In 2024, Medicaid providers in Winnemucca billed a total of $1,375,611 for services classified under the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 235.8% increase from 2023, when claims for these services totaled $409,684.
Medicaid is a state-run public health insurance program funded jointly by the federal and state governments. It covers people with low incomes and their families, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care system.
Because taxpayer dollars fund Medicaid, local shifts in billing reflect how public health care resources are distributed throughout a community.
The “Evaluation and Management” classification covers a set of Medicaid-billed services identified by the care provided, categorized using established HCPCS and CPT code groups. For this report, each billing code was assigned to a specific service group by matching code prefixes and numerical ranges, ensuring related services could be tracked, double counting was avoided, and accurate rankings maintained over time.
Even as Medicaid spending rose in several categories, Evaluation and Management topped the list for total Medicaid payments in Winnemucca for 2024.
Within Nevada, Evaluation and Management ranked as the second-largest category for Medicaid payments statewide in 2024.
Between 2020 and 2024, Medicaid payments attached to Evaluation and Management services in Winnemucca rose by $1,133,788—a 468.8% increase. Certain periods, particularly 2021 and 2022, saw accelerated growth in spending year over year.
Though these payments were distributed throughout Winnemucca, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 89445 accounted for the entire $1,375,611 within the Evaluation and Management category in the city, making up 100% of such Medicaid payments for the year.
Payments in the Evaluation and Management category were also concentrated among a relatively small set of individual billing codes.
For comparison, Medicaid payments tied to the Evaluation and Management category in Winnemucca grew 235.8% from 2023 to 2024, whereas all Medicaid claim categories combined for the city increased by 68.5% over the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, which was about 18% of total national health expenditures. This figure was a notable rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
The change amounts to roughly 40% growth in just several years, mainly driven by expanded enrollment and increased health care use during and after the pandemic years.
Recent federal budget measures during the Trump administration introduced major proposals to reduce federal Medicaid funding and revamp the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid spending during the next decade and implements new requirements such as work mandates and more cost-sharing. These policies could reduce coverage and funding for some members, with the expected outcome of higher state costs and slower federal Medicaid spending growth, even as the program continues to serve millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $241,823 | -20.5% |
| 2021 | $364,429 | 50.7% |
| 2022 | $405,790 | 11.3% |
| 2023 | $409,684 | 1% |
| 2024 | $1,375,611 | 235.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,375,611 | 33.7% |
| 2 | National Codes Established for State Medicaid Agencies | $1,037,931 | 25.5% |
| 3 | Radiology Procedures | $665,910 | 16.3% |
| 4 | Pathology and Laboratory Procedures | $354,281 | 8.7% |
| 5 | Medicine Services and Procedures | $321,208 | 7.9% |
| 6 | Procedures / Professional Services | $117,314 | 2.9% |
| 7 | Ambulance and Other Transport Services and Supplies | $104,302 | 2.6% |
| 8 | Vision Services | $49,180 | 1.2% |
| 9 | Alcohol and Drug Abuse Treatment | $20,569 | 0.5% |
| 10 | Durable Medical Equipment | $20,276 | 0.5% |
| 11 | Surgery | $6,478 | 0.2% |
| 12 | Temporary Codes | $4,678 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $85 | <0.1% |
| 14 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99283 | Emergency dept visit low mdm | $531,321 | 13 |
| 99284 | Emergency dept visit mod mdm | $441,438 | 60 |
| 99285 | Emergency dept visit hi mdm | $238,066 | 20 |
| 99282 | Emergency dept visit sf mdm | $109,580 | 12 |
| 99213 | Office o/p est low 20 min | $22,653 | 36 |
| 99214 | Office o/p est mod 30 min | $22,617 | 26 |
| 99212 | Office o/p est sf 10 min | $5,805 | 14 |
| 99203 | Office o/p new low 30 min | $3,195 | 6 |
| 99202 | Office o/p new sf 15 min | $931 | 2 |
| 99002 | Device handling phys/qhp | $0 | 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.
