Medicaid providers in Vine Grove received $5,946 for Evaluation and Management services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 0.7% rise from 2023, when claims for the same services totaled $5,902.
Medicaid is a public insurance program managed by individual states and funded through a partnership of federal and state governments. It serves people with low incomes, families, seniors, children and individuals with disabilities, making it a key aspect of the American health care system.
Because taxpayer funds support Medicaid payments, shifts in local billing reflect how public health care resources are distributed across communities.
The “Evaluation and Management” group includes Medicaid-billed care based on the service provided, as determined by groupings within the standardized HCPCS and CPT code systems. For this report, each billing code was placed into a single service group using standard prefixes and numeric ranges, which enabled analysis of related services without overlap and ensured rankings remain consistent over time.
While Medicaid spending grew in several categories, Evaluation and Management led all service types in Vine Grove by total Medicaid payments for 2024.
Statewide, Evaluation and Management was the second-highest category for total Medicaid payments in Kentucky that same year.
From 2019 through 2024, Medicaid payments for Evaluation and Management services in Vine Grove climbed by $4,600, a 43.6% gain. Growth quickened during certain years, with significant annual increases appearing in 2020 and 2023.
Though payment for Evaluation and Management services was citywide, the majority came from a small number of ZIP codes. In 2024, ZIP code 40175 accounted for $5,946—the full sum—which meant Vine Grove’s top ZIP code comprised 100% of these specific Medicaid payments that year.
Within the Evaluation and Management group, Medicaid payments were largely centered around a small subset of billing codes.
Evaluating annual trends, Evaluation and Management payments in Vine Grove rose by 0.7% from 2023 to 2024, in step with a 0.7% change across all Medicaid claim categories in the city in the same timeframe.
Data from the Centers for Medicare & Medicaid Services show that combined federal and state Medicaid spending hit approximately $871.7 billion for fiscal 2023. That spending made up about 18% of total U.S. health expenditures, a significant increase from $613.5 billion in 2019, before the start of the COVID-19 pandemic.
This jump represents nearly 40% growth in a short span, driven in large part by rising enrollment and higher use of health services during and after the pandemic.
Recent federal budget acts initiated under the Trump administration have introduced major proposals to scale back federal Medicaid funding and reorganize the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the coming decade. Policies such as new work requirements and higher cost-sharing are projected to affect some beneficiaries’ coverage and funding, putting more financial responsibility on states and slowing federal growth, while Medicaid continues to provide coverage to millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,546 | 90.6% |
| 2021 | $12,260 | 16.3% |
| 2022 | $4,766 | -61.1% |
| 2023 | $5,902 | 23.8% |
| 2024 | $5,946 | 0.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,946 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 99213 | Office o/p est low 20 min | $5,946 | 10 |
Note: HCPCS codes are listed to illustrate the services within the category. The article’s totals and rankings use standardized service groupings, not individual billing codes, for accuracy.
Data featured in this report come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data may be accessed here.



