Cheyenne Wells sees 61% increase in Medicaid Evaluation and Management service payments for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In Cheyenne Wells, Medicaid providers billed a total of $125,191 for Evaluation and Management services in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 60.9% jump over 2023, when providers billed $77,784 for identical services.

Medicaid, a state-run program supported jointly by federal and state funds, covers care for low-income people, seniors, children, and individuals with disabilities and is a leading component of the U.S. health system. More information on Medicaid’s financing can be found through the Commonwealth Fund.

As Medicaid funding relies on taxpayer dollars, fluctuations in local billing indicate shifts in how community health care resources are spent.

The Evaluation and Management classification includes a range of Medicaid-billed services defined by care type, standardized by HCPCS and CPT code groups. For this analysis, each billing code was grouped under a single service category using consistent code prefixes and numbers, allowing related services to be tracked together and double counting to be avoided.

Among all Medicaid service categories, Evaluation and Management accounted for the largest sum of Medicaid payments in Cheyenne Wells during 2024.

Statewide in Colorado, Evaluation and Management held the fourth position among Medicaid payment categories for 2024 by total payment volume.

From 2019 through 2024, Cheyenne Wells saw Medicaid payments for the Evaluation and Management category grow by $21,416, or 14.6%. This increase was more pronounced in selected periods, with notable annual growth occurring in 2021 and 2022.

Spending on Evaluation and Management services was present throughout the city, but the majority of funds were concentrated within certain ZIP codes. In 2024, ZIP code 80810 represented $125,190 in Medicaid payments for this category. Combined, the top ZIP code made up 100% of all Medicaid spending tied to Evaluation and Management in the city for 2024.

Within the Evaluation and Management grouping, most Medicaid dollars corresponded to a small set of specific billing codes.

When compared to a 59.2% rise in all Medicaid claims categories across Cheyenne Wells from 2023 to 2024, the 60.9% increase specific to Evaluation and Management stands out.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid expenditures totaled roughly $871.7 billion for fiscal 2023, or about 18% of all national health spending. That number was up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This jump reflects a growth rate of about 40% over a few years, fueled primarily by higher enrollment and more widespread use during and after the pandemic period.

Recent federal legislation enacted under the Trump administration has brought significant plans to curb federal Medicaid funding and reshape the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is set to trim more than $1 trillion in federal Medicaid funding over the next ten years and add policies—such as work requirements and higher cost-sharing—that may affect coverage and state-level budgets. This is likely to result in more state responsibility for Medicaid costs and capped federal growth, even while the program continues to aid many Americans.

Medicaid Payments Tied to Evaluation and Management in Cheyenne Wells, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $146,606 -5.4%
2021 $207,413 41.5%
2022 $153,053 -26.2%
2023 $77,784 -49.2%
2024 $125,190 60.9%
Top Categories by Medicaid Payments in Cheyenne Wells, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $125,190 10<0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Cheyenne Wells, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
99213 Office o/p est low 20 min $116,018 21
99214 Office o/p est mod 30 min $9,172 2

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.



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