In 2024, Hermiston Medicaid providers billed $5,936,340 for Evaluation and Management services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure marked a 23.3% increase over 2023, when providers filed $4,814,072 in claims for the same category.
Medicaid, a public insurance initiative funded through federal and state dollars, provides coverage for low-income individuals and families, older adults, children, and people with disabilities, making it one of the country’s key health systems.
Since Medicaid draws on taxpayer funding, fluctuations in local billing highlight how health care spending is distributed within each community.
The Evaluation and Management service group includes a range of Medicaid-billed services that are classified according to care type, standardized HCPCS and CPT code categories. For this report, each billing code was linked to one service group using consistent code prefixes and ranges to enable comprehensive review without overlap and maintain reliable comparisons over time.
While Medicaid disbursements grew across several service types, Evaluation and Management recorded the highest total payments in Hermiston for 2024.
Statewide in Oregon, Evaluation and Management also was the top category by total Medicaid payments for the year.
During the five-year period ending in 2024, local Medicaid spending for Evaluation and Management in Hermiston climbed by $2,860,366, or 93%. There were periods of faster growth, especially year over year in both 2021 and 2022.
Although payments for Evaluation and Management services were distributed citywide, they tended to concentrate in specific ZIP codes. In 2024, primary Medicaid payments in the Evaluation and Management category came from ZIP code 97838 with $5,936,340, meaning that 1 ZIP code accounted for all of the area’s Medicaid claims for this category.
The category saw Medicaid funds centered around a small subset of billing codes.
Between 2024 and 2023, Hermiston recorded a 23.3% increase in Medicaid payments for Evaluation and Management services, compared with a 4.7% increase across all city Medicaid claim categories in the same time frame.
Centers for Medicare & Medicaid Services data show combined federal and state Medicaid outlays totaled around $871.7 billion in fiscal 2023, about 18% of total health expenditures nationally, a sharp jump from approximately $613.5 billion in 2019, before the COVID-19 emergency.
This upturn amounts to nearly 40% growth in just a few years, with expanding enrollment and greater use since the pandemic as major drivers.
In recent years, federal budget measures under the Trump administration have introduced major reductions to federal Medicaid contributions and aimed to change the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut over $1 trillion in federal Medicaid funding over 10 years. It brings policies such as work requirements and increased cost-sharing, which could affect benefits and overall funding for certain participants. These policy shifts are likely to transfer more liability to the states and curb federal funding expansion, even as Medicaid continues to insure tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,075,973 | -18.1% |
| 2021 | $4,112,379 | 33.7% |
| 2022 | $4,868,975 | 18.4% |
| 2023 | $4,814,072 | -1.1% |
| 2024 | $5,936,340 | 23.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,936,340 | 66.4% |
| 2 | Medicine Services and Procedures | $1,035,445 | 11.6% |
| 3 | Alcohol and Drug Abuse Treatment | $806,911 | 9% |
| 4 | Radiology Procedures | $372,935 | 4.2% |
| 5 | Pathology and Laboratory Procedures | $274,423 | 3.1% |
| 6 | Ambulance and Other Transport Services and Supplies | $181,017 | 2% |
| 7 | Medical And Surgical Supplies | $98,040 | 1.1% |
| 8 | Durable Medical Equipment | $78,371 | 0.9% |
| 9 | Dental Services | $78,300 | 0.9% |
| 10 | Surgery | $37,220 | 0.4% |
| 11 | Drugs Administered Other than Oral Method | $21,840 | 0.2% |
| 12 | Temporary Codes | $15,074 | 0.2% |
| 13 | Procedures / Professional Services | $3,069 | <0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,347 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99284 | Emergency dept visit mod mdm | $1,960,015 | 108 |
| 99285 | Emergency dept visit hi mdm | $1,631,754 | 77 |
| 99283 | Emergency dept visit low mdm | $1,040,086 | 102 |
| 99213 | Office o/p est low 20 min | $545,719 | 290 |
| 99214 | Office o/p est mod 30 min | $305,688 | 219 |
| 99282 | Emergency dept visit sf mdm | $152,605 | 38 |
| 99215 | Office o/p est hi 40 min | $111,390 | 15 |
| 99212 | Office o/p est sf 10 min | $34,002 | 65 |
| 98942 | Chiropractic manj 5 regions | $31,671 | 18 |
| 99203 | Office o/p new low 30 min | $28,428 | 29 |
| 99391 | Per pm reeval est pat infant | $21,818 | 20 |
| 99291 | Critical care first hour | $17,226 | 1 |
| 99204 | Office o/p new mod 45 min | $16,734 | 9 |
| 99392 | Prev visit est age 1-4 | $10,872 | 22 |
| 99211 | Off/op est may x req phy/qhp | $9,844 | 7 |
| 98941 | Chiropract manj 3-4 regions | $5,949 | 9 |
| 99393 | Prev visit est age 5-11 | $5,265 | 21 |
| 99239 | Hosp ip/obs dschrg mgmt >30 | $3,946 | 3 |
| 99460 | Init nb em per day hosp | $1,028 | 1 |
| 99394 | Prev visit est age 12-17 | $576 | 4 |
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.