Dyer sees $53,327 in Medicaid Evaluation and Management payments in 2024, up 6.9%

In 2024, providers in Dyer billed $53,327 to Medicaid for Evaluation and Management services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 6.9% rise from 2023, when $49,906 was billed for these same services.

Medicaid, administered by states and funded by both federal and state governments, is a public health insurance program. It serves low-income people and families, seniors, children, and individuals with disabilities, making it one of the largest U.S. health care programs.

Because Medicaid is taxpayer-funded, fluctuations in local billing levels offer insight into how public dollars for health care are distributed in various communities.

The “Evaluation and Management” classification covers a range of Medicaid-billed services defined by the type of care rendered, organized using standardized HCPCS and CPT code groupings. Each billing code in this study was mapped to a single service category by consistent code prefixes and numerical ranges, which ensures related services are grouped for analysis while avoiding duplicates and maintaining accurate rankings.

Evaluation and Management had the highest Medicaid payment total among service categories in Dyer during 2024, despite increases across several categories.

Statewide, this category ranked second in total Medicaid payments across Tennessee for 2024.

From 2019 to 2024, Medicaid payments for Evaluation and Management in Dyer grew by $46,775, or 713.9%. The increase was more pronounced in certain periods, with notable year-to-year gains in 2022 and 2020.

Although payments were made across Dyer, the majority were concentrated in a small number of ZIP codes. For 2024, ZIP code 38330 led with $53,326 in Medicaid payments for the category, accounting for the full share—100%—of Dyer’s total Evaluation and Management Medicaid payments that year.

Payments within the Evaluation and Management group were also concentrated among only a handful of specific billing codes.

To compare, Evaluation and Management Medicaid payments in Dyer grew 6.9% from 2023 to 2024, whereas overall Medicaid claims in the city rose by just 0.2% during that time.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid outlays reached nearly $871.7 billion in fiscal year 2023, making up about 18% of all national health expenditures—an increase from $613.5 billion in 2019 before the COVID-19 pandemic.

This gain, around 40%, was largely driven by the expanded enrollment and higher use of services during and after the pandemic.

Recent federal budget policies under the Trump administration included major initiatives to cut federal Medicaid funding and alter how the program operates. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion within 10 years and introduces measures like work requirements and greater cost-sharing, potentially impacting coverage and funding for certain recipients. These changes may increase state-level costs and slow the expansion of federal Medicaid funding, although the program remains a vital source of coverage for millions of Americans.

Note: HCPCS codes are provided for reference within the category. Totals and rankings in this piece are based on standardized service groupings, not on individual billing codes.

Information in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.