National code Medicaid payouts reach $266,270 in Holly Hill for 2024

In 2024, Holly Hill Medicaid providers billed $266,270 for services within the National Codes Established for State Medicaid Agencies category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This is a 367.4% increase over 2023, when claims for the same service category were $56,974.

Medicaid is a public health insurance program that is managed by states and receives joint funding from federal and state governments. It provides coverage to low-income people and families, seniors, children, and individuals with disabilities, making it one of the key components of the U.S. health care system.

With Medicaid payments generated using taxpayer dollars, shifts in local claims levels offer insight into how health care resources are distributed in the area.

The “National Codes Established for State Medicaid Agencies” group represents Medicaid-billed services defined by care type, structured around standardized HCPCS and CPT code groups. For this assessment, billing codes were categorized based on uniform code prefixes and number bands to group related services while preventing overlap and maintaining consistent rankings over time.

National Codes Established for State Medicaid Agencies was the top Medicaid payment category in Holly Hill in 2024 as spending grew across multiple groups.

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

From five years before 2024 through the year, Medicaid spending related to National Codes Established for State Medicaid Agencies in Holly Hill rose by $233,440, or 711.1%. Some years, especially 2023 and 2021, saw sharper increases than others.

Medicaid payments in this service category were not evenly spread throughout the city: rather, they were focused in a small group of ZIP codes. In particular, ZIP code 29059 accounted for $266,269 in 2024 claims, making up the entirety of Holly Hill’s Medicaid payments for this group that year.

Payments within National Codes Established for State Medicaid Agencies were concentrated in only a handful of billing codes during 2024.

On a year-over-year basis, Holly Hill’s claims for the National Codes Established for State Medicaid Agencies category grew 367.4% from 2023–2024, while overall Medicaid claim categories in the city increased by 81.5% in that timeframe.

According to the Centers for Medicare & Medicaid Services, state and federal Medicaid expenses totaled approximately $871.7 billion in fiscal 2023, amounting to around 18% of national health expenditures—significantly higher than $613.5 billion in 2019, before the start of the COVID-19 pandemic.

That increase illustrates an approximate 40% rise in a few years, driven by expanding enrollment and higher utilization tied to the pandemic and its aftermath.

Federal budget legislation passed under the Trump administration included major actions to lower federal Medicaid expenditures and revise the program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid funds by over $1 trillion in 10 years, introducing work requirements and increased cost-sharing that may decrease both coverage and funding for a portion of recipients. These reforms will likely result in higher costs for states and restrain the pace of federal Medicaid growth while the program continues to serve 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.