Aspen Hill sees 25.3% increase in Medicaid Evaluation and Management payments in 2024

In 2024, Medicaid providers in Aspen Hill submitted $295,227 in claims under the Evaluation and Management category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 25.3% increase from 2023, when $235,562 in claims were submitted for the same services.

Medicaid, a state-run health insurance initiative jointly funded by federal and state governments, provides coverage to low-income individuals and families, seniors, children, and people with disabilities. It is one of the largest contributors to the U.S. health care system.

Since Medicaid is financed by taxpayers, fluctuations in local billing amounts reveal how community health care resources are distributed.

The “Evaluation and Management” category encompasses Medicaid-billed services organized by care type, based on established HCPCS and CPT code ranges. Billing codes were sorted into a single service group using consistent prefix and number guidelines for this study, facilitating comparisons across related services while avoiding duplication and supporting reliable rankings over time.

Although Medicaid spending rose in several categories, Evaluation and Management services received the highest total Medicaid payments in Aspen Hill in 2024.

Across Maryland, Evaluation and Management ranked second among all service categories in terms of total Medicaid payments for 2024.

Between 2019 and 2024, Aspen Hill’s Medicaid payments for the Evaluation and Management category grew by $295,227—or 0%. Certain periods saw increased growth rates, with significant year-to-year gains occurring in 2022 and 2023.

Although payments for the Evaluation and Management category were drawn from various parts of the city, most spending was concentrated in a small number of ZIP codes. In 2024, ZIP code 20906 accounted for $295,227 in Medicaid payments under Evaluation and Management, making up 100% of such payments in Aspen Hill for the year.

Within the Evaluation and Management classification, a limited group of billing codes attracted most Medicaid payment activity.

For context, the 25.3% increase in Evaluation and Management Medicaid payments between 2023 and 2024 exceeded the overall citywide rise of 15.1% across all Medicaid claim categories for the same time span.

According to the Centers for Medicare & Medicaid Services, state and federal Medicaid expenditures totaled about $871.7 billion for fiscal year 2023, representing around 18% of U.S. health spending overall. This figure surged from $613.5 billion in 2019, the year before the COVID-19 pandemic.

This rise is a roughly 40% jump in just a few years, primarily fueled by increased enrollment and higher usage levels during and following the pandemic.

Federal budget changes during the Trump administration included major proposals to decrease federal Medicaid support and adjust the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion in the coming decade and implement measures like work requirements and added cost-sharing that could affect coverage and funding for some enrollees. These adjustments are set to place more financial pressure on states and potentially slow federal Medicaid contribution growth while the program continues to benefit millions across the country.

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.