In 2024, Medicaid providers in Goose Creek billed $214,812 for services grouped under the Medicine Services and Procedures category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount signaled a 107.6% increase over 2023, during which $103,472 in claims were reported for the same service category.
Medicaid is a publicly funded health insurance program managed by the states with joint federal and state financing, providing coverage for low-income populations, the elderly, children, and people with disabilities. This makes it a significant element in the U.S. health care system, as outlined by the Commonwealth Fund.
Because Medicaid funding is sourced from taxpayers, local shifts in billing trends reflect how health care dollars are distributed within communities.
The Medicine Services and Procedures category encompasses a set of Medicaid-billed services identified by care type using standardized HCPCS and CPT codes. For this review, each billing code was assigned to one service category, using matching code prefixes and numeric sequences to group related services, which helped prevent double counting and maintained consistency in rankings over time.
While Medicaid spending grew across a range of service types, Medicine Services and Procedures was the third largest category in Goose Creek for total Medicaid payments in 2024.
Statewide in South Carolina, Medicine Services and Procedures also ranked third by overall Medicaid payments in 2024.
During the five years before 2024, Goose Creek’s Medicaid payments for Medicine Services and Procedures increased by $128,726, or 37.5%. Accelerated growth was observed at certain points, particularly in 2020 and 2022 with significant annual gains.
Spending within the Medicine Services and Procedures category was spread across Goose Creek but heavily concentrated in a small number of ZIP codes. In 2024, ZIP code 29445 accounted for $214,811 in Medicaid payments, representing 100% of tracked payments for this category in the city for the year.
Furthermore, Medicaid payments within this category were focused among a narrow range of billing codes.
For context, Medicaid payments for Medicine Services and Procedures in Goose Creek jumped 107.6% between 2024 and 2023, compared with a 17.8% increase across all Medicaid claim types in the city during the same timeframe.
The Centers for Medicare & Medicaid Services reported that total federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, making up nearly 18% of nationwide health expenditures and rising sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This surge amounts to approximately 40% growth in just a few years, largely due to broader enrollment and increased use of services during and after the pandemic period.
Recent congressional budget measures during the Trump administration have introduced major proposals to decrease federal Medicaid contributions and change the structure of the program. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion over the next decade and brings new requirements such as work obligations and greater cost-sharing, potentially reducing funds and coverage for certain enrollees. These policy changes are expected to shift more of the financial burden to states and slow the growth of federal Medicaid support, even as the program remains vital for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $343,538 | 4.5% |
| 2021 | $214,338 | -37.6% |
| 2022 | $120,693 | -43.7% |
| 2023 | $103,472 | -14.3% |
| 2024 | $214,811 | 107.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $957,632 | 41.8% |
| 2 | Temporary National Codes (Non-Medicare) | $725,584 | 31.6% |
| 3 | Medicine Services and Procedures | $214,811 | 9.4% |
| 4 | Pathology and Laboratory Procedures | $132,960 | 5.8% |
| 5 | National Codes Established for State Medicaid Agencies | $121,882 | 5.3% |
| 6 | Dental Services | $102,959 | 4.5% |
| 7 | Ambulance and Other Transport Services and Supplies | $29,920 | 1.3% |
| 8 | Procedures / Professional Services | $4,095 | 0.2% |
| 9 | Surgery | $1,686 | 0.1% |
| 10 | Vision Services | $1,272 | 0.1% |
| 11 | Radiology Procedures | $600 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 90935 | Hemodialysis one evaluation | $59,084 | 14 |
| 90837 | Psytx w pt 60 minutes | $48,389 | 12 |
| 97530 | Therapeutic activities | $46,231 | 12 |
| 92014 | Compre oph exam est pt 1/> | $16,578 | 14 |
| 90460 | Im admin 1st/only component | $15,186 | 18 |
| 92004 | Compre oph exam new pt 1/> | $10,503 | 8 |
| 92340 | Fit spectacles monofocal | $8,735 | 16 |
| 92015 | Determine refractive state | $5,604 | 23 |
| 96127 | Brief emotional/behav assmt | $4,143 | 11 |
| 90677 | Pcv20 vaccine im | $257 | 5 |
| 92552 | Pure tone audiometry air | $89 | 4 |
| 96110 | Developmental screen w/score | $7 | 1 |
| 90461 | Im admin each addl component | $0 | 10 |
| 90633 | Hepa vacc ped/adol 2 dose im | $0 | 1 |
| 90656 | Iiv3 vacc no prsv 0.5 ml im | $0 | 2 |
| 90680 | Rv5 vacc 3 dose live oral | $0 | 1 |
| 90686 | Iiv4 vacc no prsv 0.5 ml im | $0 | 1 |
| 90698 | Dtap-ipv/hib vaccine im | $0 | 1 |
| 92551 | Pure tone hearing test air | $0 | 8 |
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.
