Evaluation and Management Medicaid payments rise 40.3% in Greenbrier for 2024

In 2024, Medicaid providers in Greenbrier submitted $86,687 in claims for services categorized under Evaluation and Management, a 40.3% increase over 2023, when the amount billed was $61,768, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, funded jointly by federal and state governments and managed by the states, covers groups such as low-income individuals, families, seniors, children, and people with disabilities, and represents a major component of the nation’s health care system.

Since Medicaid is financed through taxpayer contributions, fluctuations in billing amounts reveal shifts in how local public health care funds are spent.

The Evaluation and Management category encompasses Medicaid-billed services classified according to types of care, relying on standardized HCPCS and CPT codes. Billing codes for this analysis were grouped into specific service categories using consistent code prefixes and number ranges, enabling analysis of related services without duplication and maintaining accurate category rankings.

Even though Medicaid disbursements grew in several categories, Evaluation and Management ranked first in Greenbrier based on total Medicaid payments in 2024.

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

Over the last five years through 2024, Evaluation and Management-related Medicaid payments in Greenbrier increased by $86,687, equaling 0% change. Growth accelerated in some years, especially with strong increases in both 2023 and 2022.

Although these payments were spread across Greenbrier, most were concentrated in a handful of ZIP codes—with ZIP code 37073 totaling $86,687 in 2024. The leading ZIP code accounted for 100% of all Medicaid Evaluation and Management payments in the city that year.

Spending in the Evaluation and Management category was further concentrated among a small number of specific billing codes.

From 2023 to 2024, Medicaid Evaluation and Management payments in Greenbrier climbed by 40.3%. In contrast, the increase across all Medicaid claim types in the city during that time was 51.7%.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending hit approximately $871.7 billion in fiscal 2023, comprising around 18% of national health costs, which is a significant rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase marks close to 40% growth in a few years, prompted primarily by expanded enrollment and more health service use during and after the pandemic.

Recent federal budget measures under the Trump administration have advanced notable plans to scale back federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by over $1 trillion in the coming decade and introduces work requirements and higher cost-sharing, potentially limiting coverage and federal funding for certain beneficiaries. These actions are likely to increase financial responsibility for states while curbing the growth of federal support, though Medicaid still serves tens of millions of people.

Note: HCPCS codes are provided for context within the category. Totals and rankings in this article are determined by grouped service categories rather than individual billing codes.

Data referenced in this article is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original source data is available here.