Portland Medicaid spending for Evaluation and Management services reaches $110,380 in 2024

In 2024, Medicaid providers in Portland billed $110,380 for services classified within the Evaluation and Management group, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 6.5% increase over 2023, when claims for the same service type totaled $103,691.

Medicaid, a state-administered program supported jointly with federal funding, offers health coverage to low-income groups, the elderly, children, and people with disabilities, and is a major element in the U.S. health care landscape.

As tax revenues finance Medicaid, shifting local billing patterns reveal how public funds for health care are allocated within communities.

The Evaluation and Management categorization covers several Medicaid service types, with assignments based on standardized HCPCS and CPT codes. Each specific billing code was sorted into one category for this study using standardized numbering, ensuring that related services could be aggregated without overlaps, which keeps overall rankings accurate.

Spending rose across various Medicaid service groupings; Evaluation and Management was ranked second among them in Portland for 2024.

In Michigan overall, this service group placed third statewide for Medicaid payment totals in 2024.

Over five years through 2024, Evaluation and Management-related Medicaid payments in Portland rose by $51,407—a gain of 87.2%. Significant year-over-year jumps occurred during certain years, such as 2021 and 2022.

Though care in this category was billed throughout the city, much of the spending was located within a small number of ZIP codes. For 2024, the 48875 ZIP code totaled $110,379, making up all Medicaid payments in this group for Portland that year.

Additionally, a concentrated set of billing codes accounted for much of the Medicaid payments within the Evaluation and Management service group.

While Medicaid payments for this service increased by 6.5% between 2023 and 2024 in Portland, all Medicaid claim types citywide saw a 7.9% change during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses reached roughly $871.7 billion in fiscal 2023, reflecting about 18% of the nation’s health expenditures, up from $613.5 billion in 2019, before the impact of COVID-19.

This jump equals about 40% growth over several years, driven by higher participation and increased service use during and after the pandemic.

Recent federal budget policies under the Trump administration proposed major reductions to Medicaid’s federal funding and fundamental program restructuring. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years, and brings policies like work requirements and higher cost-sharing. These measures could lower both coverage and funding availability for some groups, increasing the budget impact on states even as the program remains a vital resource for millions of Americans.

Note: HCPCS codes are provided to illustrate the composition of the category. All totals and rankings are based on standardized groupings rather than specific billing numbers.

Source: U.S. Department of Health and Human Services Medicaid Provider Spending database. Refer to the underlying data here.