Stanton Medicaid Evaluation and Management payments rise to $464,887 in 2024

In 2024, Medicaid providers in Stanton billed a total of $464,887 for Evaluation and Management services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 81.5% increase over 2023, when comparable claims totaled $256,181.

Medicaid is a government-run public health insurance program managed by states and funded through both federal and state dollars. The program serves low-income individuals and families, seniors, children, and people with disabilities, making it a core element of the U.S. health care landscape.

As Medicaid funding is sourced from taxpayers, shifts in local billing signal how community health care resources are distributed.

The Evaluation and Management category includes a set of Medicaid services based on care type, grouped according to standardized HCPCS and CPT codes. This report assigns each billing code to a single category using code prefixes and numeric ranges, grouping similar services for analysis while preventing double counting and maintaining consistent rankings.

While Medicaid spending grew in several service categories, Evaluation and Management was the third-highest category by payment amount in Stanton during 2024.

Statewide in California, Evaluation and Management was ranked second by overall Medicaid payments in 2024.

Between 2019 and 2024, payments attributed to Evaluation and Management in Stanton increased by $385,332, or 484.4%. There were particular periods, such as 2021 and 2020, when year-over-year growth accelerated.

Spending for Evaluation and Management services was seen across Stanton, but payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 90680 accounted for $464,887, making up 100% of all Evaluation and Management Medicaid payments in the city that year.

Within this category, Medicaid spending also focused on a limited set of individual billing codes.

Comparatively, Evaluation and Management Medicaid payments in Stanton climbed 81.5% from 2023 to 2024, while the total for all Medicaid claim categories rose 14.8% in the city during the same timeframe.

The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid spending hit about $871.7 billion in fiscal 2023, equaling roughly 18% of national health expenses. This marked a steep rise from the approximately $613.5 billion spent in 2019, prior to the COVID-19 pandemic.

This surge translates to an increase of about 40% over several years, primarily caused by enrollment growth and increased utilization during and after the pandemic years.

Recent federal budget measures enacted during the Trump administration include large-scale proposals to limit federal Medicaid funds and alter the program’s structure. For example, the “One Big Beautiful Bill Act,” passed in 2025, is expected to cut over $1 trillion in Medicaid spending over the decade and adds policies like work requirements and higher cost-sharing. These changes could reduce coverage and funding for certain beneficiaries and may require states to cover a greater share of costs, even as Medicaid continues to serve tens of millions.

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.