Evaluation and Management Medicaid payments in Pinewood reach $38,371 in 2024, up 9.5%

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Pinewood collected $38,371 in payments for Evaluation and Management services in 2024. That figure represented a 9.5% rise compared to 2023, when $35,037 was billed for these services.

Medicaid is a state-run public health insurance program, funded cooperatively by federal and state governments. It serves low-income individuals and families, seniors, children and those with disabilities, making it among the largest segments of the U.S. health care landscape.

Because Medicaid relies on taxpayer funding, shifts in local billing reflect how community public health dollars are spent.

The “Evaluation and Management” services category describes a set of Medicaid-billed services determined by type of care, mapped via defined HCPCS and CPT code lists. To carry out the analysis, each code was assigned once to a single category, ensuring accurate trend comparison while removing duplicates and maintaining correct rankings through the years.

Although multiple service categories saw increases in Medicaid spending, Evaluation and Management placed second in Pinewood for total Medicaid payments during 2024.

Statewide in South Carolina, Evaluation and Management was also the second-ranked category by Medicaid payments in 2024.

Between 2019 and 2024, Pinewood’s Medicaid payments for Evaluation and Management services grew by $8,588, or 28.8%. Some periods saw accelerating increases in spending, notably in 2023 and 2021 with significant year-on-year growth.

Spending on Evaluation and Management services was distributed citywide, with a concentration in a small set of ZIP codes. In 2024, ZIP code 29125 had the largest total for Evaluation and Management at $38,371. The leading ZIP code represented 100% of Pinewood’s Medicaid payments within the category for the year.

Within the broader Evaluation and Management category, Medicaid payments also focused on a small selection of billing codes.

When compared with overall Medicaid categories in the city, payments for Evaluation and Management services in Pinewood climbed 9.5% from 2023 to 2024; the combined increase for all Medicaid payment categories was 2.1% during this period.

Centers for Medicare & Medicaid Services data indicates total federal and state Medicaid spending reached around $871.7 billion in fiscal year 2023, making up about 18% of nationwide health expenses—an increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents approximately 40% growth in a few years, attributed chiefly to larger enrollment numbers and higher usage of benefits during and after the pandemic.

Budget measures by the Trump administration in recent years have included substantial reductions to federal funding for Medicaid and program reforms. The “One Big Beautiful Bill Act,” finalized in 2025, could reduce federal Medicaid spending by more than $1 trillion over 10 years, adding policy changes like work requirements and greater cost-sharing—potentially decreasing support and coverage for certain enrollees. These adjustments are aimed at moving higher financial responsibility to states and constraining the expansion of federal Medicaid assistance, as the program continues covering millions across the U.S.

Note: HCPCS codes are provided for reference in this category. Totals and rankings reflect standardized groupings rather than single billing codes.

Details for this article are sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.