Evaluation and Management Medicaid payments climb to $15,279 in Sellersburg for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers requested $15,279 for Evaluation and Management services in Sellersburg, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 0.7% growth from 2023, when claims for these services totaled $15,175.

Medicaid operates as a public insurance program administered at the state level and supported through state and federal funding. The program covers seniors, families and individuals with low incomes, children, and those with disabilities, making it a significant element of the U.S. health care landscape.

Since Medicaid expenditures use taxpayer money, changes in local claims levels can indicate how a community allocates its public health care funds.

The “Evaluation and Management” section comprises a set of Medicaid-billed services grouped by type of care according to standardized HCPCS and CPT coding. For this analysis, service codes were placed into categories using standard prefixes and number ranges, enabling comprehensive evaluation of related services without multiple counts, and allowing consistent rankings over time.

Spending rose across various Medicaid service groups, with Evaluation and Management ranked as the second-largest by total Medicaid repayment in Sellersburg for 2024.

Statewide in Indiana, Evaluation and Management held the top position in Medicaid payment ranking in 2024.

Over the five years preceding 2024, amounts tied to Evaluation and Management in Sellersburg grew $24,121, or 61.2%. Noteworthy year-over-year gains were seen in 2023 and 2022 as spending growth accelerated during certain times.

Although care in the Evaluation and Management category was provided across Sellersburg, payments primarily came from a small number of ZIP codes. The 47172 ZIP code accounted for $15,279 in Medicaid payments tied to these services during 2024. The top 1 ZIP codes made up 100% of local Medicaid spending in this category that year.

Within Evaluation and Management, only a handful of individual billing codes made up most Medicaid payments.

For reference, while Medicaid reimbursements tied to Evaluation and Management went up 0.7% between 2024 and 2023, total Medicaid claims in all categories within Sellersburg rose 23.3% during the same span.

According to the Centers for Medicare & Medicaid Services, together federal and state outlays on Medicaid hit about $871.7 billion nationally in fiscal year 2023, about 18% of all U.S. health expenditures—a substantial increase from some $613.5 billion in 2019, the year before the COVID-19 crisis.

This roughly 40% nationwide rise occurred over just a few years, prompted mainly by higher enrollment and increased usage during and after the pandemic.

Recent budget measures from the Trump administration have featured proposals for significant federal Medicaid reductions and changes to the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid outlays by more than $1 trillion over 10 years, incorporating work requirements and higher cost-sharing that may lower benefits and spending for certain recipients. Resulting policies are anticipated to transfer additional costs to states and curb the pace of federal Medicaid support, even as enrollment remains high.

Medicaid Payments Tied to Evaluation and Management in Sellersburg, Indiana Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $39,399 -91.6%
2021 $19,799 -49.7%
2022 $14,885 -24.8%
2023 $15,175 1.9%
2024 $15,279 0.7%
Top Categories by Medicaid Payments in Sellersburg, Indiana, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $161,536 81.2%
2 Evaluation and Management $15,279 7.7%
3 Ambulance and Other Transport Services and Supplies $14,634 7.4%
4 National Codes Established for State Medicaid Agencies $4,676 2.3%
5 Durable Medical Equipment $2,866 1.4%
6 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Evaluation and Management Category in Sellersburg, Indiana, 2024

HCPCS Code Description Medicaid Payments Claims
99214 Office o/p est mod 30 min $8,960 9
98941 Chiropract manj 3-4 regions $5,803 10
99213 Office o/p est low 20 min $516 1

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.



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