Huntington Beach Medicaid Evaluation and Management claims reach $2,387,817 in 2024

Providers in Huntington Beach billed Medicaid $2,387,817 for services under the Evaluation and Management category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represented a 17.8% rise from 2023, when claims for this service type reached $2,027,232.

Medicaid is a public health insurance program jointly funded by federal and state governments and operated by the states. It serves low-income families and individuals, seniors, children, and people with disabilities, making it one of the core components of health care in the United States. More details are available from the Commonwealth Fund.

Because Medicaid is funded by taxpayers, variations in local billing levels indicate how public health spending is distributed within communities.

The “Evaluation and Management” classification refers to a set of Medicaid-billed services organized by the nature of care based on standardized HCPCS and CPT codes. Each billing code was mapped to a single service group using unified prefixes and numeric definitions, enabling an aggregate review while ensuring categories are not double-counted for comparisons between years.

Despite rising Medicaid spending in multiple categories, Evaluation and Management services placed fourth highest by total payments in Huntington Beach for 2024.

At the state level, Evaluation and Management was the second largest category by total Medicaid payments in California that year.

Reviewing the five years up to 2024, Medicaid payments for Evaluation and Management services in Huntington Beach grew by $1,236,107, an increase of 107.3%. Notable annual spikes occurred in 2021 and 2023.

The city’s spending on Evaluation and Management services was not evenly spread, with the highest Medicaid payments concentrated in just a few ZIP codes during 2024. ZIP code 92647 accounted for $1,529,674, 92646 reached $457,786, and 92649 registered $288,339, with these 3 codes together making up 95.3% of the category’s Medicaid payments that year.

Within Evaluation and Management, payments were further concentrated among a small selection of billing codes.

Between 2024 and 2023, Medicaid spending on Evaluation and Management in Huntington Beach climbed 17.8%. For all Medicaid service categories, the city experienced a 19% increase in the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures were about $871.7 billion in fiscal year 2023, making up roughly 18% of the nation’s health spending and standing well above the $613.5 billion from 2019 before the COVID-19 pandemic.

This jump reflects an increase of around 40% over several years, attributed mostly to expanded enrollment and greater use of health benefits during and after the pandemic.

Recent federal budget measures under the Trump administration included significant cuts and program changes for Medicaid. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to reduce federal Medicaid outlays by more than $1 trillion over the coming decade and has introduced work requirements and heightened cost-sharing that may decrease coverage and federal support for beneficiaries. These policies are projected to shift more costs to states and slow the growth in federal contributions even as Medicaid continues to provide for many Americans.

Note: HCPCS codes are provided to give category context. Totals and rankings discussed in this article use standardized service groupings, not individual billing codes.

Details in this article are derived from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.