North Augusta Medicaid spending for medicine services climbs 10.4% to $695,163 in 2024

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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In 2024, Medicaid providers in North Augusta billed $695,163 for services grouped under the Medicine Services and Procedures category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This sum reflects a 10.4% increase from 2023, when providers submitted $629,920 for the same classification of services.

Medicaid functions as a state-administered, federally and state-financed public health insurance program. It serves low-income people and families, older adults, children, and those with disabilities, making it a key component of the U.S. health system. For a funding breakdown, see this explanation.

Since Medicaid is taxpayer funded, fluctuations in local billing amounts indicate shifts in how public health dollars are used in a community.

The “Medicine Services and Procedures” category covers a standardized array of Medicaid-billed services identified by HCPCS and CPT billing code groupings. For this analysis, each code was categorized to a single service group using uniform code patterns and numeric spans, helping to keep related services together, avoid double counting and maintain consistent rankings.

While Medicaid payments increased in several areas, Medicine Services and Procedures was the third-largest Medicaid category by total billing in North Augusta for 2024.

For the state of South Carolina, the Medicine Services and Procedures category also ranked third by total Medicaid payments in 2024.

Comparing a five-year span through 2024, Medicaid spending in North Augusta for Medicine Services and Procedures rose by $332,701, or 91.8%. The rate of growth picked up in certain years, including notable jumps in 2021 and 2023.

Although spending was shared across North Augusta, payments under the Medicine Services and Procedures category concentrated heavily in select ZIP codes. In 2024, ZIP code 29841 recorded $536,307, and 29860 accounted for $158,856, together representing the entire total for this service type in the city that year.

A small group of specific billing codes comprised most Medicaid payments for Medicine Services and Procedures in North Augusta.

Between 2024 and 2023, Medicaid spending in this category rose 10.4%, compared with a 10.1% increase among all Medicaid billing categories citywide over the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion for fiscal year 2023, making up approximately 18% of all U.S. health expenditures. That figure climbed sharply from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents an almost 40% increase in just a few years, attributed largely to higher enrollment and increased health service usage during and after the pandemic.

Recent congressional budget legislation from the Trump administration included major proposals to trim federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal support by over $1 trillion over 10 years, while implementing policy shifts like work requirements and more cost-sharing, potentially leading to less coverage and funding for select recipients. These federal changes could require states to take on more costs and may slow further federal Medicaid spending even as coverage extends to tens of millions.

Medicaid Payments Tied to Medicine Services and Procedures in North Augusta, South Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $362,461 -18.7%
2021 $582,809 60.8%
2022 $559,369 -4%
2023 $629,920 12.6%
2024 $695,163 10.4%
Top Categories by Medicaid Payments in North Augusta, South Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,119,973 31.6%
2 Evaluation and Management $922,696 26.1%
3 Medicine Services and Procedures $695,163 19.6%
4 Temporary National Codes (Non-Medicare) $297,632 8.4%
5 Dental Services $194,327 5.5%
6 Medical And Surgical Supplies $122,800 3.5%
7 Pathology and Laboratory Procedures $70,450 2%
8 Procedures / Professional Services $62,310 1.8%
9 Durable Medical Equipment $26,921 0.8%
10 Enteral and Parenteral Therapy $23,475 0.7%
11 Alcohol and Drug Abuse Treatment $3,882 0.1%
12 Surgery $1,326 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in North Augusta, South Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $174,696 33
92507 Tx sp lang voice comm indiv $137,425 24
90460 Im admin 1st/only component $133,442 122
95165 Antigen therapy services $77,250 5
90847 Family psytx w/pt 50 min $36,629 11
90935 Hemodialysis one evaluation $33,804 8
90791 Psych diagnostic evaluation $22,110 9
95004 Perq tests w/alrgnc xtrcs $21,817 7
96127 Brief emotional/behav assmt $11,879 84
95117 Immunotherapy injections $11,307 12
94010 Breathing capacity test $10,591 11
95012 Nitric oxide exp gas deter $5,846 11
90846 Family psytx w/o pt 50 min $4,612 2
94060 Evaluation of wheezing $4,061 7
96161 Caregiver health risk assmt $2,802 24
96110 Developmental screen w/score $1,741 15
96160 Pt-focused hlth risk assmt $1,502 16
92523 Speech sound lang comprehen $1,383 1
90656 Iiv3 vacc no prsv 0.5 ml im $997 10
94664 Demo&/eval pt use inhaler $924 6

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.



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