Greensboro Medicaid Evaluation and Management payments climb to $56,766,694 in 2024

In 2024, Medicaid providers in Greensboro submitted claims totaling $56,766,694 for services within the Evaluation and Management category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects an 18.2% rise over the prior year, when claim amounts reached $48,016,201 for these services.

Medicaid, which operates under joint federal and state funding, is managed by the states while serving low-income families, children, older adults, and people with disabilities, establishing itself among the largest components in the U.S. health care landscape.

Local changes in Medicaid billing illustrate how tax-funded health care resources are allocated within communities, given that Medicaid is supported by public dollars.

The Evaluation and Management category encompasses several Medicaid-billed services defined by specific care types under set HCPCS and CPT codes. Each billing code was consistently categorized by prefix and range for this analysis, supporting comparisons over time without overlapping codes or distorting service rankings.

Although multiple categories experienced increased Medicaid expenditures, Evaluation and Management placed second citywide in Greensboro for overall Medicaid payments in 2024.

Across North Carolina, the same category was the state’s second-largest recipient of Medicaid payments that year.

Looking at the five-year period up to 2024, Medicaid payments for Evaluation and Management in Greensboro climbed by $38,895,469, or 217.6%. Some of the sharpest annual increases occurred during 2021 and 2022.

Geographically, while payments extended throughout Greensboro, top billing ZIP codes were highly concentrated. In 2024, ZIP code 27401 led with $34,395,593, followed by 27405 with $9,018,810, and 27410 with $4,832,657. In all, these 3 ZIP codes combined for 85% of the city’s Medicaid Evaluation and Management payments this year.

Most Medicaid spending within Evaluation and Management was clustered among a small set of high-use billing codes.

Comparing the 18.2% growth from 2023 to 2024 to the 5.1% increase for all Medicaid claim types locally, Evaluation and Management spending in Greensboro grew at a faster pace over the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion by fiscal 2023, accounting for close to 18% of national health expenditures. This is up from about $613.5 billion in 2019, before onset of the COVID-19 pandemic.

The shift shows an approximate 40% increase in Medicaid expenditures over several years. Leading drivers include expanded coverage and greater care utilization during and after the pandemic period.

Recent federal budget laws enacted under the Trump administration have included significant reforms and proposals affecting federal Medicaid funding and structure. The “One Big Beautiful Bill Act,” signed in 2025, is projected to slash federal Medicaid funding by more than $1 trillion over 10 years, implementing new mandates such as work requirements and higher cost-sharing. The shifts are expected to reduce funding and coverage for some recipients, increasing the financial burden on individual states even as Medicaid remains vital for millions of Americans.

Note: HCPCS codes appear for illustration within the category. Totals and service rankings come from analysis by grouped codes rather than code-by-code evaluation.

This article’s data originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. See the source dataset here.