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.
| 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% |
| 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% |
| 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.
