Medicaid Evaluation and Management payments in Mansfield reach $4,033 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Mansfield’s Medicaid providers billed $4,033 for Evaluation and Management services, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This amount represents a 16.5% increase from 2023, when $3,463 in claims were processed for these services.

Medicaid, funded through federal and state partnerships and operated by each state, offers health insurance for low-income residents, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Variations in how Medicaid is billed locally reflect changing allocation patterns for taxpayer-funded public health spending in the community.

The Evaluation and Management category covers a group of Medicaid services classified by care type through standardized HCPCS and CPT code assignments. Billing codes for this analysis were organized into single service categories with consistent numeric ranges and prefixes to ensure related services were grouped and ranked without double counting.

Although spending grew across various Medicaid service types, Evaluation and Management was the second highest category for Medicaid payments in Mansfield in 2024.

Statewide, Evaluation and Management ranked fifth by Medicaid payment volume in Arkansas during 2024.

Between 2019 and 2024, Medicaid payments tied to Evaluation and Management services in Mansfield rose by $4,134, or 50.6%. During this span, expenditures accelerated in specific years, notably 2020 and 2022.

Although Evaluation and Management services were utilized throughout Mansfield, Medicaid payments were heavily concentrated in certain ZIP codes. In 2024, ZIP code 72944 accounted for $4,032 in payments, representing 100% of Evaluation and Management Medicaid transactions in the city that year.

Most Medicaid payments within this category centered around a relatively small set of individual billing codes.

For perspective, Mansfield’s 16.5% increase in Evaluation and Management Medicaid payments from 2023 to 2024 compared with a 40.4% change seen across all Medicaid service categories locally over the same time.

Centers for Medicare & Medicaid Services data show that total state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, making up about 18% of national health spending, up sharply from $613.5 billion in 2019 before the COVID-19 pandemic.

The increase marks about 40% growth in just a few years, largely a result of rising enrollment and greater demand for services during and after the pandemic.

Recent federal budget measures during the Trump administration have contained significant proposals aiming to decrease federal Medicaid funding and adjust the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to trim more than $1 trillion in federal Medicaid spending over 10 years and establishes changes such as work requirements and higher cost-sharing, which could reduce both coverage and funding for certain groups. These amendments are poised to increase states’ financial responsibilities and restrict federal Medicaid growth, even as the program continues to cover millions across the U.S.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $8,167 14.5%
2021 $3,687 -54.8%
2022 $3,832 3.9%
2023 $3,462 -9.7%
2024 $4,032 16.5%
Top Categories by Medicaid Payments in Mansfield, Arkansas, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $52,646 92.9%
2 Evaluation and Management $4,032 7.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Mansfield, Arkansas, 2024

HCPCS Code Description Medicaid Payments Claims
99394 Prev visit est age 12-17 $2,318 3
99393 Prev visit est age 5-11 $1,714 2

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.



Related

Congresswoman Harriet M. Hageman

Subcommittee discusses wildlife management and water infrastructure legislation

Lawmakers discussed several bills addressing wildlife management policies and rural water infrastructure during an April hearing led by Subcommittee Chair Harriet Hageman. Proposed measures included changes regarding polar bear trophy imports, invasive species control programs, cormorant population oversight frameworks, and feasibility studies for new regional water systems.

Bruce Westerman Chairman

House passes HEATS Act to streamline geothermal energy permitting on non-federal lands

The U.S. House approved legislation aimed at simplifying permits for geothermal projects on non-federal land. Supporters say it could lower costs and strengthen U.S. energy independence.

Bruce Westerman Chairman

House subcommittee examines permitting process for tribal natural resource development

A House subcommittee reviewed how the federal permitting process affects natural resource development in Indian Country during an oversight hearing held Apr. 22. Leaders discussed ongoing challenges faced by tribes seeking economic growth through resource management.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Fort Smith Times.