Buies Creek Medicaid payments for Evaluation and Management services reach $6,615 in 2024

In 2024, Medicaid providers in Buies Creek billed $6,615 for services under the Evaluation and Management category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 202.7% rise from 2023, when providers claimed $2,185 for similar services.

Medicaid, a public health insurance program managed by the states and funded collectively by federal and state governments, serves low-income individuals and families, seniors, children, and people with disabilities. It makes up a significant component of the American health system.

Since Medicaid funding relies on taxpayer support, shifts in local billing give insight into how public healthcare dollars are being used at the community level.

The “Evaluation and Management” category encompasses a collection of Medicaid-billed services, determined by the nature of care and standardized by HCPCS and CPT code groupings. For this analysis, each billing code is placed into a single service category through uniform code prefixes and number ranges, ensuring related services are evaluated together while avoiding duplicate counts and maintaining accurate rankings across time.

While Medicaid expenditures increased in several service categories, Evaluation and Management ranked as the top category by total Medicaid payments in Buies Creek in 2024.

Across North Carolina, the Evaluation and Management category placed second for total Medicaid payments in 2024.

Looking at the five years preceding 2024, Medicaid payments for Evaluation and Management services in Buies Creek grew $2,905, or 78.3%. Certain periods saw faster spending increases, with notable year-over-year gains seen in both 2022 and 2022.

Within Buies Creek, the citywide spending for Evaluation and Management care was primarily concentrated within a small group of ZIP codes. For 2024, ZIP code 27506 made up $6,615 of these Medicaid payments. This single ZIP code accounted for the entire sum of Evaluation and Management Medicaid spending citywide that year.

A limited portion of individual billing codes within the Evaluation and Management category represented the bulk of Medicaid payments.

For perspective, Medicaid payments in Buies Creek for Evaluation and Management rose 202.7% from 2023 to 2024—the same percentage change recorded across all Medicaid claim categories in the community during that period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached around $871.7 billion during the 2023 fiscal year, comprising roughly 18% of national health expenses. This amount increased sharply from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

The growth represents an increase of approximately 40% in just a few years, largely attributed to expanded enrollment and greater service use during and after the pandemic.

Federal budget legislation during the Trump administration included significant measures to reduce federal Medicaid funding and change the structure of the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to eliminate more than $1 trillion in federal Medicaid spending over the next decade, implementing policies such as work requirements and greater cost-sharing that could decrease coverage and funding for certain recipients. These policy changes are expected to push more costs to individual states and constrain federally driven Medicaid expansion, even as millions remain enrolled in the program.

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.