Kenly Medicaid spending on Evaluation and Management services climbs to $34,668 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that providers in Kenly billed $34,668 to Medicaid for Evaluation and Management category services in 2024. This total represented a 24.1% rise compared to 2023, when $27,936 in similar claims were submitted.

Medicaid is a state-administered public health insurance program funded through joint federal and state contributions. Providing coverage for low-income people, seniors, children and individuals with disabilities, it constitutes one of the largest segments of the U.S. health system.

Because taxpayer dollars provide Medicaid funding, local billing figures offer insight into how public health care resources are distributed within specific communities.

The Evaluation and Management category groups a range of Medicaid-billed services according to care type, using designated HCPCS and CPT code segments. For this review, each billing code went into a single service grouping via consistent code prefixes and numerical boundaries—allowing comparable services to be analyzed together, eliminating duplicate counts, and keeping rank orders consistent across years.

Growth in Medicaid payments occurred across multiple service lines; however, Evaluation and Management accounted for the highest total in Kenly for 2024.

On a statewide basis in North Carolina, Evaluation and Management placed second among categories for Medicaid payments in 2024.

Between the five years leading up to 2024, Evaluation and Management Medicaid billing in Kenly grew by $18,685, or 116.9%. Some years saw sharper increases, with significant year-over-year rises in both 2022 and 2021.

Payments for Evaluation and Management care in 2024 spanned the city but were focused in a small number of ZIP codes. ZIP code 27542 made up $34,667 in payments and represented 100% of total Medicaid Evaluation and Management outlays in Kenly that year.

Spending within the Evaluation and Management category also concentrated among a limited set of specific billing codes.

Medicaid Evaluation and Management payments in Kenly grew 24.1% between 2024 and 2023, while overall Medicaid claim spending in the city shifted by 22.8% during that interval.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached approximately $871.7 billion in the 2023 fiscal year—nearly 18% of total national health expenses—rising from about $613.5 billion in 2019 before the COVID-19 pandemic.

This reflects nearly 40% growth in just a few years, largely due to increased enrollment and utilization during and after the pandemic period.

Federal budget initiatives during the Trump administration included proposals for major reductions in Medicaid’s federal support and changes to the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce more than $1 trillion from federal Medicaid funding over 10 years and adds policies like work requirements and greater cost-sharing, which could affect beneficiaries’ coverage. Such changes may transfer additional expenses to states and are likely to curtail growth in federal contributions, even as tens of millions continue to rely on Medicaid.

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.