Evaluation and Management Medicaid payments in Temple City reach $89,694 in 2024, up 5.3%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Temple City submitted $89,694 in claims for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 5.3% increase over 2023, when the total for these services was $85,189.

Medicaid, a health insurance program run by states and funded jointly by the federal and state governments, covers low-income individuals and families, seniors, children and people with disabilities. It is one of the largest components of the U.S. health care system.

Because Medicaid is funded by taxpayers, shifts in local billing levels illustrate how public health care dollars are distributed within a community.

The “Evaluation and Management” category comprises Medicaid-billed services defined by the type of care delivered, grouped using standardized HCPCS and CPT codes. In this analysis, codes were categorized to avoid double counting and to ensure services were grouped accurately, helping track changes and maintain consistent rankings over time.

While overall Medicaid spending grew for a number of service categories, Evaluation and Management was fourth by total Medicaid payments in Temple City in 2024.

Across California, Evaluation and Management was the second-highest service category for Medicaid payments in 2024.

Between 2019 and 2024, Evaluation and Management-related Medicaid payments in Temple City increased by $2,768, or 3%. Growth rates varied year to year, with substantial increases noted specifically in 2022 and 2023.

Although care categorized as Evaluation and Management occurred citywide, payments were especially concentrated in certain ZIP codes. In 2024, ZIP code 91780 accounted for $89,693 in Medicaid claims for this service, representing 100% of the total in this category for Temple City.

Within the Evaluation and Management group, Medicaid dollars mainly focused on a select set of individual billing codes.

To compare, while Evaluation and Management Medicaid payments in Temple City rose by 5.3% between 2023 and 2024, all Medicaid claim categories combined in the city saw a 21.9% increase during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending neared $871.7 billion in fiscal 2023, or roughly 18% of total U.S. health expenditures, up from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This change marks a nearly 40% increase in only a few years, attributed primarily to more enrollees and greater use of services during and after the pandemic.

Recent federal budget laws under the Trump administration included major proposals to trim federal Medicaid funding and change the program structure. The “One Big Beautiful Bill Act,” passed in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and brings in measures like work requirements and higher cost-sharing. These changes could lead to less coverage and funding for certain beneficiaries and are expected to create more costs for states, restricting future growth even as Medicaid continues to serve tens of millions across the U.S.

Medicaid Payments Tied to Evaluation and Management in Temple City, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $92,461 -34.5%
2021 $70,174 -24.1%
2022 $77,483 10.4%
2023 $85,189 9.9%
2024 $89,693 5.3%
Top Categories by Medicaid Payments in Temple City, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $1,670,845 60.9%
2 Medicine Services and Procedures $559,121 20.4%
3 Dental Services $333,888 12.2%
4 Evaluation and Management $89,693 3.3%
5 Pathology and Laboratory Procedures $32,280 1.2%
6 Temporary Codes $20,194 0.7%
7 Procedures / Professional Services $19,377 0.7%
8 Vision Services $12,856 0.5%
9 Drugs Administered Other than Oral Method $5,271 0.2%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Temple City, California, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $26,653 23
99393 Prev visit est age 5-11 $19,470 10
99392 Prev visit est age 1-4 $15,888 10
99394 Prev visit est age 12-17 $13,602 10
99213 Office o/p est low 20 min $7,823 21
99391 Per pm reeval est pat infant $3,052 3
99309 Sbsq nf care moderate mdm 30 $1,312 9
99173 Visual acuity screen $1,153 10
99406 Behav chng smoking 3-10 min $548 10
99000 Specimen handling office-lab $157 11
99408 Audit/dast 15-30 min $31 7
99396 Prev visit est age 40-64 $0 1

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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