In 2024, Medicaid providers in Bogota billed a total of $50,079 for Evaluation and Management services, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 100% rise compared to 2023, when $25,040 in claims were filed for the same service category.
Medicaid, one of the nation’s largest health care programs, is operated by states with financial support from both state and federal governments. The program provides coverage to low-income people, families, seniors, children, and those with disabilities.
Shifts in Medicaid billing locally reflect the allocation of public health funds within a community, since taxpayer dollars fund these payments.
The Evaluation and Management designation includes a set of services billed to Medicaid based on particular types of care, using defined HCPCS and CPT coding structures. For this report, each billing code was associated with a single service group through specific code prefixes and ranges, which enabled analysts to group similar services, avoid duplicate counts, and maintain accurate long-term rankings.
While Medicaid expenditure increased in several areas, Evaluation and Management was the third-largest Medicaid payment category in Bogota in 2024.
Statewide in New Jersey, Evaluation and Management also placed third among Medicaid payment categories for 2024.
Between 2020 and 2024, Medicaid payments in Bogota attributed to Evaluation and Management grew by $50,079, showing an overall increase of 0%. There were notable surges in this spending, particularly year-over-year in 2023 and 2022.
Payments for Evaluation and Management services were distributed citywide in 2024, but the bulk of Medicaid payments came from a small group of ZIP codes. Specifically, ZIP code 07603 totaled $50,079, accounting for all Medicaid payments in this category in Bogota for the year.
Only a handful of billing codes made up most Medicaid payments within the Evaluation and Management section.
Comparatively, Medicaid payments for Evaluation and Management in Bogota climbed 100% between 2024 and 2023, while the total Medicaid claims for all service types in the city grew by 5.1% during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023—approximately 18% of all U.S. health spending. This figure represents a significant increase from $613.5 billion in 2019, before the COVID-19 emergency.
This amounts to a rise of close to 40% in a few years, largely fueled by expansion in enrollment and increased usage of services during and after the pandemic.
Major federal budget measures during the Trump administration introduced widespread Medicaid funding changes. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid funds by over $1 trillion over 10 years and implement policies like work mandates and increased out-of-pocket costs, potentially lowering coverage and shifting funding burdens to states.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $23,251 | -50% |
| 2023 | $25,039 | 7.7% |
| 2024 | $50,079 | 100% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $4,902,814 | 95.9% |
| 2 | National Codes Established for State Medicaid Agencies | $151,262 | 3% |
| 3 | Evaluation and Management | $50,079 | 1% |
| 4 | Medicine Services and Procedures | $7,522 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99361 | $50,079 | 2 |
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.
