In 2024, Medicaid providers in Moville billed a total of $18,889 for Evaluation and Management services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked a 2.3% increase compared to the $18,457 reported in 2023 for the same service group.
Medicaid, managed by states and financially supported through federal and state cooperation, covers low-income residents, families, seniors, children, and individuals with disabilities. This makes it one of the nation’s largest health coverage programs.
Since Medicaid relies on taxpayer funding, fluctuations in local billing help track how resources for public health care are allocated within communities.
The “Evaluation and Management” category encompasses Medicaid-billed services that are grouped by the type of medical care listed, based on agreed-upon HCPCS and CPT code sets. For these findings, each code was matched to a distinct service category using consistent codes and ranges, so that related services could be combined without duplication and to maintain precise category rankings over time.
Evaluation and Management led all Medicaid service categories in Moville in 2024 for total payments, with spending also rising in several categories, according to the data.
At the state level in Iowa, Evaluation and Management ranked fourth in total Medicaid payments in 2024.
Across the five years prior to 2024, Medicaid spending connected to Evaluation and Management services in Moville rose by $18,889, a change of 0%. Some years saw notable increases, namely in both 2022 and 2022.
The distribution of payments for Evaluation and Management services spanned Moville, but spending was concentrated in certain ZIP codes. In 2024, ZIP code 51039 accounted for $18,888, making up 100% of these Medicaid payments in Moville that year.
A limited group of billing codes represented most Medicaid payments within the Evaluation and Management category.
For additional comparison, payments for Evaluation and Management services in Moville climbed by 2.3% between 2024 and 2023, while the overall increase among all Medicaid categories in the city was 6.1% during that period.
The Centers for Medicare & Medicaid Services report combined federal and state Medicaid spending stood at approximately $871.7 billion in fiscal year 2023 — about 18% of national health expenditures — a significant rise from $613.5 billion in 2019, noted prior to the COVID-19 pandemic.
This represents a roughly 40% jump over several years, mainly driven by greater enrollment and utilization throughout and following the pandemic period.
Recent federal budget policy changes under the Trump administration have included major proposals to scale back federal Medicaid dollars and alter its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to reduce federal Medicaid outlays by more than $1 trillion over the coming decade, introducing measures such as work mandates and increased cost-sharing that may decrease benefits and funding for some Medicaid recipients. These reforms are likely to shift more costs to states and limit federal spending increases, even as Medicaid continues to assist millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $10,760 | – |
| 2022 | $24,859 | 131% |
| 2023 | $18,456 | -25.8% |
| 2024 | $18,888 | 2.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $18,888 | 89.8% |
| 2 | Pathology and Laboratory Procedures | $1,802 | 8.6% |
| 3 | Medicine Services and Procedures | $196 | 0.9% |
| 4 | Surgery | $157 | 0.7% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $16,763 | 12 |
| 99214 | Office o/p est mod 30 min | $1,104 | 2 |
| 99394 | Prev visit est age 12-17 | $1,020 | 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.

