Pevely Medicaid Evaluation and Management payments reached $1,878 in 2024, up 10.6%

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Pevely billed $1,878 for Evaluation and Management services in 2024. This figure reflects a 10.6% rise from 2023, when the total claims for these services were $1,698.

Medicaid, a state-administered public health insurance program with joint federal and state funding, covers low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest sectors of the U.S. health care system. For more on how Medicaid is funded, see this resource.

Since Medicaid relies on taxpayer funding, shifts in local billing illustrate how health care resources are used within a community.

The Evaluation and Management category encompasses Medicaid-billed services grouped by care type, following standardized HCPCS and CPT code groupings. This analysis organizes each billing code into a single service group using consistent code prefixes and numeric ranges, grouping similar services for examination, preventing duplicate counts, and accurately tracking changes over time.

Among Medicaid spending categories, Evaluation and Management was the largest in Pevely by total payments in 2024.

Statewide in Missouri, Evaluation and Management was the second-largest Medicaid payment category in 2024.

From five years prior to 2024, payments for Evaluation and Management services in Pevely grew by $1,878—a 0% change overall. However, certain years, notably 2023 and 2022, saw more rapid year-over-year spending growth.

Although Evaluation and Management service payments were distributed across Pevely, the majority were concentrated in just a few ZIP codes. In 2024, ZIP code 63070 accounted for $1,878—the entirety of Medicaid payments for this category in the city, representing 100% of the total.

Payments within the Evaluation and Management category were primarily associated with a small group of individual billing codes.

Between 2023 and 2024, Evaluation and Management payments in Pevely increased by 10.6%, compared with a 96.8% growth rate across all Medicaid claim categories in the city over the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was roughly $871.7 billion in fiscal year 2023, representing about 18% of the nation’s health expenditures—a substantial rise from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This growth, about 40% over several years, is largely attributed to expanded enrollment and greater service use during and after the pandemic.

Recent federal budget measures under the Trump administration have included major proposals to reduce federal Medicaid support and alter program structure. The “One Big Beautiful Bill Act,” passed into law in 2025, is set to reduce federal Medicaid funding by over $1 trillion during the next decade and incorporates new policies, such as work requirements and higher cost-sharing, that could curtail both coverage and funding for some enrollees. These moves are likely to shift greater cost responsibility to states and slow federal Medicaid growth, even as the program serves tens of millions nationwide.

Note: HCPCS codes appear for informational purposes within the category. All category totals and rankings use standardized service groups instead of individual billing codes.

Data used in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.