Harrisville Medicaid Evaluation and Management expenditures rise to $91,713 in 2024

According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Harrisville billed $91,713 for Evaluation and Management services in 2024. This represented an 8.5% rise compared with 2023, during which time providers filed $84,513 worth of similar claims.

Medicaid is a public health insurance program administered by states and financed by both federal and state governments. Serving low-income families and individuals, seniors, children, and people with disabilities, it is a significant part of the nation’s health care system.

Because taxpayer funds support Medicaid, local spending trends highlight how public health resources are used in specific communities.

The “Evaluation and Management” category represents a set of Medicaid services defined by care type, based on consistent HCPCS and CPT code groupings. Each code in this analysis was placed into only one service category using common code prefixes and number patterns, which allows analysis of related services together while preventing overlaps and maintaining accurate annual comparisons.

Although total Medicaid outlays rose across various service categories, the Evaluation and Management category accounted for the largest share of Medicaid payments in Harrisville in 2024.

Statewide, this service group ranked third in Utah by overall Medicaid payments for that year.

Across the five years before 2024, Evaluation and Management-related Medicaid payments in Harrisville increased by $91,713, with a total growth of 0%. Growth became more pronounced at times, including significant gains in 2021 and 2023.

While payments for Evaluation and Management services were reported throughout the city, the majority was concentrated within a few ZIP codes. In 2024, the leading ZIP code was 84404, accumulating $91,713 or 100% of local Medicaid payments for that service category.

A small number of specific billing codes were responsible for most of the Medicaid payments within the Evaluation and Management category.

When compared, Harrisville saw its Medicaid payments connected to Evaluation and Management rise 8.5% from 2023 to 2024, while overall Medicaid claims citywide increased by 1.4% for the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending amounted to approximately $871.7 billion in fiscal 2023, making up about 18% of U.S. health spending and rising steeply from nearly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This marks an increase of nearly 40% in just a few years, attributed mainly to expanded enrollment and higher medical services use during and after the pandemic period.

Recent federal budget legislation during the Trump administration included proposals aiming to reduce national Medicaid spending and restructure the program. As part of this, the “One Big Beautiful Bill Act,” signed in 2025, is forecasted to reduce federal Medicaid expenditures by over $1 trillion in the next decade and impose policies such as work requirements and higher cost-sharing, which may limit coverage and shift more of the fiscal responsibility for Medicaid to the states, even as millions continue to rely on 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.