Medicaid spending for Evaluation and Management services in Fort Duchesne climbs to $64,728 in 2024

In 2024, Fort Duchesne’s Medicaid providers charged $64,728 for Evaluation and Management services, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 223% jump from 2023, when claims for those same services totaled $20,038.

Medicaid is a health insurance program managed at the state level and financed by both state and federal governments. It provides coverage for low-income individuals and families, as well as seniors, children, and those with disabilities, making it a cornerstone of the U.S. health care system.

Since Medicaid payments are taxpayer-funded, shifts in local billing help show where public health care resources are directed in communities.

The Evaluation and Management classification includes Medicaid services organized by type of care, following established HCPCS and CPT coding protocols. For this analysis, billing codes were grouped to a single service category through standardized prefixes and number ranges, keeping related procedures together and preventing double counting to ensure rankings remained accurate over time.

While Medicaid outlays rose in multiple categories, Evaluation and Management represented the highest total Medicaid payments in Fort Duchesne during 2024.

Statewide in Utah, Evaluation and Management was third in total Medicaid payments for 2024.

Between the five years leading to 2024, Medicaid payments for the Evaluation and Management group in Fort Duchesne grew by $495,961, or 88.5%. Certain periods saw sharp rises, especially in 2020 and 2022 with significant year-over-year gains.

Although spending under Evaluation and Management was dispersed throughout the city, the majority was concentrated in a small number of ZIP codes. During 2024, ZIP code 84026 saw $64,727 in related Medicaid payments, accounting for the full share of this service category in Fort Duchesne.

Payments within the Evaluation and Management category were focused among just a few specific billing codes.

To compare, Medicaid payments associated with Evaluation and Management in Fort Duchesne surged by 223% between 2024 and 2023; across all Medicaid claim types in the city, the period saw a change of 97%.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of overall U.S. health expenditures—up significantly from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents an increase of about 40% over several years, largely due to expanded program enrollment and greater use of health services during and after the pandemic.

Recent federal budget laws under the Trump administration have included broad cuts and changes to federal Medicaid funding. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion during the next 10 years and enacts policy changes like work requirements and higher cost-sharing, which could decrease coverage and funding for certain participants. These policies are anticipated to shift larger financial responsibilities to the states and slow the rate of federal Medicaid growth, even as the program continues to provide coverage to tens of millions nationwide.

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.