Evaluation and Management Medicaid claims in Rolling Hills Estates top $101,000 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in Rolling Hills Estates billed $101,582 in 2024 for Evaluation and Management services. This represents a 10.9% increase from 2023, when claims for these services totaled $91,605.

Medicaid, a state-managed program financed jointly by federal and state governments, covers low-income people and families, seniors, children, and individuals with disabilities, making it a major component of the national health care system.

Fluctuations in local Medicaid billing indicate shifts in the allocation of public health funds within a community, since the payments are sourced from taxpayer money.

The “Evaluation and Management” category consists of a range of services billed to Medicaid, classified using standardized HCPCS and CPT code groupings. In this review, each billing code was mapped to one service category by matching code prefixes and number groupings to ensure services were counted only once and rankings remained consistent over time.

While Medicaid spending grew across several service areas, Evaluation and Management had the highest total Medicaid payments among all service categories in Rolling Hills Estates for 2024.

Statewide, Evaluation and Management was second by total Medicaid payments in California in 2024.

Over the five years preceding 2024, Medicaid payments in Rolling Hills Estates for Evaluation and Management services grew by $7,422, or 7.9%. Some years, including 2020 and 2022, saw larger annual growth in spending.

Though care payments in the Evaluation and Management category spanned multiple areas in the city, the majority of payments were concentrated in fewer ZIP codes. In 2024, ZIP code 90274 saw $101,581 in Medicaid payments for the category, accounting for 100% of such payments within Rolling Hills Estates for the year.

Only a few individual billing codes made up most Medicaid payments in the Evaluation and Management category.

Between 2023 and 2024, Rolling Hills Estates saw payments for Evaluation and Management services grow by 10.9%. For context, total Medicaid claims for all service categories in the city grew by 12.2% during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was approximately $871.7 billion in fiscal year 2023, making up around 18% of the country’s total health care costs. That’s a sharp increase from $613.5 billion in 2019, the year before the COVID-19 pandemic began.

This growth of roughly 40% was accelerated by higher enrollment and utilization levels during and after the pandemic.

The Trump administration enacted budget legislation featuring substantial plans to reduce federal Medicaid funding and reorganize the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years and introduces new requirements such as work conditions and greater cost-sharing, changes likely to decrease funding and eligibility for certain enrollees. As a result, states may bear a larger share of costs, and the rate of federal Medicaid growth could be curbed even while the program remains a vital source of coverage for millions.

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.