Casselton sees $5,158 in Medicaid Evaluation and Management payments in 2024

In 2024, providers in Casselton billed $5,158 to Medicaid for services listed under the Evaluation and Management category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 91.1% jump from 2023, when claims for this service category totaled $2,699.

Medicaid is a public insurance program operated by states with funding provided both federally and by state governments. It insures individuals and families with low incomes, the elderly, children, and those with disabilities, making it one of the largest segments of the nation’s health care system.

As Medicaid payment sources come from taxpayer funds, shifts in local billing levels reflect how public health dollars are distributed among communities.

The “Evaluation and Management” category encompasses a range of Medicaid-billed services defined by care provided and based on standardized HCPCS and CPT code groups. To conduct this analysis, billing codes were grouped into single service categories using standardized code prefixes and numeric ranges, allowing for accurate grouping of services and correct rankings over time by avoiding double counting.

While Medicaid expenditures rose in several service categories, Evaluation and Management had the highest total payments in Casselton in 2024.

Statewide in North Dakota, Evaluation and Management ranked as the second-highest category for Medicaid payments in 2024.

During the five years preceding 2024, Medicaid payments related to the Evaluation and Management category in Casselton increased by $5,158, with no percentage change overall. Certain periods saw faster growth, with especially marked increases noted in 2023 and 2022.

Spending on Evaluation and Management services was distributed throughout Casselton, but mainly concentrated within a small number of ZIP codes. For 2024, the largest share of Medicaid payments in this group came from ZIP code 58012, totaling the entire $5,158 reported. This single ZIP code made up 100% of Casselton’s Medicaid payments for Evaluation and Management services in 2024.

Within the Evaluation and Management group, a small number of billing codes accounted for most Medicaid payments.

By comparison, between 2024 and 2023, Medicaid payments for Evaluation and Management in Casselton grew by 91.1%, mirroring the 91.1% change seen across all Medicaid claim categories in the city over the same period.

Data from the Centers for Medicare & Medicaid Services show combined state and federal Medicaid spending reached about $871.7 billion in fiscal 2023, making up an estimated 18% of national health expenditures, a notable increase from roughly $613.5 billion in 2019 before the COVID-19 pandemic.

This increase amounts to about 40% growth in several years, attributed primarily to larger enrollment and greater service use during and after the pandemic.

Recent federal budgets under the Trump administration have put forward major proposals to reduce federal Medicaid funds and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion during the next 10 years and puts in place measures such as work requirements and increased cost-sharing, which could limit coverage and reduce funding for certain recipients. These changes are projected to shift greater financial responsibility to states and curb overall federal Medicaid growth, even as it 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.