Winchester Medicaid providers received $1,909 for Evaluation and Management services in 2024

Winchester Medicaid providers received $1,909 for Evaluation and Management services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked a 167% increase from 2023, when providers billed $715 for comparable services.

Medicaid is a state-administered public health insurance program, funded by both federal and state governments. It serves low-income individuals and families, seniors, children, and those with disabilities, making it one of the largest components of the U.S. health care system.

Since Medicaid is funded by taxpayers, shifts in local billing amounts reflect how public health care resources are spent within communities.

The “Evaluation and Management” category encompasses a range of Medicaid-billed services, as defined by standardized HCPCS and CPT code groupings. For this report, billing codes were assigned to a specific service category using consistent code prefixes and numerical series, grouping related services for accurate analysis while avoiding duplication and supporting year-to-year ranking.

Even though Medicaid spending rose across various service categories, Evaluation and Management led all categories in Winchester by total Medicaid payments for 2024.

Statewide in Kansas, Evaluation and Management ranked third for total Medicaid payments that year.

Across the five years preceding 2024, Medicaid payments for Evaluation and Management services in Winchester increased by $1,051, or 122.6%. Certain periods saw accelerated growth, with particularly strong year-over-year gains noted in 2022 and 2022.

Although Evaluation and Management services were offered citywide, the bulk of payments occurred in a small number of ZIP codes. In 2024, ZIP code 66097 accounted for $1,909 in Medicaid payments tied to this category, making up 100% of Winchester’s total for the year.

Within this category, Medicaid spending was mainly concentrated among just a few billing codes.

For comparison, Winchester’s Medicaid payments for the Evaluation and Management category rose by 167% from 2023 to 2024, which matched the percentage increase seen across all Medicaid claim categories in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023. This represented roughly 18% of total U.S. health expenditures, up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase totals an approximate 40% rise in just a few years, largely attributed to expanded enrollment and greater health care utilization during and after the pandemic.

Federal budget changes under the Trump administration included major proposals to reduce federal Medicaid funding and reconfigure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid outlays over the next decade and implement policies like work requirements and higher cost-sharing, which could decrease both coverage and funding for certain beneficiaries. These measures are likely to shift more financial responsibility to states and restrict federal Medicaid growth, though the program continues to serve tens of millions of Americans.

Note: HCPCS codes are provided for reference within the category. Category totals and rankings in this article are based on standardized service groupings, not on individual code counts.

Source: U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the data here.