Dell Rapids sees $31,927 in Medicaid payments for Evaluation and Management services in 2024

In 2024, Medicaid providers in Dell Rapids billed a total of $31,927 for services within the Evaluation and Management category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 32.7% rise from the prior year, when $24,067 was recorded for similar services.

Medicaid, a public health insurance initiative administered by the states and funded through federal and state resources, serves low-income families and individuals, seniors, children, and people with disabilities, making it one of the nation’s largest health coverage programs.

Because tax dollars fund Medicaid, fluctuations in local claims signal how public health resources are distributed in communities.

The “Evaluation and Management” category includes a set of Medicaid-billed services grouped by the nature of care and based on standardized HCPCS and CPT code classes. Billing codes for this report were linked to a single service category using uniform code prefixes and numeric intervals, which enabled accurate longitudinal comparisons and ranking of related services.

Spending on Medicaid increased across several service categories, with Evaluation and Management leading all categories in Dell Rapids by total payments during 2024.

Statewide in South Dakota, Evaluation and Management ranked as the second-largest Medicaid payment category in 2024.

Between 2019 and 2024, Medicaid payments for Evaluation and Management in Dell Rapids rose by $19,896, or 165.4%. Spending accelerated during parts of this period, with sizable annual gains seen in 2022 and 2021.

Although payments for Evaluation and Management services were distributed throughout Dell Rapids, most of the funding was concentrated in a few ZIP codes. The top ZIP code in 2024, 57022, accounted for $31,926 in payments, representing 100% of spending in this service category.

Within Evaluation and Management, Medicaid payments focused on a small selection of specific billing codes.

For reference, while payments for Evaluation and Management services in Dell Rapids increased 32.7% between 2024 and 2023, total Medicaid claim spending citywide grew 2.8% during the same timeframe.

Centers for Medicare & Medicaid Services data shows combined state and federal Medicaid expenditures reached around $871.7 billion in the 2023 fiscal year, accounting for about 18% of the nation’s health spending. That’s an increase from around $613.5 billion in 2019, before the COVID-19 pandemic.

The roughly 40% increase reflects rapid growth driven by higher enrollment and greater service utilization during and after the pandemic.

Recent federal budget measures during the Trump administration have introduced major proposals to scale back federal Medicaid funding and restructure program rules. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the next 10 years by imposing work requirements and new cost-sharing mandates, potentially lowering coverage and funding for certain groups. These changes are expected to place greater financial responsibility on states and constrain future federal funding growth while Medicaid continues to cover 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.