West Valley City Medicaid Evaluation and Management payments rise to $1.1 million in 2024

Medicaid providers in West Valley City submitted $1,123,551 in claims for services categorized as Evaluation and Management in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 0.6% increase from 2023, when claims for these services reached $1,116,663.

Medicaid, the public insurance program administered at the state level and funded through a partnership between federal and state governments, provides health coverage for low-income families, seniors, children, and people with disabilities. The program remains a foundational component of the nation’s health care system.

With Medicaid funded by taxpayers, local billing variations highlight how public health resources are directed within communities.

The “Evaluation and Management” segment encompasses a range of services billed to Medicaid, identified by specific HCPCS and CPT codes. Each billing code in this review was grouped into a single service category using uniform code ranges and prefixes, allowing for analysis of related service trends, prevention of double counting, and consistent ranking comparisons.

Medicaid expenditures increased across several service types, with Evaluation and Management ranking as the second-highest category in West Valley City for total Medicaid payments in 2024.

On a statewide level, the Evaluation and Management category ranked third in Utah by total payments in 2024.

During the five-year span leading up to 2024, West Valley City’s Medicaid outlays for Evaluation and Management services rose by $316,397, or 39.2%. Periods of accelerated growth occurred during years such as 2021 and 2022, when annual increases were most pronounced.

Distribution of Medicaid spending for Evaluation and Management services was concentrated in a handful of ZIP codes within the city. In 2024, ZIP code 84119 accounted for $858,129, 84120 contributed $158,908, and 84127 received $106,513, collectively representing 100% of all citywide Medicaid payments in this category for the year.

Within the Evaluation and Management group, most Medicaid reimbursements focused on a select few billing codes.

Comparatively, Evaluation and Management category spending in West Valley City increased by 0.6% from 2023 to 2024, whereas total Medicaid spending across all claim categories in the city rose 15% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of national health spending. This figure is a significant increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

The overall increase equals about 40% in recent years, largely influenced by higher enrollment and utilization throughout and after the pandemic period.

Recent federal budget reforms passed during the Trump administration proposed substantial reductions in federal Medicaid contributions and changes in program structure. Legislation such as the “One Big Beautiful Bill Act,” signed in 2025, is expected to decrease federal Medicaid spending by over $1 trillion over a decade. These policy adjustments, including work requirements and increased cost-sharing, could limit coverage and funding for some recipients, shifting a greater financial burden onto state governments while federal funding growth slows, despite the program continuing to assist tens of millions of Americans.

Note: HCPCS codes are presented for category reference. Totals and rankings in this report are based on standardized groupings, not individual billing codes.

Data for this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.