Wisconsin Dells sees $79,747 in Medicaid payments for Evaluation and Management services in 2024

In 2024, Medicaid providers in Wisconsin Dells billed $79,747 for services within the Evaluation and Management category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 32% rise from 2023, when claims for these services reached $60,428.

Medicaid is a state-operated public health insurance program with joint federal and state funding. It provides coverage to low-income groups, the elderly, children, and individuals with disabilities, making it a major component of the U.S. health system.

Because Medicaid expenditures are financed by taxpayers, fluctuations in billing at the local level provide insight into how communities spend public health care funds.

The “Evaluation and Management” category comprises a set of Medicaid-billed services organized by care type, determined by standardized HCPCS and CPT code groupings. For this analysis, each service code was classified into a single service category using consistent code ranges and prefixes, enabling related services to be grouped for more accurate trend tracking and ranking while minimizing double counting.

Even though Medicaid expenses rose in several service groups, Evaluation and Management recorded the highest combined Medicaid payments in Wisconsin Dells for 2024.

Statewide in Wisconsin, the Evaluation and Management category ranked second overall for Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments in Wisconsin Dells connected to Evaluation and Management went up by $49,762, a rise of 166%. Notable annual increases were seen, especially in 2021 and 2022.

Within the city, spending on Evaluation and Management services covered various areas, but most payments concentrated in just a few ZIP codes. The highest payments in 2024 were in ZIP code 53965, with $79,746 billed. Collectively, the top 1 ZIP code comprised 100% of Medicaid payments tied to Evaluation and Management in Wisconsin Dells for the year.

Payments in the Evaluation and Management category were further focused among a handful of individual billing codes.

To compare, while Medicaid-related Evaluation and Management payments increased by 32% from 2023 to 2024 in Wisconsin Dells, the rise across all Medicaid claim types citywide for the same period was 14.4%.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid totaled about $871.7 billion in the 2023 fiscal year, roughly 18% of total national health costs, substantially up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This expansion amounts to approximately 40% growth over a few years, driven mainly by enrollment increases and expanded service use during and following the pandemic.

Recent federal budget measures during the Trump administration introduced substantive options to scale back federal Medicaid dollars and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is set to trim over $1 trillion from federal Medicaid spending in the next decade and incorporates policies such as work requirements and expanded cost-sharing, potentially reducing assistance and coverage for certain beneficiaries. These policy changes would increase state budget responsibility and restrict federal Medicaid growth, although the program still serves tens of millions across the U.S.

Note: HCPCS codes are displayed as context for the category. Totals and category rankings shown focus on standardized service groupings rather than individual billing codes.

The data referenced in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the original source here.