Medicaid spending on Medicine Services and Procedures in Bamberg reaches $659,750 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Bamberg’s Medicaid providers submitted $659,750 in 2024 for Medicine Services and Procedures, according to data compiled from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 8.5% rise from 2023, when $608,314 in claims were recorded for the same service group.

Medicaid, a public health insurance option overseen stateside and backed by both federal and state governments, assists low-income residents, seniors, children, and those with disabilities, making it one of the nation’s largest health care programs.

Because taxpayer funding supports Medicaid, shifts in billing at the local level indicate how publicly supported health spending is distributed locally.

The Medicine Services and Procedures classification covers Medicaid-billed care based on groupings of standardized HCPCS and CPT codes. For this report, codes were categorized into one service type each using standard numeric ranges and code prefixes, improving service-level comparison and preventing double counting or mis-ranking over time.

Multiple Medicaid categories experienced increased spending, with Medicine Services and Procedures ranking as the second-largest in Bamberg by payment amount for 2024.

Statewide across South Carolina, this category placed third by total Medicaid payments in 2024.

From 2019 through 2024, Bamberg’s Medicaid payments for Medicine Services and Procedures rose by $454,311, or 221.1%. Larger increases were noted during specific periods, including both 2022 and 2021.

Spending within the Medicine Services and Procedures category was distributed across Bamberg but mostly limited to certain ZIP codes. In 2024, ZIP code 29003 recorded $659,750 in these Medicaid payments, making up 100% of Bamberg’s total in this category for the year.

In the Medicine Services and Procedures service line, expenses largely centered around a small subset of billing codes.

Between 2024 and 2023, Medicaid payments for this category in Bamberg climbed by 8.5%, while the total rise across all Medicaid services citywide was 11.5% over the same span.

According to the Centers for Medicare & Medicaid Services, overall federal and state Medicaid outlays reached an estimated $871.7 billion for fiscal year 2023, about 18% of total national health spending, rising significantly from $613.5 billion reported in 2019 before the COVID-19 pandemic began.

This roughly 40% gain over a short period was largely a result of greater enrollment and increased use of Medicaid during and following the pandemic.

Recent federal budget decisions signed under the Trump administration proposed sizable federal Medicaid funding reductions and a restructuring of the program. For example, the One Big Beautiful Bill Act, finalized in 2025, is set to slash federal Medicaid spending by more than $1 trillion over 10 years, introducing policies such as work requirements and higher cost-sharing, which may limit funding and eligibility for some. States will potentially shoulder a larger portion of Medicaid costs as federal growth is capped while the program continues to provide to millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $205,438 -5.4%
2021 $291,002 41.6%
2022 $489,855 68.3%
2023 $608,313 24.2%
2024 $659,750 8.5%
Top Categories by Medicaid Payments in Bamberg, South Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $6,719,279 81.9%
2 Medicine Services and Procedures $659,750 8%
3 Pathology and Laboratory Procedures $381,110 4.6%
4 National Codes Established for State Medicaid Agencies $197,892 2.4%
5 Radiology Procedures $113,637 1.4%
6 Surgery $59,739 0.7%
7 Anesthesia $42,095 0.5%
8 Drugs Administered Other than Oral Method $21,447 0.3%
9 Medical And Surgical Supplies $8,540 0.1%
10 Procedures / Professional Services $449 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Bamberg, South Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
90460 Im admin 1st/only component $286,713 121
97110 Therapeutic exercises $142,644 32
97530 Therapeutic activities $68,916 28
93306 Tte w/doppler complete $51,088 81
93010 Electrocardiogram report $48,175 235
93000 Electrocardiogram complete $13,025 160
90935 Hemodialysis one evaluation $11,445 10
96372 Ther/proph/diag inj sc/im $4,484 44
97161 Pt eval low complex 20 min $4,398 8
97140 Manual therapy 1/> regions $4,248 12
90960 Esrd srv 4 visits p mo 20+ $3,082 2
93971 Extremity study $2,626 12
90837 Psytx w pt 60 minutes $2,417 2
93970 Extremity study $1,835 6
95816 Eeg awake and drowsy $1,662 5
94375 Respiratory flow volume loop $1,644 14
95117 Immunotherapy injections $1,438 7
90792 Psych diag eval w/med srvcs $1,271 1
93922 Upr/l xtremity art 2 levels $1,124 6
93295 Dev interrog remote 1/2/mlt $1,114 5

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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