Providers in Lake Andes billed Medicaid $141,749 for services within the Evaluation and Management category during 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total represented a 30.3% rise compared to 2023, when $108,771 in similar service claims were submitted.
Medicaid is a government health insurance program administered by the states and jointly supported by federal and state governments. The program covers low-income people, families, seniors, children and those with disabilities, making it a key part of the U.S. health care system.
Medicaid payment levels, funded by taxpayers, highlight how public health spending is distributed across local communities.
The “Evaluation and Management” category includes health services that are assigned to standardized HCPCS and CPT billing code groupings based on the care provided. This report grouped billing codes to a single service category using consistent code prefixes and ranges to track related services, minimize double-counting and preserve accurate yearly rankings.
While Medicaid spending increased for different types of services, Evaluation and Management held the highest rank in terms of total Medicaid payments in Lake Andes for 2024.
Statewide in South Dakota, Evaluation and Management was the second-largest category by Medicaid payment total in 2024.
Between 2020 and 2024, Medicaid payments for Evaluation and Management services in Lake Andes rose $59,934, or 73.3%. Spending growth sharply accelerated during some periods, with pronounced year-to-year increases in 2021 and 2022.
The distribution of Medicaid spending in the Evaluation and Management category spanned Lake Andes but was concentrated in a small number of ZIP codes. ZIP code 57356 recorded the largest share for 2024, totaling $141,748. Altogether, the top 1 ZIP codes accounted for all Medicaid payments under the Evaluation and Management category in Lake Andes for the year.
Individual billing codes reflected a similar concentration of payments inside the Evaluation and Management category.
For context, payments related to Evaluation and Management in Lake Andes rose 30.3% between 2024 and 2023; by comparison, all local Medicaid claim categories combined saw a 30.2% increase over the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays were approximately $871.7 billion in fiscal year 2023, representing about 18% of all national health expenditures, a substantial rise from $613.5 billion in 2019 before the onset of COVID-19.
This signifies approximately 40% growth in just a few years, mostly driven by increased participation and higher usage since the pandemic.
Recent federal spending laws passed during the Trump administration introduced notable proposals for federal Medicaid budget cuts and restructuring. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is forecast to cut more than $1 trillion in federal Medicaid contributions over the next 10 years. It also brings policies such as work requirements and more cost-sharing that could limit coverage and funding for some recipients. These shifts are anticipated to place more responsibility on states while constraining the future growth of federal Medicaid support, although the program remains a major aid for millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $81,815 | -27.5% |
| 2021 | $122,496 | 49.7% |
| 2022 | $120,851 | -1.3% |
| 2023 | $108,770 | -10% |
| 2024 | $141,748 | 30.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $141,748 | 51.4% |
| 2 | Ambulance and Other Transport Services and Supplies | $133,844 | 48.5% |
| 3 | Medicine Services and Procedures | $248 | 0.1% |
| 4 | Procedures / Professional Services | $0 | <0.1% |
| 4 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $105,999 | 12 |
| 99214 | Office o/p est mod 30 min | $31,767 | 12 |
| 99394 | Prev visit est age 12-17 | $2,115 | 1 |
| 99212 | Office o/p est sf 10 min | $1,866 | 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.