Oakland Medicaid Evaluation and Management spending totals $36.9 million in 2024

Oakland Medicaid providers submitted $36,878,185 in claims for Evaluation and Management services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents a 3.4% rise over 2023, when claims reached $35,676,562 for the same service category.

Medicaid, a public health insurance program, operates under state administration with joint federal and state funding. It supports low-income individuals and families, children, seniors, and people with disabilities, placing it among the largest components of the U.S. health care system.

Since Medicaid uses taxpayer funds, shifts in community billing volumes indicate how public health care dollars move within a region.

The “Evaluation and Management” classification consists of Medicaid-billed services organized by type of care, based on standard HCPCS and CPT code groupings. For this review, each billing code was assigned to just one category using uniform code prefixes and number ranges to group similar services, preventing double-counting and providing consistent rankings throughout the years.

Evaluation and Management registered the second-highest Medicaid spending in Oakland among all service categories for 2024.

Statewide in California, Evaluation and Management also placed second by Medicaid payment total in 2024.

Between 2019 and 2024, Medicaid spending for Evaluation and Management in Oakland increased $19,635,619—or 113.9%. Growth accelerated at specific points, with especially notable annual increases in 2023 and 2022.

While Evaluation and Management service spending spread throughout Oakland, payment volumes were heavily concentrated in a few ZIP codes. In 2024, spending was highest in 94602 ($12,851,173), followed by 94609 ($9,613,699), and 94611 ($8,058,558). Combined, these top 3 ZIP codes represented 82.8% of all Medicaid Evaluation and Management payments in Oakland for the year.

Within Evaluation and Management, Medicaid payments focused primarily on a small subset of individual billing codes.

Year over year, Oakland’s Medicaid payments tied to Evaluation and Management increased 3.4% from 2023 to 2024, compared with 30.4% growth across Oakland’s total Medicaid claims during that period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, making up about 18% of total U.S. health spending—up sharply from $613.5 billion in 2019, before COVID-19.

This reflects a roughly 40% increase within several years, largely due to rising enrollment and greater service use during and after the pandemic period.

Federal budget reforms during the Trump administration introduced major policy proposals to limit Medicaid funding and revise the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade. It brings in more work requirements and higher cost-sharing, measures that may reduce eligibility and funding for some groups. These adjustments will likely shift more costs to states and restrict the growth of federal support, while Medicaid continues to cover tens of 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.