Thomasville’s Medicaid Evaluation and Management payments reach $9.3 million in 2024

In 2024, Thomasville Medicaid providers billed $9,311,923 for Evaluation and Management services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 7.3% increase over the prior year, when claims in the same service category totaled $8,679,683.

Medicaid, a public health program administered by states and funded with both federal and state contributions, provides coverage to low-income individuals, families, children, seniors and people with disabilities, making it a significant component of the U.S. health care system.

Since taxpayer funding supports Medicaid payments, trends in local billing offer insight into how communities spend public health care resources.

The “Evaluation and Management” designation groups Medicaid-billed services by type of care, based on established HCPCS and CPT code standards. For this analysis, each billing code was tied to a specific service group using standardized code prefixes and numeric blocks, which allowed for consistent year-over-year rankings and minimized double counting across related services.

While multiple categories saw Medicaid spending increase, Evaluation and Management led all Thomasville service categories by payment totals in 2024.

Statewide in North Carolina, Evaluation and Management placed second in total Medicaid payments in 2024.

Over the five years before 2024, Thomasville Medicaid payments connected to the Evaluation and Management group grew by $4,912,232—a 111.6% rise. Specific periods, such as 2021 and 2022, tracked notable annual increases in spending.

Across the city, Medicaid spending for Evaluation and Management services was spread throughout Thomasville, but most funds were concentrated in only a handful of ZIP codes. For 2024, ZIP code 27360 generated the entirety of Thomasville’s $9,311,923 paid for Evaluation and Management services; accordingly, the top one ZIP code comprised 100% of payments linked to this category in that year.

Within Evaluation and Management, a small set of individual billing codes represented the bulk of Medicaid payments.

In comparison, while Thomasville saw Evaluation and Management payments climb by 7.3% between 2023 and 2024, overall Medicaid payments for all categories in the city rose by 7.6% during that span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023. This made up nearly 18% of total national health spending, up sharply from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

The overall 40% gain in Medicaid spending was driven largely by rising enrollment and higher utilization rates both during and after the pandemic.

Major federal budget legislation enacted during the Trump administration brought proposals to decrease federal Medicaid funding and to change program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over ten years and to establish policies like work requirements and greater cost sharing for beneficiaries, which could decrease coverage and federal support for some enrollees. These provisions are likely to shift more financial responsibility to states while slowing further growth of federal Medicaid assistance as the program 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.