Corrales saw 67% surge in Medicaid Evaluation and Management payments in 2024

Medicaid providers in Corrales submitted $66,885 in claims for Evaluation and Management services in 2024, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 67% greater than in 2023, when the total billed for these services reached $40,044.

Medicaid is a public insurance program operated by the states and co-funded by federal and state governments. The program provides insurance access for low-income residents, children, seniors, and people with disabilities and forms a critical part of the broader U.S. health care system.

Since Medicaid funds originate from taxpayers, shifts in billing locally reflect how community health resources are being distributed.

The “Evaluation and Management” category encompasses a set of Medicaid-billed services differentiated by care type and grouped using defined HCPCS and CPT code ranges. For this review, each billing code corresponded to only one service category based on shared prefixes and number ranges, ensuring a clear assessment of grouped services, consistent rankings, and no double counting.

While Corrales reported higher Medicaid expenditures across several service areas, Evaluation and Management services ranked first in the city for 2024 by total Medicaid payments.

Statewide, the Evaluation and Management category was the third highest by total Medicaid payment in New Mexico during 2024.

From five years prior to 2024, Medicaid payments for Evaluation and Management services in Corrales climbed by $49,490, a 284.5% growth. The most pronounced annual increases took place in 2020 and again in 2023.

Spending on care in the Evaluation and Management category was distributed across the city but was concentrated largely in a few ZIP codes. In 2024, ZIP code 87048 accounted for $66,884 in Medicaid payments for this service, representing 100% of all claims for Evaluation and Management services reported in Corrales that year.

Within this service group, most Medicaid payments were focused on only a few individual billing codes.

To compare trends, the 67% growth in Evaluation and Management Medicaid payments between 2024 and 2023 stood against an 83.1% shift across all Medicaid categories in Corrales over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion for fiscal year 2023, making up roughly 18% of all U.S. health expenditures, rising sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This period reflected a roughly 40% increase, primarily due to expanded enrollment and higher use of services in and after the pandemic era.

Recent federal budget laws outlined during the Trump administration have included major proposals to trim federal Medicaid funding and change how the program operates. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid outlays by more than $1 trillion over 10 years and brings changes including work requirements and higher cost-sharing, which could reduce coverage and limit funds for some recipients. These measures are likely to increase state financial responsibility and hold down the expansion of federal Medicaid assistance, even as millions of Americans rely on the program.

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.