Medicaid Evaluation and Management claims in Vacaville up 464.1% in 2024

Vacaville Medicaid providers billed $7,646,859 for Evaluation and Management services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This reflected a 464.1% increase compared with 2023, when providers made $1,355,478 in claims within the same category.

Medicaid operates as a public health insurance program administered by states and financed by both federal and state governments. It covers low-income people and families, seniors, children, and those with disabilities, making it one of the largest components of the U.S. health care system.

Since Medicaid payments are taxpayer-funded, fluctuations in local billing reflect how public health care resources are distributed in a given community.

The “Evaluation and Management” group comprises services billed to Medicaid and defined by the nature of care, using standardized HCPCS and CPT code groupings. Each code was assigned to a single category in this analysis through consistent prefixes and numeric ranges, supporting comparisons over time and accurate rankings while preventing double counting.

Vacaville’s Medicaid spending grew across categories, but Evaluation and Management led all service categories for total Medicaid payments in 2024.

Within California, Evaluation and Management held the No. 2 spot for total Medicaid payments statewide in 2024.

Medicaid payments connected to Evaluation and Management in Vacaville climbed by $6,785,018, or 787.3%, during the five years prior to 2024. Periods of accelerated spending growth included significant year-over-year increases in 2022 and 2023.

Although these services were provided across Vacaville, payment totals were concentrated to a few ZIP codes. In 2024, ZIP code 95688 reported $6,792,005 in Medicaid payments and 95687 had $854,853. Combined, these two ZIP codes made up 100% of all Evaluation and Management Medicaid claims in Vacaville for the year.

Payments within the Evaluation and Management category were focused among a small number of individual billing codes.

For context, the 464.1% rise in Evaluation and Management Medicaid claims in Vacaville between 2024 and 2023 outpaced the 37.7% change seen across all Medicaid claim categories in the city over the same span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures were about $871.7 billion in fiscal 2023, accounting for roughly 18% of national health spending and representing a sharp increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This rise amounts to an estimated 40% growth in recent years, a trend fueled primarily by expanded enrollment and greater service utilization during and after the pandemic period.

Recent federal budget laws during the Trump administration proposed major Medicaid changes, including significant reductions in federal funding and restructuring of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to cut federal Medicaid funding by over $1 trillion over a decade and bring policies such as work requirements and higher cost-sharing for some beneficiaries. These measures are expected to increase the burden on states and restrict federal Medicaid spending growth, even as the program continues to serve tens of millions of U.S. residents.

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.