Peachtree City Medicaid spending on Evaluation and Management services climbs to $529,127 in 2024

Providers in Peachtree City billed Medicaid $529,127 for Evaluation and Management services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 5% rise from 2023, when providers reported $503,882 in claims for this service category.

Medicaid, a public health insurance program operated by states and funded by both federal and state governments, serves low-income people and families, seniors, children, and individuals with disabilities. It is among the largest components of the U.S. health care system.

Changes in local Medicaid billing reflect how taxpayer dollars for health care are distributed in communities.

The “Evaluation and Management” classification groups Medicaid services by the type of care, defined using standardized HCPCS and CPT codes. Each billing code for this analysis was categorized into a single service type using established code prefixes and ranges, consolidating similar services while avoiding duplicate counting and enabling consistent rankings over time.

Evaluation and Management led all other service categories for total Medicaid payments in Peachtree City during 2024.

This category also ranked highest for statewide Medicaid payments in Georgia for 2024.

From 2019 to 2024, Medicaid payments for Evaluation and Management services in Peachtree City increased by $98,479, or 15.7%. Certain years saw accelerated growth, with marked increases in both 2023 and 2022 compared to prior periods.

Most Evaluation and Management spending was located in a few ZIP codes throughout Peachtree City. In 2024, ZIP code 30269 totaled $529,126 in Medicaid payments under this category. In aggregate, the top ZIP code accounted for 100% of Evaluation and Management payments in the city for the year.

Within this category, Medicaid spending was focused on a small selection of individual billing codes.

Looking specifically at year-over-year trends, spending tied to the Evaluation and Management category in Peachtree City grew 5% from 2023 to 2024, compared with a 5.3% change across all Medicaid claim categories in the city for the same interval.

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

This represents a growth rate of approximately 40% over just a few years, primarily fueled by higher enrollment and increased utilization during and following the pandemic.

Federal budget changes made under the Trump administration introduced significant shifts to Medicaid funding. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next decade and implements work requirements and increased cost-sharing, which may lower funding and coverage for some recipients. These policies are expected to transfer more costs to states and limit federal Medicaid growth, though the program continues to serve 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.

This information is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access the data here.