Bulls Gap Medicaid billing for evaluation and management services climbs 67.2% to $189,910 in 2024

In 2024, Medicaid providers in Bulls Gap billed $189,910 for services in the Evaluation and Management category, U.S. Department of Health and Human Services Medicaid Provider Spending data show. The total increased 67.2% from 2023, when providers submitted $113,598 in claims for this service type.

Medicaid, a state-administered health insurance program funded in partnership by federal and state governments, serves low-income residents, seniors, children, and people with disabilities, making it a significant part of U.S. health care.

Because Medicaid relies on taxpayer funding, fluctuations in local billing help indicate how health care resources are distributed in individual communities.

The Evaluation and Management category comprises Medicaid-billed care identified by standardized HCPCS and CPT code ranges. This analysis matched each billing code with a specific service area using consistent numeric ranges and code prefixes, allowing related services to be grouped for historical comparisons without double counting.

Spending rose across many service categories, but Evaluation and Management was the second-largest Medicaid payment category in Bulls Gap in 2024.

Statewide in Tennessee, Evaluation and Management also ranked second for total Medicaid payments for 2024.

From five years before 2024 through that year, Bulls Gap saw Medicaid payments in this category grow by $119,091 — a 168.2% gain. Growth accelerated in select periods, with marked annual jumps noted in 2023 and 2022.

While costs linked to Evaluation and Management were distributed throughout Bulls Gap, most payments concentrated in a handful of ZIP codes. In 2024, ZIP code 37711 alone accounted for $189,910, representing 100% of total payments for this category citywide.

Most Medicaid payments for Evaluation and Management services were tied to a small subset of billing codes.

For perspective, Bulls Gap Medicaid payments in the Evaluation and Management category rose by 67.2% between 2024 and 2023, compared with a 15% overall increase for all Medicaid claim categories in the city during that span.

Centers for Medicare & Medicaid Services data show combined federal and state Medicaid costs totaled roughly $871.7 billion for fiscal year 2023, covering about 18% of all national health expenditures—a large jump from $613.5 billion in 2019, pre-pandemic.

This expansion amounts to about 40% growth in a few years, primarily fueled by greater enrollment and increased usage during and after the COVID-19 pandemic.

New federal budget laws introduced during the Trump administration included plans to significantly reduce federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act”, enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next decade, adding work requirements and cost-sharing policies that may result in reduced coverage and support for some recipients. These changes are expected to transfer more funding responsibility to states and slow the rise of federal aid even as Medicaid serves tens of millions of people nationwide.

Note: HCPCS codes are explained to provide category context. The article’s category totals and rankings use standardized service groupings, not individual billing codes.

Data in this article come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source is available here.