Grosse Pointe Farms Medicaid Evaluation and Management payments rose to $58,789 in 2024

In 2024, Medicaid providers in Grosse Pointe Farms billed $58,789 for Evaluation and Management category services, federal data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 156.7% increase over 2023, when $22,898 in claims were submitted for the same service category.

Medicaid operates as a state-administered, federally and state-funded public health insurance program. It offers coverage to low-income individuals and families, older adults, children and people with disabilities, making it a key part of the U.S. medical system.

Shifts in local Medicaid billing indicate how taxpayer-funded health care dollars shift within a community, since the program is funded through public sources.

The Evaluation and Management category includes a specific set of Medicaid services as defined by HCPCS and CPT code classifications. For this analysis, each code was linked to just one service category, ensuring accuracy in rankings and preventing repeated counting by implementing strict code grouping rules and ranges.

Among multiple service groups reflecting increased spending, Evaluation and Management held the highest total Medicaid payment in Grosse Pointe Farms in 2024.

At the state level in Michigan, the Evaluation and Management category was the third largest in 2024 by Medicaid payments.

In the five years preceding 2024, Evaluation and Management-specific Medicaid spending in Grosse Pointe Farms grew by $29,749, or 102.4%. Some years saw stronger growth, with particularly sharp increases reported in 2022 and again in 2022.

Although Medicaid spending on Evaluation and Management services occurred across the city, most payments were concentrated in a small number of ZIP codes. For 2024, ZIP code 48236 saw the entirety of Medicaid payments for Evaluation and Management services in Grosse Pointe Farms—$58,789—making it the sole contributor in this category.

Evaluation and Management Medicaid payments also centered around a few specific billing codes within the category.

By comparison, Evaluation and Management payments in Grosse Pointe Farms increased by 156.7% from 2023 to 2024, while all Medicaid claim categories combined across the city rose by 154.8% over the same span.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending amounted to approximately $871.7 billion for fiscal year 2023, comprising about 18% of nationwide health expenditures—a major boost from roughly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This growth equates to an increase of nearly 40% over a few years, primarily fueled by larger enrollment numbers and higher patient use related to and following the pandemic years.

In recent years, federal budget reforms approved during the Trump administration contained major proposals to reduce the federal commitment to Medicaid and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to decrease federal Medicaid spending by over $1 trillion in the next decade, with changes such as work requirements and increased cost-sharing aimed at curbing both coverage and funding for some users. These adjustments will likely place more responsibility on state budgets and constrict the expansion of federal Medicaid help, even as enrollment remains high nationally.

Note: HCPCS codes are presented as part of this category overview. Aggregate totals and rankings use grouped service categories instead of each individual code.

Data used in this report are from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The full dataset is available here.