Medicaid Evaluation and Management payments in Huntersville grew to $5.9 million in 2024

In 2024, Medicaid providers in Huntersville submitted $5,889,632 in claims for Evaluation and Management services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total rewresents an increase of 102.9% from the prior year when these providers billed $2,902,882 for the same service category.

Medicaid, a public health insurance initiative operated by the states and funded through a combination of federal and state contributions, provides coverage for low-income people and families, seniors, children, and individuals with disabilities, making it a major part of the U.S. health care landscape.

Because Medicaid relies on taxpayer dollars, fluctuations in local billing volumes reflect how a community allocates public healthcare resources.

The “Evaluation and Management” group captures Medicaid-billed services according to standardized HCPCS and CPT code clusters. For this report, codes were placed into distinct service categories using defined prefixes and numbered intervals, which enabled the tallying of related services while maintaining accurate rankings by preventing double counting.

Although increases were observed in several Medicaid service types, Evaluation and Management led all categories in Huntersville based on Medicaid spending in 2024.

For North Carolina as a whole, Evaluation and Management placed second in the state by overall Medicaid outlays for the year.

Over the five-year period leading to 2024, Huntersville saw Medicaid Evaluation and Management payments increase by $5,042,766, equating to a 595.5% rise. Some of the largest year-to-year gains were posted in 2021 and 2023.

While funding for Evaluation and Management care spanned much of Huntersville, payments were highly concentrated within a small number of ZIP codes. For 2024, ZIP code 28078 accounted for $5,889,631, representing 100% of Medicaid funding linked to this service type within the city for the year.

Within Evaluation and Management, most Medicaid payments were distributed among few specific billing codes.

Compared to all Medicaid categories in Huntersville, Evaluation and Management payments rose 102.9% between 2024 and 2023, compared to an overall 20.3% increase across all Medicaid claim types for the city in that same window.

As noted by the Centers for Medicare & Medicaid Services, in fiscal year 2023, total federal and state Medicaid expenditures approached $871.7 billion, representing about 18% of U.S. health spending—an increase from about $613.5 billion in 2019 prior to the COVID-19 pandemic.

This jump translates to approximately 40% growth across several years, largely resulting from expanded enrollment and heightened utilization associated with pandemic and post-pandemic trends.

Recent federal budget actions during the Trump administration have put forward considerable reductions to federal Medicaid funding and aimed to restructure the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid allocations by over $1 trillion over the next 10 years and includes provisions such as work mandates and expanded cost-sharing, which may impact coverage or funds for certain enrollees. These policy changes are likely to shift greater expense to states and slow the expansion of federal Medicaid dollars—even as millions of Americans remain covered by the program.

Note: HCPCS codes are listed for context within the service category. The rankings and totals referenced here rely on standardized groupings rather than on singular billing codes.

Details for this report come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The dataset is available here.