Evaluation and Management Medicaid spending in Bosque Farms rises to $213,713 for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Bosque Farms submitted $213,713 in claims under the Evaluation and Management category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 17.5% increase from 2023, when claims for this category totaled $181,866.

Medicaid operates as a public health insurance program administered by the states with joint funding from federal and state governments jointly by federal and state governments. It provides coverage to low-income individuals, families, seniors, children and people with disabilities, placing it among the largest U.S. health care programs.

Because public funds support Medicaid payments, shifts in billing locally highlight how health care resources are distributed within the community.

The Evaluation and Management group includes various Medicaid-billed services defined by the type of care delivered and grouped using standardized HCPCS and CPT code classifications. For this study, service codes were categorized by consistent code prefixes and number ranges, ensuring related services were analyzed together without double counting, and preserving accurate rankings over time.

While Medicaid dollars rose across several service types, the Evaluation and Management segment led all Medicaid payments in Bosque Farms in 2024.

Statewide in New Mexico, Evaluation and Management placed third by aggregate Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments linked to the Evaluation and Management segment in Bosque Farms rose $147,294, a growth rate of 221.8%. The pace of spending expanded more rapidly at several points, especially during the 2023 and 2022 periods.

Although Evaluation and Management services were utilized in various Bosque Farms neighborhoods, Medicaid payments predominantly came from a limited number of ZIP codes. In 2024, ZIP code 87068 was responsible for the full $213,713 in Medicaid payments under this category. Altogether, the leading ZIP code represented 100% of Bosque Farms’ Medicaid payments for Evaluation and Management that year.

Among Evaluation and Management services, Medicaid payments focused on a select portion of billing codes overall.

To compare, Medicaid payments for the Evaluation and Management category in Bosque Farms rose by 17.5% from 2023 to 2024, while overall Medicaid claim payments in the city changed by 13.7% during that period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures totaled approximately $871.7 billion during fiscal year 2023, accounting for about 18% of all national health spending, a significant increase compared with roughly $613.5 billion in 2019, before the COVID-19 public health emergency.

This uptick reflects nearly 40% growth in only a few years, primarily resulting from higher enrollment and service use related to the pandemic and its aftermath.

Recent federal budget measures under the Trump administration brought forth significant changes, including substantial reductions in federal Medicaid funding and major modifications to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and brings changes such as mandatory work requirements and increased shares of payments from beneficiaries, which could restrict access and shift additional costs to states, even while Medicaid continues to serve millions of Americans.

Medicaid Payments Tied to Evaluation and Management in Bosque Farms, New Mexico Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $66,418 -24%
2021 $67,711 1.9%
2022 $84,957 25.5%
2023 $181,866 114.1%
2024 $213,713 17.5%
Top Categories by Medicaid Payments in Bosque Farms, New Mexico, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $213,713 39.8%
2 Medicine Services and Procedures $188,270 35.1%
3 Temporary National Codes (Non-Medicare) $134,371 25.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Bosque Farms, New Mexico, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $200,980 24
99204 Office o/p new mod 45 min $12,732 5

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.



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