Bellflower sees 41% surge in Medicaid Evaluation and Management payments in 2024

Medicaid providers in Bellflower billed $11,699,293 for services in the Evaluation and Management category in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 41% jump over 2023, when claims for these services totaled $8,295,677.

Medicaid is a public health insurance program administered by the states and financed jointly by the federal and state governments. It serves low-income individuals and families, seniors, children, and people with disabilities, making it a major part of the U.S. health care system.

As taxpayer dollars support Medicaid payments, shifts in local billing provide a metric for how community health care funds are distributed.

The “Evaluation and Management” category includes a range of Medicaid services grouped according to care type, based on standardized HCPCS and CPT code groupings. In this review, each billing code was assigned to a specific service grouping using uniform code prefixes and number ranges, which allowed for targeted analysis of similar services, avoided duplicate counts, and maintained correct rankings across time.

Although Medicaid expenditures grew across other categories, Evaluation and Management led Bellflower’s Medicaid payments by category total in 2024.

Statewide in California, the Evaluation and Management category ranked second for overall Medicaid payment totals in 2024.

Across the five years before 2024, Medicaid spending related to Evaluation and Management in Bellflower rose by $9,179,273, representing an increase of 364.3%. Growth was especially rapid during certain periods, notably in 2020 and 2021, when significant annual increases were observed.

Though care under Evaluation and Management was delivered throughout Bellflower, payments were mostly concentrated in just a few ZIP codes. In 2024, ZIP code 90706 alone received $11,699,293 in Medicaid payments linked to this service category. The top 1 ZIP codes accounted for the entire amount of Medicaid spending tied to this category in Bellflower that year.

Within the Evaluation and Management category, payments focused heavily on a small number of billing codes.

To compare, Medicaid payments associated with Evaluation and Management in Bellflower grew 41% from 2024 to 2023. Across all Medicaid claim types in the city, total payments rose 32.7% during the same period.

According to the Centers for Medicare & Medicaid Services, state and federal Medicaid spending together hit about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health expenditures. That amount was up substantially from $613.5 billion in 2019, before the COVID-19 public health emergency.

This rise reflects nearly 40% growth over a few years, propelled by expanded enrollment and higher service use throughout and following the pandemic.

Recent federal budget measures under the Trump administration involve significant proposed cutbacks to Medicaid funding and structural changes to the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid support by more than $1 trillion over the next 10 years. The law introduces work-related requirements and greater cost-sharing for some recipients, which could scale back coverage and federal contributions for certain groups. These policies are expected to pass more of the funding burden to states and slow federal Medicaid growth, even while the program continues to support tens of millions nationwide.

Note: HCPCS codes are presented to show context for the category. Totals and rankings in this report are calculated by standardized service groups rather than individual billing codes.

Information for this report came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data can be found here.