Pullman Medicaid providers received $2,709,384 for Evaluation and Management services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That amount reflects an 8% rise from 2023, when the total for these services was $2,509,783.
Medicaid is a public health insurance program administered by states and funded jointly by federal and state governments. It covers individuals and families with low incomes, older adults, children, and those with disabilities, making it a key component of the U.S. health care system.
Because taxpayers fund Medicaid payments, variations in local billing provide insight into how public health resources are distributed within a community.
The “Evaluation and Management” group comprises Medicaid-billed services identified by the type of care provided, organized by standardized HCPCS and CPT code groupings. For this report, each billing code was attributed to a single service category by using consistent code prefixes and numerical ranges, enabling grouped analysis of related services without double counting and maintaining correct rankings across years.
Although Medicaid expenditures grew across several categories, Evaluation and Management accounted for the highest total Medicaid payments in Pullman in 2024.
Across Washington, Evaluation and Management ranked second among Medicaid categories by total spending for 2024.
From 2019 to 2024, Medicaid spending tied to Evaluation and Management in Pullman grew by $1,692,713, a rise of 166.5%. Growth accelerated during specific years, notably in 2021 and 2023.
Most of the Evaluation and Management spending was clustered in a few Pullman ZIP codes. In 2024, ZIP code 99163 accounted for $2,664,282 and 99164 had $45,100, together comprising 100% of the city’s total for this category.
Spending within the Evaluation and Management group was also concentrated among a select group of billing codes.
In comparison, Evaluation and Management Medicaid payments in Pullman increased 8% from 2023 to 2024, while Medicaid payments across all claim categories in the city rose by 6.8% during that span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up nearly 18% of U.S. health care expenditures, up from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This rise amounts to about 40% growth in just a few years, with expanded enrollment and increased usage cited as key drivers during and after the pandemic.
Recent federal budget legislation passed under the Trump administration featured prominent proposals to trim federal Medicaid funding and modify the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, introducing measures such as work requirements and higher cost-sharing that may impact coverage and funding for certain beneficiaries. These policies are anticipated to transfer greater financial responsibility to states and moderate the growth of federal Medicaid aid, while the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,016,671 | -21.4% |
| 2021 | $1,408,432 | 38.5% |
| 2022 | $1,827,322 | 29.7% |
| 2023 | $2,509,782 | 37.3% |
| 2024 | $2,709,383 | 8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,709,383 | 5<0.1% |
| 2 | Medicine Services and Procedures | $805,554 | 14.9% |
| 3 | Radiology Procedures | $588,949 | 10.9% |
| 4 | Ambulance and Other Transport Services and Supplies | $563,665 | 10.4% |
| 5 | Pathology and Laboratory Procedures | $541,078 | 1<0.1% |
| 6 | Drugs Administered Other than Oral Method | $95,296 | 1.8% |
| 7 | Alcohol and Drug Abuse Treatment | $36,068 | 0.7% |
| 8 | Procedures / Professional Services | $32,598 | 0.6% |
| 9 | Surgery | $18,810 | 0.3% |
| 10 | Temporary Codes | $14,603 | 0.3% |
| 11 | National Codes Established for State Medicaid Agencies | $8,407 | 0.2% |
| 12 | Dental Services | $1,355 | <0.1% |
| 13 | Administrative, Miscellaneous and Investigational | $1,332 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99285 | Emergency dept visit hi mdm | $1,022,220 | 20 |
| 99284 | Emergency dept visit mod mdm | $703,044 | 73 |
| 99283 | Emergency dept visit low mdm | $458,941 | 58 |
| 99213 | Office o/p est low 20 min | $247,471 | 160 |
| 99214 | Office o/p est mod 30 min | $206,714 | 154 |
| 99203 | Office o/p new low 30 min | $18,102 | 12 |
| 99281 | Emr dpt vst mayx req phy/qhp | $16,927 | 10 |
| 99392 | Prev visit est age 1-4 | $12,446 | 9 |
| 99391 | Per pm reeval est pat infant | $7,119 | 6 |
| 99393 | Prev visit est age 5-11 | $5,546 | 4 |
| 99282 | Emergency dept visit sf mdm | $4,054 | 2 |
| 99215 | Office o/p est hi 40 min | $3,499 | 2 |
| 99212 | Office o/p est sf 10 min | $1,610 | 3 |
| 99204 | Office o/p new mod 45 min | $1,585 | 1 |
| 99177 | Ocular instrumnt screen bil | $96 | 3 |
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.
