Medicaid payments for Evaluation and Management services in Lagrange reach $10,205 in 2024

According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, providers in Lagrange received $10,205 for Medicaid services categorized as Evaluation and Management in 2024. That amount reflects a 51.4% rise compared with 2023, when providers billed $6,742 for these same services.

Medicaid acts as a public health insurance program operated by states in partnership with the federal government and supported by both federal and state funding. The program covers low-income people, families, seniors, children and individuals with disabilities, making it one of the largest elements of the U.S. health care system.

Because taxpayer dollars support Medicaid, fluctuation in local billing reveals trends in the allocation of public health care resources within a given community.

The “Evaluation and Management” category includes a group of services billed to Medicaid and classified by types of care using standard HCPCS and CPT code assignments. For this analysis, each billing code was mapped to one service category with consistent numeric ranges and code prefixes, allowing similar services to be studied collectively while avoiding duplication and reflecting correct rankings over time.

Evaluation and Management was the No. 2 category for total Medicaid payments in Lagrange in 2024, alongside broader increases observed in a range of other service areas.

Statewide in Ohio, Evaluation and Management ranked as the third-largest service category by Medicaid payments in 2024.

Over the five years up to 2024, Evaluation and Management-related Medicaid payments in Lagrange rose by $40,710, signifying an 80% uptick. Some periods saw accelerated growth, particularly notable jumps in 2020 and 2021 year-over-year figures.

While these payments were distributed throughout Lagrange, they were mainly concentrated in a few ZIP codes. For 2024, ZIP code 44050 generated $10,204 in Evaluation and Management Medicaid payments, meaning the single top ZIP code accounted for 100% of that category’s citywide payments.

Medicaid payments within this category were further consolidated under a small set of billing codes.

When compared, Evaluation and Management Medicaid totals in Lagrange increased by 51.4% from 2023 to 2024, higher than the 44.6% growth registered for Medicaid claims across all categories in the same city timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures hit approximately $871.7 billion for the 2023 fiscal year, about 18% of total national health spending. That figure was up sharply from $613.5 billion in 2019, before COVID-19.

This overall increase of about 40% in just a few years has been primarily fueled by expanded enrollment and more frequent service use during and after the pandemic era.

Recent federal spending legislation under the Trump administration has included measures to trim federal Medicaid funding and to redesign program structures. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid outlays by over $1 trillion over the next decade and adds work requirements and greater cost-sharing, potentially limiting coverage and support for certain recipients. The law could require states to shoulder greater cost responsibility and slow future federal Medicaid growth, despite tens of millions of Americans still receiving Medicaid benefits.

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.