Hampstead Medicaid Evaluation and Management payments rise 25% to $776,503 in 2024

In 2024, Medicaid providers in Hampstead received $776,503 in payments for services within the Evaluation and Management category, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 25% rise from the prior year, when local providers billed $621,119 in claims for the same category.

Medicaid, managed by states and funded collaboratively by federal and state governments, offers health insurance to eligible low-income individuals and families, children, seniors, and people with disabilities. It is a major component of the U.S. health care system.

Given that taxpayer dollars fund Medicaid, variations in local payment patterns reveal how public health care funds are utilized within a community.

The “Evaluation and Management” service group encompasses Medicaid-billed services identified according to care type, referencing standardized HCPCS and CPT code groupings. In this report, each billing code is placed in a single service category by applying consistent code ranges and prefixes. This process keeps related services together, avoids duplicating counts, and ensures rankings are tracked accurately.

While Medicaid spending grew across several service groups, Evaluation and Management was the second-largest category by total payments in Hampstead in 2024.

Statewide in North Carolina, Evaluation and Management also ranked second for total Medicaid payments that year.

From 2019 to 2024, Medicaid spending in this category in Hampstead grew by $360,542, or 86.7%. Growth accelerated during specific periods, with notable year-over-year increases seen in 2021 and 2022.

Although care payments in the Evaluation and Management category appeared throughout the city, sizable amounts were focused in a few ZIP codes. In 2024, ZIP code 28443 reported the highest total, at $776,502. The top ZIP code alone accounted for 100% of all category payments in Hampstead during the year.

Within this service group, the concentration of Medicaid payments was limited to several billing codes.

To compare, Medicaid payments for this category in Hampstead grew 25% from 2023 to 2024, whereas across all Medicaid claim categories in the city, the rate of change reached 28.3% for that period.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023. This amount represented roughly 18% of all U.S. health care spending and rose markedly from roughly $613.5 billion in 2019 before the COVID-19 public health crisis.

This almost 40% increase over several years was fueled in large part by expanded enrollment and increased service use during and following the pandemic.

Recent federal budget measures from the Trump administration have included major proposals aimed at reducing federal Medicaid funding and overhauling the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to trim federal Medicaid expenditures by more than $1 trillion over 10 years. It also introduces elements such as work requirements and higher cost-sharing that may limit both funding and access for certain enrollees. These shifts could lead to states shouldering greater costs with federal Medicaid growth more restricted, even as the program maintains coverage for millions.

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.