Lockport Medicaid spending on Evaluation and Management services climbs to $20,944 in 2024

In 2024, Medicaid providers submitted $20,944 in claims for Evaluation and Management services in Lockport, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 33.7% rise over the $15,663 billed for the same category in 2023.

Medicaid, funded through a federal-state partnership, offers health insurance for low-income people, including families, seniors, children, and those with disabilities, making it one of the largest components of the U.S. health care system.

Local Medicaid billing levels can reveal how taxpayer funds are distributed for public health care within a community.

The Evaluation and Management category encompasses Medicaid services grouped by care type, determined using standardized HCPCS and CPT code conventions. For this analysis, each code was assigned to a single service group based on specific prefixes and numeric intervals, enabling a comprehensive look at related services, avoiding duplication, and supporting consistent comparisons over time.

While many Medicaid service categories saw higher expenditures, Evaluation and Management was the second-largest category by total Medicaid payments in Lockport for 2024.

Statewide in Louisiana, Evaluation and Management stood as the third highest Medicaid payment category in 2024.

Across the five years through 2024, Medicaid payments in Lockport linked to Evaluation and Management rose by $20,944, with the total remaining flat at 0%. Periods of rapid growth occurred, notably with sizable annual increases in both 2023 and 2022.

Spending in the Evaluation and Management category was distributed throughout Lockport, but most payments were concentrated in only a few ZIP codes. For 2024, ZIP code 70374 accounted for $20,944 in claims. In fact, the top ZIP code made up 100% of Medicaid payments in this service group in Lockport that year.

Payments within the Evaluation and Management group were highly focused on a small set of billing codes as well.

Between 2024 and 2023, Evaluation and Management Medicaid payments in Lockport rose 33.7%, whereas citywide Medicaid spending across all claim categories grew by 4.5% in the same period.

According to the Centers for Medicare & Medicaid Services, combined Medicaid spending by federal and state governments hit approximately $871.7 billion during fiscal 2023. That amounts to about 18% of overall U.S. health expenditures, up sharply from $613.5 billion in 2019, before the pandemic began.

This represents growth of about 40% in just a few years, largely due to broader enrollment and increased service use during and after the pandemic years.

Recent federal budget measures enacted during the Trump administration have brought significant suggestions to trim federal Medicaid support and change how the program operates. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over the next 10 years. Its provisions—including work requirements and heightened cost-sharing—could curb coverage and funding for some recipients, likely shifting more financial responsibility to states and constraining future federal Medicaid growth, though tens of millions of Americans remain covered by the program.

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.