Dyersville sees 19.9% increase in Medicaid Evaluation and Management payments in 2024

In 2024, Dyersville Medicaid providers billed $9,585 for services in the Evaluation and Management category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 19.9% rise from 2023, when $7,996 was billed for the same group of services.

Medicaid is a state-administered public health insurance program financed in partnership by federal and state governments. The program provides coverage to low-income individuals and families, seniors, children, and people with disabilities. It is a major component of the national health care infrastructure.

As Medicaid payments are sourced from public funds, fluctuations in local billing indicate how taxpayer dollars are distributed within a community.

The “Evaluation and Management” category includes a defined set of Medicaid-billed services, organized by care type and detailed using standardized HCPCS and CPT code groupings. For this report, billing codes were assigned to a single category based on structured code prefixes and numeric ranges, enabling related services to be grouped without double counting and maintaining consistent rankings across years.

While increases were seen in various Medicaid service categories, Evaluation and Management was the second-highest category in Dyersville in 2024 based on total Medicaid payments.

Statewide in Iowa, Evaluation and Management held the fourth spot for total Medicaid payments in 2024.

From 2019 through 2024, Medicaid spending in Dyersville on Evaluation and Management services rose $1,645, or 20.7%. Growth in this category was particularly marked in certain years, with substantial annual increases noted in both 2021 and 2020.

Medicaid payments for Evaluation and Management care were distributed across Dyersville but concentrated within a few ZIP codes. In 2024, ZIP code 52040 accounted for $9,584, representing 100% of all Medicaid payments in this category for the city that year.

A small number of individual billing codes made up the majority of Medicaid payments within Evaluation and Management services.

Looking at year-over-year changes, Evaluation and Management Medicaid payments in Dyersville increased by 19.9% between 2023 and 2024, while all Medicaid claim categories in the city rose by 27.6% in that period.

Centers for Medicare & Medicaid Services data shows that combined federal and state Medicaid expenditures totaled around $871.7 billion in fiscal year 2023. This amount made up about 18% of all national health spending, a significant increase from $613.5 billion in 2019 before the COVID-19 pandemic.

This represents total growth of nearly 40% within a few years, largely attributed to expanded enrollment and increased utilization during and after the pandemic.

Recent federal budget laws signed during the Trump administration have included major proposals to decrease federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is anticipated to cut more than $1 trillion in federal Medicaid expenditures over the coming decade, introducing policies like work requirements and increased cost-sharing that could limit access and funding for some recipients. States are expected to take on more costs as federal support becomes constrained, even as Medicaid continues to serve tens of millions of Americans.

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.

The data presented was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.