Medicaid Evaluation and Management payments in Gleason rise to $9,504 in 2024

In Gleason, Medicaid providers billed $9,504 for services in the Evaluation and Management category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents an increase of 9.3% over 2023, when providers submitted $8,699 in claims for the same category.

Medicaid is a state-administered public health insurance program funded jointly by the federal and state governments. It serves low-income people, families, seniors, children and individuals with disabilities, and it remains a major component of the U.S. health care system.

As Medicaid funding is provided by taxpayers, local billing changes reflect shifts in how public health dollars are distributed throughout the community.

The “Evaluation and Management” classification encompasses Medicaid-billed services organized by care type, using standardized HCPCS and CPT codes. For the purposes of this report, each billing code was placed into one service group based on code prefixes and ranges, enabling a review of related service spending, accurate yearly comparisons, and consistent rankings.

Although Medicaid spending rose in various service groups, Evaluation and Management was the leading category for Medicaid payments in Gleason for 2024.

Across Tennessee, the Evaluation and Management category placed second statewide based on total Medicaid payments in 2024.

During the five-year period leading up to 2024, Gleason’s Medicaid payments tied to Evaluation and Management grew by $865, or 10%. Certain years, such as 2021 and 2022, saw especially notable gains.

Within the city, Evaluation and Management payments spanned multiple areas, but were mostly concentrated in just a few ZIP codes. In 2024, ZIP code 38229 recorded $9,504 in claims—the entirety of Gleason’s Evaluation and Management Medicaid payments that year. Combined, the leading ZIP code accounted for 100% of Gleason’s total payments tied to this category.

Most Medicaid payments in the Evaluation and Management category in Gleason were attributed to a small selection of specific billing codes.

For context, while payments linked to the Evaluation and Management category in Gleason rose by 9.3% from 2023 to 2024, all Medicaid claim categories in the city combined saw a 1.1% change over the same period.

Centers for Medicare & Medicaid Services data shows that total federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up around 18% of national health outlays. This marks a steep increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This surge represents almost 40% growth over a few years, largely driven by increased enrollment and use during and after the pandemic period.

Budget legislation passed under the Trump administration has included proposals to reduce federal Medicaid spending and change the program’s design. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion in federal Medicaid funding over the next ten years, introduce work requirements, and raise cost sharing—potentially limiting access for some recipients and shifting more responsibility to states even as millions remain enrolled in the program.

Note: HCPCS codes are listed for category reference. The totals and service rankings in this article reflect service groups, not individual codes.

Data for this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data here.