Medicaid Evaluation and Management payments in Holly Ridge rise to $86,875 in 2024

In 2024, Medicaid providers in Holly Ridge submitted $86,875 in claims for Evaluation and Management services, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 102.5% growth from 2023, when $42,898 was billed for these services.

Medicaid is a government health insurance program administered by the states and financed through a partnership between the federal and state governments. It provides coverage for low-income people and families, children, seniors, and those with disabilities, making it one of the largest aspects of the U.S. health care system.

Because Medicaid is funded by taxpayers, shifts in local billing amounts reflect how health care funds are utilized within communities.

The Evaluation and Management category encompasses Medicaid-billed services based on specific care provided, tracked by standardized groupings of HCPCS and CPT codes. The analysis grouped each billing code by single service category, using consistent prefixes and ranges, enabling accurate year-over-year comparisons and service ranking without overlap.

Evaluation and Management was the leading service category in Holly Ridge by Medicaid payments in 2024, even as other categories experienced payment increases as well.

Statewide, Evaluation and Management ranked second for total Medicaid payments in North Carolina during 2024.

Between 2019 and 2024, Medicaid payments connected to Evaluation and Management in Holly Ridge climbed by $51,483, or 145.5%. The highest annual spending gains were seen in certain years throughout this period, including 2020 and 2021.

Across Holly Ridge, spending on Evaluation and Management care was heavily concentrated in select ZIP codes. In 2024, ZIP code 28445 accounted for $86,875 of such Medicaid payments, representing 100% of all billings under this service group in the city that year.

Medicaid payments by code indicated that most expenditures within Evaluation and Management were focused among a handful of billing designations.

To compare, Evaluation and Management Medicaid payments in Holly Ridge rose by 102.5% from 2023 to 2024, while total Medicaid claims across all service categories in the city increased by 31.2% during that period.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid expenses hit about $871.7 billion in fiscal year 2023, or roughly 18% of total U.S. health spending, a substantial jump from about $613.5 billion in 2019 before the COVID-19 pandemic.

This nearly 40% increase stemmed mainly from expanded enrollment and higher utilization through and following the pandemic period.

Recent federal budget measures under the Trump administration have called for major reductions to Medicaid funding and program restructuring. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to trim more than $1 trillion from federal Medicaid allocations over the upcoming decade. The law introduces initiatives like work requirements and greater cost-sharing that may limit coverage and federal funding available to some individuals, placing added responsibility on states as Medicaid 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.