Yarmouth Port Medicaid Evaluation and Management payments up 4.1% in 2024

In 2024, Yarmouth Port’s Medicaid providers billed $65,886 for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 4.1% rise from 2023, when $63,262 in claims were filed under the same service category.

Medicaid, which is administered by states and funded in partnership with federal and state resources, provides coverage to low-income individuals and families, seniors, children, and those with disabilities, making it a significant part of the U.S. health care system.

Since Medicaid funding is sourced from taxpayers, variations in local billing indicate how public health care resources are distributed within a community.

The “Evaluation and Management” group includes Medicaid-billed services defined according to the type of care, organized using consistent HCPCS and CPT coding structures. Billing codes were grouped into a single category for this analysis to allow accurate year-over-year comparisons while avoiding double counting and maintaining correct rankings.

Among service categories, Evaluation and Management led all Medicaid payments in Yarmouth Port for 2024.

Statewide in Massachusetts, Evaluation and Management was the fifth-largest category by Medicaid payments that year.

Between 2019 and 2024, Yarmouth Port saw Medicaid payments for Evaluation and Management climb by $20,035, or 43.7%. Periods of accelerated spending growth included 2022 and 2023, with marked year-over-year increases.

Payments for Evaluation and Management services were distributed throughout Yarmouth Port but were primarily concentrated in a few ZIP codes. The ZIP code 02675 accounted for the full $65,886 in payments in 2024, representing 100% of Medicaid spending in this category for Yarmouth Port.

Only a select number of individual billing codes within the Evaluation and Management group accounted for most Medicaid payments.

Medicaid payments linked to Evaluation and Management in Yarmouth Port climbed 4.1% between 2024 and 2023. For comparison, all Medicaid claim categories in the city saw a 15.7% change during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, representing around 18% of overall national health expenditures—sharply up from $613.5 billion in 2019, before the COVID-19 health crisis.

This increase corresponds to an approximate 40% growth over several years, with much of this rise attributed to expanded enrollment and greater utilization during and after the pandemic.

Recently, federal budget acts passed during the Trump administration have included major Medicaid policy proposals to reduce federal funding and revise program structures. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid outlays by over $1 trillion over the next decade. The law ushers in measures such as work requirements and increased cost-sharing, potentially limiting coverage and funding for certain beneficiaries, shifting more financial responsibility to states as the program continues to cover tens of millions nationwide.

Note: HCPCS codes are listed for context. Category totals and rankings are derived from standardized service groupings rather than individual billing codes.

Source data for this report are from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.