Blackville providers billed $40,011 for state Medicaid agency codes in 2024

In 2024, Blackville Medicaid providers charged $40,011 for services under the National Codes Established for State Medicaid Agencies, according to statistics from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 70.8% rise compared with 2023, which saw providers bill $23,423 for these services.

Medicaid, a public insurance initiative funded jointly by federal and state governments , covers low-income individuals, families, seniors, children and people with disabilities, making it one of the largest segments of the U.S. health care system.

Since Medicaid is financed with taxpayer dollars, shifts in local billing volumes reveal how community health care funds are distributed.

The “National Codes Established for State Medicaid Agencies” category gathers Medicaid service billings characterized by the care provided, using defined HCPCS and CPT code groupings. For this report, individual billing codes were assigned into a single service category based on shared code prefixes and numeric brackets, allowing consistent comparisons of grouped services and preventing double counting, maintaining chronological accuracy for rankings.

Though increases were noted across several categories, National Codes Established for State Medicaid Agencies was the second highest by Medicaid payment total in Blackville for 2024.

Statewide, South Carolina ranked the National Codes Established for State Medicaid Agencies category as first in overall Medicaid payments in 2024.

In the five years before 2024, Medicaid payments to this service category in Blackville climbed by $27,565, or 221.5%. Escalated growth was especially evident during years with significant annual increases, notably in 2023 and 2022.

While these Medicaid funds were distributed throughout Blackville, the payments were particularly concentrated in a few ZIP codes. In 2024, the ZIP code 29817 reported the most payments tied to this category, with $40,010. This single ZIP code comprised 100% of Blackville’s Medicaid payments in this category for the year.

Medicaid funds for the National Codes Established for State Medicaid Agencies were concentrated among relatively few unique billing codes as well.

Comparing spending, Medicaid payments for this category in Blackville grew 70.8% from 2023 to 2024, whereas all Medicaid payment categories combined in the city experienced a 13.7% increase for the same span.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached nearly $871.7 billion for fiscal year 2023, making up about 18% of all U.S. health spending, a sharp jump from $613.5 billion in 2019, prior to the COVID-19 disruption.

This represents approximately 40% growth over several years, driven primarily by record enrollment and increased use during and after the pandemic period.

Recent budget measures passed during the Trump administration have proposed major reductions to federal Medicaid funding and would restructure the program. The “One Big Beautiful Bill Act,” made law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the following decade. Provisions include new work requirements and greater cost-sharing, which could result in narrowed coverage and funding for parts of the Medicaid population. These provisions are forecasted to increase costs borne by states and dampen federal Medicaid growth, despite the program’s essential coverage for millions of Americans.

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.