Oakdale Medicaid Evaluation and Management payments reach $2,502,242 in 2024

According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Oakdale received $2,502,242 for Evaluation and Management category services in 2024. This represented a 14.3% increase compared with 2023, when Oakdale providers billed $2,190,138 for these services.

Medicaid, administered by individual states and funded collaboratively by state and federal governments, provides health insurance for eligible low-income groups including families, seniors, children, and people with disabilities, establishing it as a significant component of the U.S. health care system.

Fluctuations in Medicaid payment levels indicate how public funds for health care are dispersed on a local scale, since the program is financed with taxpayer money.

The Evaluation and Management category includes Medicaid-billed services grouped by care type using specific HCPCS and CPT code patterns. In this reporting, service codes are matched to a single category with consistent prefixes and numbers, grouping similar services together, ensuring annual comparison validity and preventing duplication.

Across service categories, Medicaid spending has risen, with Evaluation and Management identified as the second-largest by payment volume in Oakdale for 2024.

Similarly, the Evaluation and Management category placed second by total Medicaid payments across all California providers during 2024.

Medicaid payments connected to the Evaluation and Management category in Oakdale rose by $768,854, or 44.4%, over the five years before 2024. Some intervals saw more rapid growth, with significant annual increases noted in both 2023 and 2022.

Though these services were available citywide, Medicaid spending in the Evaluation and Management category was mostly allocated within a single ZIP code. In 2024, ZIP code 95361 reached $2,502,241 in total payments, meaning all of Oakdale’s spending in this category came from that ZIP code for the year.

Payment distribution within Evaluation and Management also demonstrated concentration among only a few billing codes.

From 2023 to 2024, payments for Oakdale’s Evaluation and Management services grew by 14.3%, compared to a 1.3% shift in total Medicaid claims citywide in that period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending in fiscal year 2023 approached $871.7 billion, making up around 18% of the national health expenditures. This is a substantial rise from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This increase reflects roughly 40% growth in just several years, propelled mainly by greater enrollment and higher health service use during and after the pandemic period.

Recent federal budget actions under the Trump administration included major efforts to trim federal Medicaid contributions and alter program structures. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid funding by over $1 trillion over the coming decade. It features provisions such as new work requirements and increased participant cost-sharing, potentially reducing benefits and funding for some recipients. These adjustments may transfer more expense to states and constrain the expansion of federal support, even as many Americans remain covered by 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.