Schroon Lake Medicaid pays $10,606 for Evaluation and Management in 2024, up 23.8%

Medicaid providers in Schroon Lake billed a total of $10,606 for services within the Evaluation and Management category during 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This figure represents a 23.8% climb from 2023, when providers filed $8,564 in claims for these services.

Medicaid, a state-administered public health insurance program funded jointly by federal and state governments, offers coverage to low-income people and families, seniors, children, and people with disabilities. It remains among the largest components of the nation’s health system.

Because taxpayer money supports Medicaid payments, fluctuations in local billing levels reflect how public health funds are used within each community.

The “Evaluation and Management” category encompasses Medicaid-billed services defined by care type, using established HCPCS and CPT code groupings. In this analysis, billing codes were sorted into service categories by standardized prefixes and numeric ranges to track consistent, unduplicated service volumes over time and keep rankings accurate.

Despite overall spending growth in multiple categories, Evaluation and Management was the leading Medicaid payment category in Schroon Lake for 2024.

Statewide, the Evaluation and Management category placed second in New York for Medicaid payment totals in 2024.

From 2019 to 2024, Medicaid payments for Evaluation and Management services in Schroon Lake rose by $8,419, or 385%. Payments grew fastest during certain intervals, with meaningful year-over-year increases recorded in 2023 and 2022.

Spending in this category appeared throughout the city, but was concentrated within just a handful of ZIP codes. In 2024, ZIP code 12870 received the highest Evaluation and Management Medicaid payments, totaling $10,605. This single ZIP code accounted for 100% of the city’s Medicaid payments in this category for the year.

Medicaid spending for Evaluation and Management services also centered on a small subset of individual billing codes.

For context, Medicaid payments attached to Evaluation and Management services in Schroon Lake grew 23.8% from 2023 to 2024—the same percentage change registered across all Medicaid claims in the city for that period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, making up about 18% of total health care spending nationwide. This is a significant increase from $613.5 billion in 2019, before the COVID-19 pandemic.

The change equals around 40% growth over several years, largely due to expanded enrollment and greater use during and following the pandemic.

Recent federal budget legislation passed under the Trump administration features proposals to reduce federal Medicaid funding and restructure its approach. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to result in more than $1 trillion in federal Medicaid funding reductions in the coming decade. The law introduces work requirements and increased cost-sharing—policies that could limit funding and eligibility for some enrolled individuals. This shift is projected to place greater financial responsibility on states and moderate federal support, as Medicaid remains a key coverage source for tens of millions of Americans.

Note: HCPCS codes are provided for reference within the category. Article totals and ranking are based on consolidated service groupings, not individual billing codes.

This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data is available here.