Bishopville Medicaid payments total $4,032,566 for state-established national codes in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Bishopville billed $4,032,566 for services grouped under the National Codes Established for State Medicaid Agencies category in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This was a 4.6% increase compared with 2023, when $3,854,610 was billed for the same service category.

Medicaid is a public health insurance program operated by states with joint funding from both federal and state governments. It offers coverage to low-income people and families, seniors, children, and those with disabilities, making it a core element of the U.S. health care system.

Since Medicaid funds come from taxpayers, changes in community-level billing reflect how public health care spending is distributed.

The National Codes Established for State Medicaid Agencies category represents a set of Medicaid-billed services defined by type of care, using standard HCPCS and CPT code groupings. Codes were categorized for this analysis by prefix and number range so related services could be assessed at the group level, preventing duplicate counting and supporting accurate trend tracking over time.

National Codes Established for State Medicaid Agencies saw the highest total Medicaid payments among all service categories in Bishopville in 2024, as spending rose across several groupings.

Statewide in South Carolina, National Codes Established for State Medicaid Agencies also ranked first for Medicaid payments in 2024.

Looking at a five-year span ending in 2024, Medicaid payments in this category in Bishopville rose by $3,968,205, an increase of 6,165.5%. Some of the most significant year-over-year growth occurred in 2022 and 2021.

While these Medicaid payments were distributed throughout Bishopville, billing was concentrated in a few ZIP codes. In 2024, ZIP code 29010 reported $4,032,566 in Medicaid payments for this category, accounting for 100% of all such payments in the city for the year.

Payments within this service category were further focused among a small number of specific billing codes.

By comparison, while payments tied to the National Codes Established for State Medicaid Agencies increased 4.6% in Bishopville from 2023 to 2024, all Medicaid claim categories together experienced a smaller 0.7% change during the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays reached about $871.7 billion in fiscal year 2023, accounting for approximately 18% of total U.S. health spending, up from $613.5 billion in 2019, before the COVID-19 pandemic.

This represents growth of about 40% over a few years, mainly due to higher enrollment and increased use through and after the pandemic period.

Federal budget acts passed under the Trump administration have contained major proposals to trim federal Medicaid funding and revise the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over the next decade and introduces changes such as work requirements and more cost-sharing, which could reduce both coverage levels and funding for some recipients. These adjustments are expected to shift additional costs to individual states and limit future federal Medicaid growth, even as the program remains critical to tens of millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in Bishopville, South Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $64,361 -60.7%
2021 $95,423 48.3%
2022 $2,761,924 2794.4%
2023 $3,854,609 39.6%
2024 $4,032,566 4.6%
Top Categories by Medicaid Payments in Bishopville, South Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $4,032,566 84%
2 Alcohol and Drug Abuse Treatment $343,336 7.1%
3 Evaluation and Management $281,049 5.9%
4 Ambulance and Other Transport Services and Supplies $83,891 1.7%
5 Medicine Services and Procedures $54,665 1.1%
6 Pathology and Laboratory Procedures $3,674 0.1%
7 Medical And Surgical Supplies $1,614 <0.1%
8 Drugs Administered Other than Oral Method $1,462 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Bishopville, South Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
T2016 Habil res waiver per diem $3,370,137 11
T2020 Day habil waiver per diem $402,965 11
T1015 Clinic service $258,123 58
T5999 Supply, nos $1,339 11

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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