Deadwood Medicaid spending on Evaluation and Management services reaches $105,282 in 2024

According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Deadwood Medicaid providers billed $105,282 in 2024 for Evaluation and Management services. This figure represents a 92.6% jump over 2023, when the claims for this service category totaled $54,673.

Medicaid, managed by the states and financed through a partnership between federal and state governments, assists low-income individuals, families, seniors, children and people with disabilities. It is a major component of the U.S. health care system.

Since Medicaid is funded by taxpayers, trends in local billing levels demonstrate how public health care resources are distributed within a community.

The “Evaluation and Management” classification encompasses a set of Medicaid-billed services based on the care provided and identified by standardized HCPCS and CPT code groupings. This analysis assigned each billing code to one service category using specific code prefixes and ranges, making it possible to study related services together, ensure no duplicates, and maintain consistent rankings over time.

While Medicaid outlays increased in various service categories, the Evaluation and Management category had the highest total Medicaid payments in Deadwood in 2024.

Statewide in South Dakota, Evaluation and Management ranked second by overall Medicaid payments in 2024.

From 2020 through 2024, Medicaid payments associated with Evaluation and Management in Deadwood increased by $93,093, or 763.7%. Some periods experienced more rapid growth, with large year-on-year gains in both 2022 and 2021.

Spending on Evaluation and Management services, though distributed throughout Deadwood, was heavily concentrated in certain ZIP codes. In 2024, ZIP code 57732 alone accounted for $105,282 in Medicaid payments, making up 100% of the total for this category in the city for that year.

Within the category, a small number of individual billing codes accounted for the bulk of Medicaid payments.

In Deadwood, Medicaid payments for Evaluation and Management rose 92.6% from 2023 to 2024, compared to a 41.5% rise across all Medicaid service categories within the city during the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures hit about $871.7 billion in fiscal year 2023, representing roughly 18% of nationwide health expenditures, up substantially from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase is about 40% over just a few years, propelled primarily by expanded enrollment and elevated usage during and after the pandemic period.

Recent federal budget actions under the Trump administration have brought major proposals to lower federal Medicaid spending and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid funding by over $1 trillion in the next decade, with policy changes such as work mandates and higher cost-sharing that could reduce both coverage and funding for some recipients. These adjustments could transfer greater financial responsibility to states and limit federal Medicaid growth, even as the program continues serving millions of Americans.

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.