Holtville Medicaid providers billed a total of $97,372 for Evaluation and Management services in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 172.2% increase over 2023, when providers filed $35,770 in claims for the same category.
Medicaid is a government-run health insurance program operated by states and funded by both federal and state governments. It provides coverage to low-income individuals and families, seniors, children and people with disabilities, and represents one of the nation’s largest health care programs.
Because taxpayer dollars support Medicaid, changes in the amount billed locally help show how publicly funded health care resources are allocated in a specific area.
The “Evaluation and Management” category includes a defined group of Medicaid services distinguished by the type of care received, based on standardized HCPCS and CPT code groupings. For this report, each billing code was categorized within a single service category using unified code prefixes and numeric ranges to allow grouped analysis, while ensuring there was no double counting and rankings remained accurate over time.
Spending increased across a range of service categories for Medicaid, with Evaluation and Management ranking as the top service by total Medicaid payments in Holtville for 2024.
Statewide, Evaluation and Management was the second-highest Medicaid payment category in California for 2024.
Between 2019 and 2024, Medicaid payments associated with Holtville’s Evaluation and Management category grew by $47,320, an increase of 94.5%. Periods of faster growth were observed, particularly in 2020 and 2021, with notable annual gains.
Although Evaluation and Management services were used throughout Holtville, the majority of Medicaid spending was concentrated in a few ZIP codes. The ZIP code with the largest share in 2024 was 92250, which accounted for $97,371. Altogether, the leading ZIP code comprised 100% of Medicaid payments for this category in Holtville during the year.
Within this category, Medicaid payments were also focused among a small selection of billing codes.
Comparing changes between 2023 and 2024, Medicaid payments for Evaluation and Management in Holtville increased by 172.2%, while claims across all categories in the city grew by 193.2% over the same time frame.
According to the Centers for Medicare & Medicaid Services, nationwide Medicaid spending by both state and federal governments reached approximately $871.7 billion for fiscal year 2023, making up nearly 18% of total U.S. health expenditures—a sharp climb from the $613.5 billion spent in 2019 before the pandemic.
This growth represents a roughly 40% increase over a few years, primarily due to increased enrollment and greater use of services during and after the pandemic.
Federal budget measures enacted during the Trump administration have included major proposed changes to Medicaid funding and program structure. The “One Big Beautiful Bill Act,” passed in 2025, is forecast to reduce federal Medicaid spending by over $1 trillion over the next 10 years. It introduces policies such as work requirements and higher cost-sharing, which could limit funding and coverage for certain beneficiaries. These changes are expected to shift greater responsibility to states and restrict federal Medicaid expansion, although the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $50,051 | 71.1% |
| 2021 | $58,699 | 17.3% |
| 2022 | $34,064 | -42% |
| 2023 | $35,769 | 5% |
| 2024 | $97,371 | 172.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $97,371 | 69.9% |
| 2 | Procedures / Professional Services | $22,512 | 16.2% |
| 3 | Medicine Services and Procedures | $18,082 | 13% |
| 4 | Pathology and Laboratory Procedures | $1,192 | 0.9% |
| 5 | Drugs Administered Other than Oral Method | $89 | 0.1% |
| 6 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| 6 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99214 | Office o/p est mod 30 min | $49,364 | 10 |
| 99497 | Advncd care plan 30 min | $16,491 | 5 |
| 99215 | Office o/p est hi 40 min | $12,943 | 6 |
| 99213 | Office o/p est low 20 min | $4,923 | 7 |
| 99396 | Prev visit est age 40-64 | $4,025 | 2 |
| 99407 | Behav chng smoking > 10 min | $3,402 | 6 |
| 99358 | Prolong service w/o contact | $3,219 | 2 |
| 99403 | Prev med cnsl indiv apprx 45 | $1,644 | 1 |
| 99173 | Visual acuity screen | $771 | 3 |
| 99401 | Prev med cnsl indiv apprx 15 | $389 | 1 |
| 99473 | Self-meas bp pt educaj/train | $175 | 1 |
| 98960 | Edu&trn pt self-mgmt nqhp 1 | $20 | 1 |
| 99416 | Prolng clin staff svc ea add | $0 | 1 |
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.
