Lititz Medicaid providers receive $831,119 for evaluation and management services in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Lititz Medicaid providers collected $831,119 for services grouped under the Evaluation and Management category in 2024. This amount is up 7.8% from 2023, when $771,094 in claims were filed for the same category.

Medicaid, a government health insurance initiative managed by states and jointly financed by federal and state funds, provides coverage to low-income individuals and families, seniors, children, and people with disabilities, making it a key part of the U.S. health care system.

Since Medicaid is funded by taxpayers, shifts in local billing reflect how public health care resources are allocated within a given community.

The Evaluation and Management category encompasses services defined by the care delivered, relying on standardized HCPCS and CPT code groupings. For analysis, each billing code was included in a specific service group using established code prefixes and number ranges, supporting accurate comparisons over time while preventing overlap in the rankings.

Evaluation and Management topped all Medicaid payment categories in Lititz during 2024, despite growth seen across multiple service lines.

Statewide in Pennsylvania, Evaluation and Management place fourth for total Medicaid payments in 2024.

From the five years preceding 2024, Medicaid funding for Evaluation and Management in Lititz rose $705,754, marking a 563% surge. The upward trend included notable increases recorded during 2020 and 2021.

While these services are delivered throughout Lititz, most Medicaid payments occurred in a small number of ZIP codes. In 2024, ZIP code 17543 accounted for $831,118 in payments, making up 100% of Medicaid disbursements for Evaluation and Management in the area.

For this group, a few individual billing codes represented the bulk of Medicaid payments.

Looking at the local increase, Medicaid payments in Lititz for Evaluation and Management grew 7.8% between 2024 and 2023, matching the 7.8% change across all Medicaid claim types in the city for the same timeframe.

Centers for Medicare & Medicaid Services reporting indicates that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023—roughly 18% of total U.S. health expenses—up from about $613.5 billion in 2019, before the COVID-19 crisis.

This increase reflects nearly 40% growth over several years, largely attributed to enrollment increases and rising service use during and after the pandemic.

Recent federal budgets under the Trump administration have featured proposals to scale back Medicaid funding and alter its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid support by more than $1 trillion over 10 years and implement policies—such as work requirements and higher cost-sharing—that may restrict access and lower funding for some groups. These adjustments are anticipated to transfer more Medicaid expenses to the states and limit federal spending growth while the program continues to support tens of millions of Americans.

Note: HCPCS codes are listed for context within the group. Category totals and the rankings in this report are determined by standardized service groupings, not individual billing codes.

Details in this article are drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.