Bellflower Medicaid Evaluation and Management payments jump 41% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Bellflower submitted $11,699,293 in claims for Evaluation and Management services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 41% compared to the $8,295,677 total billed for the same service category in 2023.

Medicaid, funded cooperatively by state and federal governments, is a public health insurance program. It covers low-income individuals and families, children, seniors, and people with disabilities, and is one of the largest components of the U.S. healthcare system.

Since Medicaid payments are sourced from taxpayers, changes in local billing reveal how public health resources are dispersed at the community level.

The “Evaluation and Management” area comprises a set of Medicaid-billed services grouped by the type of care delivered and relies on standardized HCPCS and CPT code categories. For this reporting, each billing code was assigned to a specific service group using uniform code prefixes and number ranges, aiding the review of related services and preventing duplication or errors in ranking over time.

Spending increased across several Medicaid service categories, but Evaluation and Management led all categories in Bellflower by total payment amount for 2024.

Statewide, Evaluation and Management ranked second in California based on Medicaid payments during 2024.

Looking at the period from five years prior to 2024, Medicaid payments in this Bellflower service category rose by $9,179,273, equal to 364.3%. The pace of spending notably accelerated in some years, with sharp increases particularly in 2020 and 2021.

Medicaid spending for Evaluation and Management was distributed throughout Bellflower but was highly concentrated in a few ZIP codes. In 2024, ZIP code 90706 accounted for the entirety of Medicaid Evaluation and Management payments at $11,699,293, representing 100% of the category’s local total.

Within Evaluation and Management, the majority of Medicaid payments stemmed from a select group of individual billing codes.

Comparison with other categories shows Medicaid Evaluation and Management payments in Bellflower rose 41% between 2024 and 2023, while overall combined Medicaid claim categories in the city posted a change of 32.7% in the same span.

Data from the Centers for Medicare & Medicaid Services show that federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, or about 18% of national health expenditures. This reflects a jump from roughly $613.5 billion in 2019, before the COVID-19 health emergency.

This nearly 40% increase over a few years is attributed to growth in enrollment and usage throughout and following the pandemic.

Recently enacted federal budgets signed under the Trump administration featured major proposals targeting federal Medicaid reductions and restructured the program. The “One Big Beautiful Bill Act,” established in 2025, is anticipated to decrease federal Medicaid funding by over $1 trillion across the next decade, implementing work requirements and increased cost-sharing—changes that may reduce funding or coverage for some individuals. With more fiscal responsibility expected to shift to states, the potential for slower federal spending growth exists, although Medicaid continues to assist tens of millions nationwide.

Medicaid Payments Tied to Evaluation and Management in Bellflower, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,520,020 175.8%
2021 $4,438,870 76.1%
2022 $5,261,344 18.5%
2023 $8,295,676 57.7%
2024 $11,699,293 41%
Top Categories by Medicaid Payments in Bellflower, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $11,699,293 36.5%
2 Medicine Services and Procedures $7,135,176 22.3%
3 National Codes Established for State Medicaid Agencies $3,112,663 9.7%
4 Radiology Procedures $3,014,216 9.4%
5 Procedures / Professional Services $2,163,001 6.8%
6 Alcohol and Drug Abuse Treatment $1,317,283 4.1%
7 Dental Services $1,041,057 3.3%
8 Surgery $997,013 3.1%
9 Pathology and Laboratory Procedures $796,376 2.5%
10 Anesthesia $549,297 1.7%
11 Drugs Administered Other than Oral Method $142,459 0.4%
12 Temporary National Codes (Non-Medicare) $29,702 0.1%
13 Vision Services $13,813 <0.1%
14 Administrative, Miscellaneous and Investigational $5,733 <0.1%
15 Temporary Codes $5,429 <0.1%
16 Medical And Surgical Supplies $3,299 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Bellflower, California, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $6,377,225 2,667
99284 Emergency dept visit mod mdm $2,655,886 593
99213 Office o/p est low 20 min $1,149,553 1,249
99212 Office o/p est sf 10 min $377,508 775
99285 Emergency dept visit hi mdm $199,679 33
99441 $140,451 140
99203 Office o/p new low 30 min $101,075 106
99393 Prev visit est age 5-11 $95,737 187
99204 Office o/p new mod 45 min $74,657 56
99202 Office o/p new sf 15 min $61,297 109
99222 1st hosp ip/obs moderate 55 $61,118 53
99215 Office o/p est hi 40 min $53,985 37
99392 Prev visit est age 1-4 $50,391 166
99283 Emergency dept visit low mdm $47,665 61
99391 Per pm reeval est pat infant $44,176 111
99394 Prev visit est age 12-17 $42,884 87
99232 Sbsq hosp ip/obs moderate 35 $41,473 108
99223 1st hosp ip/obs high 75 $31,071 24
99442 $28,413 30
99173 Visual acuity screen $10,781 428

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.



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