Summerdale Medicaid payments for Evaluation and Management services total $30,262 in 2024

In 2024, Medicaid providers in Summerdale billed $30,262 for Evaluation and Management services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 0.9% rise from 2023, when billing for the category stood at $30,005.

Medicaid is a public health insurance program overseen by states and funded through both federal and state sources. It insures low-income people, seniors, children, and individuals with disabilities, making it a key part of the U.S. health care system.

As Medicaid funds are drawn from taxpayers, variations in local billings reveal how community health care spending is distributed.

The “Evaluation and Management” category covers a range of services grouped by the nature of care, defined by standardized HCPCS and CPT code groupings. For this report, each code was organized into a primary service category with uniform code prefixes and numbering, allowing similar services to be tracked together and avoiding any overlap or double counting.

While spending grew for several Medicaid categories, Evaluation and Management placed second among all service categories in Summerdale for total Medicaid payments in 2024.

Across Alabama, the Evaluation and Management classification also ranked second statewide in total Medicaid disbursements for the same year.

During the five years ending in 2024, Evaluation and Management-related Medicaid payments in Summerdale increased by $30,262, representing 0% total growth. However, year-to-year growth accelerated in certain intervals, most notably in 2022 and 2023.

Spending within the Evaluation and Management group occurred throughout the city, but was predominantly located in a small number of ZIP codes. In 2024, ZIP code 36580 accounted for $30,261 in such payments. Altogether, this single area comprised 100% of the Medicaid disbursements for this service group in Summerdale that year.

Within this category, most Medicaid expenditures were centered among just a few individual billing codes.

For reference, while Medicaid payments for Evaluation and Management in Summerdale increased by 0.9% from 2023 to 2024, the total Medicaid payments for all categories citywide saw a 22.6% change over the same period.

The Centers for Medicare & Medicaid Services report that joint federal and state Medicaid expenses reached roughly $871.7 billion in fiscal 2023, making up about 18% of total national health care costs and increasing substantially from $613.5 billion in 2019, prior to the onset of COVID-19.

This rise represents about 40% growth in just a few years, attributed mainly to expanded participation and greater usage of health services during and following the pandemic period.

Federal budget decisions enacted during the Trump administration have brought major proposed cuts to the federal Medicaid share and efforts to revamp the program. As an example, the “One Big Beautiful Bill Act,” made law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and introduces new policies—such as work requirements and higher out-of-pocket costs—to certain groups. These changes are likely to increase financial responsibility for states and slow the increase in the federal share, while the Medicaid program remains vital to millions of Americans.

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.