Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Delmar billed $1,547 for Evaluation and Management services in 2024. This amount reflects a 191.9% rise compared with 2023, when claims of $530 were filed for the same service category.
Medicaid, a public health insurance initiative overseen by states and funded through a federal-state partnership, supports low-income individuals, families, seniors, children and people with disabilities. This program constitutes a significant portion of the U.S. health care landscape.
Since Medicaid is funded by taxpayers, shifts in billing activity provide a lens into how public health care funds are distributed at the local level.
The Evaluation and Management category includes services defined by care type and standardized through HCPCS and CPT code groups. Each billing code for this analysis was assigned to one service group by applying code prefixes and numeric ranges, enabling accurate year-over-year comparisons without duplicating services between categories.
Evaluation and Management stood as the third-largest Medicaid payment category in Delmar for 2024, despite rising outlays in several service types.
Statewide, Evaluation and Management also ranked third by total Medicaid payments in Delaware in 2024.
Between 2020 and 2024, Medicaid payments for Evaluation and Management services in Delmar increased by $1,547, while the percent growth registered at 0%. Certain periods saw rapid spending increases, including notable year-over-year growth in 2023 and 2022.
Distribution of spending on Evaluation and Management services showed concentration within a few ZIP codes in Delmar. In 2024, payments in ZIP code 19940 amounted to $1,547 and made up 100% of Delmar’s total Medicaid payments for this category.
Within the category, only a limited group of individual billing codes represented most Medicaid payments in 2024.
Looking at comparisons, payments tied to Evaluation and Management services in Delmar grew 191.9% from 2023 to 2024. In contrast, all Medicaid claims saw a 21.2% change in the city during the same interval.
Data from the Centers for Medicare & Medicaid Services indicate that total Medicaid spending from both federal and state sources reached approximately $871.7 billion nationwide in fiscal 2023 and accounted for around 18% of overall national health expenditures. This was up from nearly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
The jump represents an increase of about 40% over a few years, mainly because of increasing enrollment and higher utilization related to and following the pandemic.
Recent federal budget measures during the Trump administration included notable plans to reshape and cut federal Medicaid support. The “One Big Beautiful Bill Act,” passed in 2025, for example, is set to reduce federal Medicaid spending by over $1 trillion over the next 10 years. This legislation brings additional requirements, such as work mandates and greater cost-sharing, that could decrease the coverage and funding for some individuals, shifting added costs to states and capping the growth of federal Medicaid aid despite the program’s large reach.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $1,113 | -24.3% |
| 2023 | $530 | -52.3% |
| 2024 | $1,547 | 191.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $24,449 | 82.4% |
| 2 | National Codes Established for State Medicaid Agencies | $2,210 | 7.5% |
| 3 | Evaluation and Management | $1,547 | 5.2% |
| 4 | Hearing Services | $1,458 | 4.9% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99173 | Visual acuity screen | $1,547 | 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.
