Bonneau Medicaid providers received $34,230 for Evaluation and Management services in 2024

In 2024, Medicaid providers in Bonneau received $34,230 in payments for services falling under the Evaluation and Management category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 12.1% increase compared with 2023, when providers requested $30,548 for the same services.

Medicaid is a public health insurance initiative managed at the state level and funded through a partnership between federal and state governments. The program primarily serves low-income people and families, older adults, children, and individuals with disabilities, and is one of the largest components of the U.S. health care system.

Because Medicaid’s funds originate from taxpayers, shifts in local billing illustrate how public health spending is allocated within a community.

The “Evaluation and Management” group encompasses a set of Medicaid services categorized by the type of care delivered, based on established HCPCS and CPT code ranges. In this analysis, each billing code was grouped into one service category using standardized prefixes and number ranges, which enables accurate ranking and comparison over time by preventing double counting.

While Medicaid expenditures rose in multiple categories, Evaluation and Management accounted for the highest total Medicaid payments in Bonneau for 2024.

Statewide in South Carolina, Evaluation and Management ranked as the second-largest category by Medicaid payments that year.

From 2019 to 2024, Medicaid payments related to Evaluation and Management in Bonneau increased by $33,942, or 49.8%. The data shows especially strong year-over-year growth in 2021 and 2020.

Even though Evaluation and Management services were billed across Bonneau, most payments were concentrated in a few ZIP codes. In 2024, ZIP code 29431 accounted for $34,230 in Medicaid payments under this category. The top 1 ZIP codes contributed 100% of all Medicaid Evaluation and Management payments for the area that year.

Within the category, a small group of billing codes represented the majority of Medicaid payments.

Comparatively, Medicaid spending on Evaluation and Management in Bonneau rose by 12.1% from 2023 to 2024, close to the 12% growth seen across all Medicaid claim categories in the city over the same period.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid expenditures totaled about $871.7 billion in the 2023 fiscal year, making up roughly 18% of all national health costs. This is a significant rise from the $613.5 billion recorded in 2019 before the COVID-19 pandemic.

This increase represents approximately 40% growth in a short period, with higher enrollment and greater utilization during and after the pandemic cited as main drivers.

Legislation introduced under the Trump administration at the federal level featured significant proposed changes to Medicaid funding and structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years. The law includes new requirements, such as work obligations and increased cost-sharing, that could scale back coverage and funding for specific groups. These changes are anticipated to shift more financial responsibility to states and slow the expansion of federal Medicaid support as the program continues covering tens of millions of Americans.

Note: HCPCS codes are included to provide context within the category. Rankings and totals in this report are based on standardized service groupings instead of individual billing codes.

Data for this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data can be accessed here.