Mountainair Medicaid Evaluation and Management payments increase 12% in 2024

In 2024, Medicaid providers in Mountainair billed $115,326 for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 12% uptick compared with 2023, when the same services amounted to $102,962 in Medicaid claims.

Medicaid, a health insurance program jointly financed by state and federal governments, provides coverage for low-income individuals, families, seniors, children, and people with disabilities. The program is one of the largest elements of the nation’s health care framework.

Since Medicaid funding is supplied by taxpayers, shifts in local billing figures illustrate how public health resources are dispersed in a community.

The “Evaluation and Management” group represents Medicaid-billed services categorized by care type, using standardized HCPCS and CPT code groupings. This analysis matched each billing code to a single service category by applying uniform code prefixes and number ranges to prevent double counting and ensure correct rankings over time.

While Medicaid disbursements grew in multiple categories, Evaluation and Management topped all others in Mountainair by total Medicaid payments in 2024.

Across New Mexico, Evaluation and Management ranked as the third-highest category statewide for total Medicaid payments in 2024.

Looking at the five years before 2024, Medicaid payments for Evaluation and Management services in Mountainair grew by $12,017, or 9.4%. There were periods of accelerated spending, with notable annual increases in 2021 and 2022.

Although Evaluation and Management spending was distributed throughout Mountainair, most of the payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 87036 recorded $115,326 for this service group, representing 100% of the city’s Medicaid payments within this category.

A small number of specific billing codes accounted for much of the Medicaid spending tied to Evaluation and Management services.

For context, between 2024 and 2023, local Medicaid payments for Evaluation and Management climbed 12%, compared to a citywide average increase of 8.1% across all Medicaid categories during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, accounting for roughly 18% of total national health spending. That’s up significantly from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This growth represents an increase of around 40% over a few years, primarily fueled by higher enrollment rates and greater utilization during and after the pandemic.

Recent federal budget measures adopted during the Trump administration have included substantial recommendations to decrease federal Medicaid allocations and change program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and implement new policies like work requirements and higher cost-sharing, potentially diminishing coverage and financial support for some recipients. These adjustments would shift additional costs to states and slow federal Medicaid funding growth, even as the program continues to support millions of Americans.

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.