Gettysburg Medicaid Evaluation and Management billings reach $871 in 2024, rising 7.9%

In 2024, Medicaid providers in Gettysburg billed a total of $871 for services in the Evaluation and Management category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 7.9% increase from 2023, when $807 in claims were submitted for the same category of services.

Medicaid, the public health insurance program managed by states with joint federal and state funding, covers eligible low-income people, seniors, children, and those with disabilities. It remains one of the nation’s largest health care programs, funded in partnership by federal and state governments.

Because taxpayer dollars fund Medicaid, shifts in local billing shed light on how public spending on health care is distributed in individual communities.

The Evaluation and Management classification includes services grouped by the nature of care delivered, defined by standardized HCPCS and CPT code families. For this report, each billing code was linked to one service category using consistent code prefixes and ranges, enabling comprehensive review without overlapping claims and maintaining accurate category ranks over time.

Total Medicaid payments for Evaluation and Management led all service categories in Gettysburg for 2024.

The Evaluation and Management category was second in South Dakota statewide by total Medicaid payments for 2024.

Over the five years up to 2024, Evaluation and Management Medicaid payments in Gettysburg increased by $689, or 44.2%. The pace of spending rose more rapidly in certain years, with especially notable annual increases in 2023 and 2022.

Spending for Evaluation and Management was seen across the city, but activity was mostly concentrated within a small number of ZIP codes. In 2024, ZIP code 57442 accounted for the entire $871 in Medicaid payments of this type; thus, the top 1 ZIP codes made up 100% of total spending in this category in Gettysburg for the year.

Additionally, a small number of individual billing codes received the majority of Medicaid payments within the Evaluation and Management category.

For context, the 7.9% rise in Evaluation and Management Medicaid payments in Gettysburg between 2024 and 2023 compares to an 8% increase in Medicaid payments across all claim categories during the same period in the city.

The Centers for Medicare & Medicaid Services report combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023—about 18% of all U.S. health spending—rising sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This increase represents about 40% growth over a few years, largely due to higher enrollment and increased service use during and after the pandemic.

Recent federal budget bills passed during the Trump administration have included measures to reduce federal Medicaid support and revise program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion in federal Medicaid funding through the next decade while imposing work requirements and greater cost-sharing for beneficiaries—potentially reducing coverage and shifting more expense to states as the program continues to serve millions nationwide.

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.