Medicaid providers in Sheridan submitted $1,338,065 in claims for services in the Evaluation and Management category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represents a 6.9% rise from 2023, when $1,252,220 was billed for these services.
Medicaid is a government health insurance program administered by the states and financed cooperatively by federal and state governments. The program covers eligible low-income people, seniors, children and those with disabilities, making it a significant part of the U.S. health care landscape.
Since Medicaid payments rely on public funds, variations in local billing illustrate how taxpayer health care dollars are distributed within a community.
The “Evaluation and Management” designation includes a set of Medicaid-billed services, classified by the care delivered and distinguished by specific HCPCS and CPT code groupings. For this reporting, each code was grouped into a single service category based on standardized prefixes and numerical ranges, allowing for accurate analysis of related services and clear rankings over time.
While Medicaid disbursements grew across several categories, Evaluation and Management was the second-largest by total payments in Sheridan for 2024.
Statewide in Wyoming, the Evaluation and Management category also ranked second in Medicaid payment totals for 2024.
Looking at the five-year period leading up to 2024, Sheridan saw Medicaid payments for Evaluation and Management services climb by $873,756, a 188.2% gain. Growth picked up pace in select periods, with substantial annual increases in both 2023 and 2022.
Spending in the Evaluation and Management category was spread among different locations in the city, but most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 82801 made up $1,338,065 of these payments, comprising 100% of all Medicaid Evaluation and Management service payments in Sheridan for the year.
Payments within this category were also focused among a select group of billing codes.
Comparing categories, Medicaid payments for Evaluation and Management in Sheridan grew 6.9% from 2023 to 2024, while all Medicaid claims in the city rose by 19.9% over the same time period.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023, making up around 18% of total national health care expenditures—up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.
This reflects approximately 40% growth within a few years, driven in large part by broader enrollment and increased service use during and following the pandemic.
Recent federal budget legislation from the Trump administration included measures to significantly reduce federal Medicaid funding and modify the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid expenditures by more than $1 trillion over the coming decade and add requirements such as work mandates and higher cost-sharing, which may narrow coverage and resources for some recipients. These adjustments are anticipated to move greater costs to states and slow the growth of federal Medicaid support, while the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $464,309 | -24.4% |
| 2021 | $550,338 | 18.5% |
| 2022 | $760,183 | 38.1% |
| 2023 | $1,252,220 | 64.7% |
| 2024 | $1,338,065 | 6.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,111,461 | 46.2% |
| 2 | Evaluation and Management | $1,338,065 | 29.3% |
| 3 | Temporary National Codes (Non-Medicare) | $349,975 | 7.7% |
| 4 | Dental Services | $343,740 | 7.5% |
| 5 | National Codes Established for State Medicaid Agencies | $171,091 | 3.7% |
| 6 | Alcohol and Drug Abuse Treatment | $85,661 | 1.9% |
| 7 | Durable Medical Equipment | $83,487 | 1.8% |
| 8 | Procedures / Professional Services | $32,185 | 0.7% |
| 9 | Pathology and Laboratory Procedures | $28,474 | 0.6% |
| 10 | Surgery | $17,138 | 0.4% |
| 11 | Medical And Surgical Supplies | $2,757 | 0.1% |
| 12 | Radiology Procedures | $845 | <0.1% |
| 13 | Vision Services | $516 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99214 | Office o/p est mod 30 min | $900,722 | 164 |
| 99213 | Office o/p est low 20 min | $177,732 | 87 |
| 99283 | Emergency dept visit low mdm | $104,609 | 56 |
| 99284 | Emergency dept visit mod mdm | $58,386 | 25 |
| 99391 | Per pm reeval est pat infant | $36,528 | 22 |
| 99392 | Prev visit est age 1-4 | $28,398 | 22 |
| 99393 | Prev visit est age 5-11 | $14,056 | 11 |
| 99203 | Office o/p new low 30 min | $10,050 | 9 |
| 99051 | Med serv eve/wkend/holiday | $2,507 | 9 |
| 99188 | App topical fluoride varnish | $1,900 | 4 |
| 99309 | Sbsq nf care moderate mdm 30 | $1,603 | 5 |
| 99282 | Emergency dept visit sf mdm | $910 | 1 |
| 99307 | Sbsq nf care sf mdm 10 | $659 | 2 |
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.
