operated by states and funded with both federal and state dollars, provides health insurance to low-income people, older adults, children and individuals with disabilities, making it a major part of the U.S. health care system.

Because Medicaid is supported by taxpayers, fluctuations in local billing help illustrate how a community’s public health care funds are spent.

The “Evaluation and Management” grouping represents a set of Medicaid services defined by the nature of care delivered, based on established HCPCS and CPT codes. For this report, each billing code was categorized into a single service type using uniform code prefixes and numbers, allowing similar services to be analyzed together—avoiding double counts and supporting accurate long-term rankings.

Evaluation and Management not only posted higher spending, it also topped all service categories in Montfort for Medicaid payments in 2024.

At the state level, Evaluation and Management stood as the second-largest category for Medicaid payments in Wisconsin in 2024.

During the five years ending in 2024, Medicaid payments associated with Evaluation and Management in Montfort rose by $6,549, equaling an 894.2% increase. Certain years—particularly 2021 and 2022—experienced sharper year-over-year growth.

Spending for Evaluation and Management services was seen throughout the city but was heavily concentrated geographically. In 2024, ZIP code 53569 represented $7,280 in Medicaid payments under the category, with the top ZIP code accounting for 100% of Montfort’s total payments related to Evaluation and Management for the year.

Spending in Montfort’s Evaluation and Management category was similarly clustered within several specific billing codes.

When compared with the 89.4% overall increase for all Medicaid categories in the city, billing tied to Evaluation and Management increased by 97.1% between 2023 and 2024.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023. This made up roughly 18% of total U.S. health expenditures, up sharply from around $613.5 billion in 2019, the year before the pandemic.

The increase amounts to almost 40% growth over a few years, due largely to rising enrollment and greater service use during and after the pandemic.

In recent years, federal budget measures adopted under President Trump have included notable efforts to scale back Medicaid funding and change its structure. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid funding by over $1 trillion through the next decade and sets policies introducing work requirements and higher cost sharing—potentially lessening coverage and funding for some beneficiaries. These policy adjustments may increase states’ financial responsibility and slow future growth of federal Medicaid contributions, even as the program serves tens of 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.