Evaluation and Management Medicaid payments in Bristow hit $101,297 in 2024, rising 104.4%

In 2024, Bristow Medicaid providers billed $101,297 for Evaluation and Management services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 104.4% rise from 2023, when claims under the same category totaled $49,555.

Medicaid is a state-administered health insurance program funded jointly by state and federal governments. The program covers low-income individuals and families, children, seniors, and people with disabilities, and represents a significant component of the U.S. health care system.

Because Medicaid is funded by taxpayers, fluctuations in billing at the local level reflect how community health care resources are distributed.

The Evaluation and Management category includes a group of Medicaid-billed services determined by the type of care provided, using standard HCPCS and CPT code groupings. For this report, each billing code was allocated to a single service category based on consistent code prefixes and numbers, ensuring related services are grouped for analysis and avoiding duplicate counting for rankings over time.

While Medicaid expenditures grew in several service categories, Evaluation and Management stood as the second-highest by payment total in Bristow for 2024.

Statewide in Oklahoma, Evaluation and Management was ranked first by total Medicaid payments in 2024.

Over the five years ending in 2024, Medicaid payments for Evaluation and Management in Bristow rose by $78,000, or 43.5%. Certain years during this period, such as 2021 and 2022, saw even more rapid spending increases.

Spending in the Evaluation and Management category spanned multiple areas of the city, but the majority of payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 74010 had the highest total for this category with $101,296. This single ZIP code represented 100% of all such Medicaid payments in Bristow that year.

Within this category, Medicaid payments were also heavily focused on a select group of billing codes.

To compare, Medicaid payments tied to Evaluation and Management in Bristow grew 104.4% between 2024 and 2023. In contrast, payments across all Medicaid categories citywide showed a 24.6% increase during the same period.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from both state and federal governments totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health expenditures. That is a significant jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise amounts to growth of approximately 40% over just a few years, reflecting increased enrollment and higher use of services during and following the pandemic.

Federal budget legislation passed under the Trump administration has brought forward sizable proposals to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the coming decade. It introduces new work requirements and greater cost-sharing, measures that could lower coverage and funding for some recipients. These policy changes are expected to push additional financial responsibility to states and constrain future growth of federal support, while the program continues serving tens of millions nationwide.

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.