Edgefield Medicaid payments for National Codes Established for State Medicaid Agencies reach $221,615 in 2024

Edgefield Medicaid providers collected $221,615 in 2024 for services under the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 44.4% rise from 2023, when $153,455 in claims were submitted for the same service group.

Medicaid, a public health insurance program operated by states and jointly funded by federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a significant component of the U.S. health care system.

As Medicaid is funded by taxpayers, local billing changes reflect how public health care funds are distributed within a community.

The “National Codes Established for State Medicaid Agencies” category includes a set of Medicaid-billed services defined by care type, based on uniform HCPCS and CPT code groups. For this report, each billing code was assigned to one service category using set code prefixes and numeric ranges to ensure services were analyzed together, without double counting and with rankings kept accurate over time.

Though Medicaid spending grew in several service areas, National Codes Established for State Medicaid Agencies ranked second in total Medicaid payments in Edgefield in 2024.

Statewide in South Carolina, National Codes Established for State Medicaid Agencies took the top spot by total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Edgefield rose by $169,256, or 323.3%. Growth accelerated at various points, with strong year-over-year increases seen in 2021 and 2022.

The city’s Medicaid spending in the National Codes Established for State Medicaid Agencies category was distributed citywide but heavily concentrated in specific ZIP codes. In 2024, ZIP code 29824 accounted for $221,614 in Medicaid payments, with the top ZIP code making up 100% of the total for this category.

Within this category, most Medicaid payments went to a small set of individual billing codes.

For further context, Medicaid payments tied to the National Codes Established for State Medicaid Agencies category in Edgefield increased 44.4% from 2023 to 2024, while all Medicaid claim categories in the city experienced a 10.4% rise over the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of the country’s health spending. This figure sharply increased from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth reflects an increase of about 40% over several years, largely due to greater enrollment and higher utilization during and after the pandemic.

Recent federal budget laws enacted under the Trump administration have featured significant proposals to cut federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and implements new policies such as work requirements and increased cost-sharing, which could limit coverage for some beneficiaries and shift costs to the states, even as the program continues serving 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.