Marvell Medicaid evaluation and management category sees $7,878 in 2024 payments, up 26%

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Marvell Medicaid providers billed $7,878 for Evaluation and Management services in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 26.3% rise from 2023, when providers submitted $6,240 in claims for the same category.

Medicaid, a public health insurance program administered by states and funded by both federal and state governments, covers individuals and families with low incomes, as well as seniors, children, and those with disabilities. This makes it a key part of the U.S. health care landscape.

With Medicaid payments sourced from taxpayers, changes in local billing illustrate how public health funding is allocated within the community.

The Evaluation and Management category includes services grouped by type of care, utilizing standardized HCPCS and CPT coding. For this reporting, each code was matched to a single service group using consistent prefixes and numeric ranges, enabling trend analysis and correct ranking while avoiding double counting.

Spending in Marvell grew across several Medicaid service categories, with Evaluation and Management ranking second citywide by total Medicaid payments for 2024.

Statewide, Evaluation and Management finished fifth among all Medicaid payment categories in Arkansas in 2024.

Looking at the five-year stretch leading into 2024, Marvell Medicaid payments for Evaluation and Management rose by $7,878, holding steady at 0% overall. Certain years, such as 2022, saw marked year-over-year spending increases.

Spending in the Evaluation and Management category was not evenly distributed throughout Marvell, as payments largely originated from a small set of ZIP codes. In 2024, ZIP code 72366 accounted for the full $7,878 in Medicaid payments in this category. The top 1 ZIP codes made up 100% of Marvell’s Evaluation and Management Medicaid payments for the year.

Within this service category, Medicaid payments focused on only a few individual billing codes.

Comparatively, Marvell saw a 26.3% increase in Medicaid Evaluation and Management payments between 2024 and 2023, while combined payments for all Medicaid claim categories in the city rose by 25.2% in that same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in fiscal year 2023, representing around 18% of total U.S. health expenditures. This is a substantial increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This shift marks an approximate 40% growth over a few years, which stems mainly from higher enrollment and increased health care use during and after the pandemic.

Recent federal budget measures during the Trump administration have put forward major changes to reduce federal Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid funding by more than $1 trillion over a decade. It also brings in policies such as work requirements and additional cost-sharing, which could lower coverage and funding for certain beneficiaries. These reforms are likely to increase the financial burden on states and curb federal Medicaid support, even as the program remains essential for tens of millions of Americans.

Medicaid Payments Tied to Evaluation and Management in Marvell, Arkansas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2021 $5,782
2022 $9,804 69.6%
2023 $6,239 -36.4%
2024 $7,878 26.3%
Top Categories by Medicaid Payments in Marvell, Arkansas, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $135,175 94.2%
2 Evaluation and Management $7,878 5.5%
3 Procedures / Professional Services $432 0.3%
4 Medicine Services and Procedures $0 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Marvell, Arkansas, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $6,569 7
99213 Office o/p est low 20 min $1,309 3

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.



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