Sycamore Medicaid payments for National Codes Established for State Medicaid Agencies rise to $16,954 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Sycamore billed $16,954 in 2024 for services categorized under National Codes Established for State Medicaid Agencies. This total is a 53.3% increase compared to 2023, when $11,060 in claims were reported for the same service group.

Medicaid, which is funded by both federal and state governments and operated at the state level, provides health coverage for low-income individuals, seniors, children, and persons with disabilities—making it a significant portion of the national health care system.

Medicaid payment trends reflect local taxpayer-funded changes in health care spending and the distribution of public dollars across communities.

The “National Codes Established for State Medicaid Agencies” classification gathers a group of Medicaid services as defined by HCPCS and CPT code ranges. For this review, each billing code was assigned a single service type based on clear code prefixes and number ranges, grouping comparable services and counting each only once to maintain precise rankings.

National Codes Established for State Medicaid Agencies ranked as Sycamore’s largest Medicaid payment category in 2024, amid growth in several service areas.

Statewide in South Carolina, National Codes Established for State Medicaid Agencies also accounted for the highest Medicaid payments during 2024.

Looking back five years through 2024, Medicaid payments in this category for Sycamore increased by $1,091, or 6.9%. Some years, including 2023 and 2022, saw particularly strong yearly growth rates for these expenditures.

Spending in this service category was distributed throughout Sycamore but concentrated within a small set of ZIP codes. In 2024, ZIP code 29846 reported $16,953 in Medicaid payments—making up 100% of the category’s overall citywide payments that year.

Medicaid payments by individual billing code were also concentrated within just a few codes for this group of services.

Compared with a 53.3% increase for this category between 2023 and 2024 in Sycamore, there was an overall 8.4% change across all local Medicaid claim types over the same time.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, equal to roughly 18% of all U.S. health spending and a notable increase from $613.5 billion prior to the COVID-19 pandemic in 2019.

This represents nearly 40% growth in just a few years due to expanded Medicaid rolls and increased usage amid and following the pandemic period.

Federal budget actions during the Trump administration have brought multiple proposals decreasing federal Medicaid funding and adjusting how the program operates. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid outlays by over $1 trillion during the coming decade and implements measures such as work mandates and more cost-sharing, potentially cutting coverage and funds for some participants. Measures in this law are likely to place greater financial weight on states and slow future federal Medicaid spending increases as the program continues serving tens of 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.