Myrtle Creek Medicaid spending on evaluation and management services climbs to $32,629 in 2024

In 2024, Medicaid providers in Myrtle Creek billed a total of $32,629 for services categorized under Evaluation and Management, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 4.8% increase over the $31,146 billed in 2023 for similar services.

Medicaid is a publicly funded health insurance program, managed at the state level and financed in partnership by federal and state governments. It serves low-income individuals and families, children, seniors, and people with disabilities, making it one of the principal components of the U.S. health care system.

Shifts in local Medicaid billing show how taxpayer-funded health care resources are distributed throughout the community.

The Evaluation and Management category includes a set of Medicaid-billed services defined by the type of patient care provided, as identified by standardized HCPCS and CPT codes. For this study, each billing code was sorted into one service category through consistent code prefixes and numbering, enabling comparison within categories and preventing double counting when determining totals and rankings for each year.

Although there was growth in several service categories, Evaluation and Management held the second-highest position by Medicaid payment totals in Myrtle Creek in 2024.

Statewide in Oregon, Evaluation and Management services led all categories in total Medicaid payments in 2024.

Over the five years ending in 2024, payments to Myrtle Creek providers for Evaluation and Management services rose by $3,977, or 10.9%. Growth accelerated in certain years, with strong increases in both 2023 and 2022.

Across Myrtle Creek, Medicaid spending for Evaluation and Management was distributed citywide but was primarily focused within a small number of ZIP codes. The highest payments in 2024 went to ZIP code 97457, which totaled $32,628. Overall, this single ZIP code represented 100% of Medicaid payments for this category in Myrtle Creek during the year.

Within the Evaluation and Management services, payments were also concentrated among a narrow range of billing codes.

For context, the 4.8% jump in Evaluation and Management Medicaid payments for Myrtle Creek from 2023 to 2024 compares to a 5.6% increase observed across all Medicaid service categories locally in the same time period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached an estimated $871.7 billion in fiscal year 2023. That amount made up about 18% of U.S. health expenditures and marked a sharp rise from the $613.5 billion recorded in 2019, prior to the COVID-19 pandemic.

This surge represents an approximately 40% increase over several years, attributed in large part to greater enrollment and expanded use of services during and after the pandemic.

Recent federal budget laws and proposals enacted during the Trump administration have included large-scale changes to Medicaid, with moves to trim federal funding and alter the program structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is slated to reduce federal Medicaid spending by more than $1 trillion over 10 years. It enacts work requirements and increased cost-sharing, potentially reducing access and funding for some Medicaid participants. The act is expected to transfer additional costs to states and curb federal Medicaid expansion, even as enrollment remains high.

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.