In 2024, Medicaid providers in Moncks Corner billed $11,729,271 for services in the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected an 8.2% rise from 2023, when claims for the same category reached $10,842,449.
Medicaid is funded jointly by federal and state governments and administered by the states. The program covers people with low incomes, including families, seniors, children and those with disabilities, making it a cornerstone of the U.S. health care system. Additional details on funding are provided by the Commonwealth Fund.
Changes in billing levels at the local level illustrate how public health care funds are distributed within communities, given that Medicaid ultimately relies on taxpayer dollars.
The “National Codes Established for State Medicaid Agencies” group encompasses a set of Medicaid services uniquely defined by care type, grouped through standardized HCPCS and CPT codes. For this report, each billing code was assigned to a sole service category by code prefix and numeric range, allowing for aggregate analysis while preventing overlaps and ensuring precise rankings.
While multiple Medicaid service groups saw increased spending, the National Codes Established for State Medicaid Agencies ranked highest in total Medicaid payments in Moncks Corner in 2024.
Statewide, this category also led South Carolina in total Medicaid payments in 2024.
During the five years before 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Moncks Corner climbed by $10,652,757, equal to an increase of 989.6%. Some periods showed especially rapid growth, with the most significant year-over-year increases in 2022 and 2023.
Medicaid spending for this category was distributed across Moncks Corner, but payments were highly concentrated in a small number of ZIP codes. For 2024, ZIP code 29461 led with $11,729,270, collectively making up 100% of all payments tied to the category in the city that year.
Spending within the National Codes Established for State Medicaid Agencies was also consolidated among just a few billing codes.
Medicaid payments linked to this category in Moncks Corner increased by 8.2% between 2024 and 2023, whereas the aggregate change across all Medicaid claim categories in the community was 3% during the same span.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together neared $871.7 billion in fiscal year 2023, representing about 18% of total national health expenditures—up from $613.5 billion in 2019 just before the COVID-19 pandemic.
This jump marks about 40% growth in a few short years, mainly due to higher enrollment and increased use of services stemming from the pandemic period.
Major federal budget changes during the Trump administration included proposals to scale back federal Medicaid outlays and reshape the program. The “One Big Beautiful Bill Act,” made law in 2025, is expected to cut more than $1 trillion from federal Medicaid funding over a decade and includes provisions such as work requirements and larger cost-sharing, changes that may limit funding and coverage for some recipients. These adjustments are set to increase the financial responsibility carried by states while likely restricting federal Medicaid growth—even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,076,513 | -21.6% |
| 2021 | $1,289,505 | 19.8% |
| 2022 | $7,746,203 | 500.7% |
| 2023 | $10,842,448 | 40% |
| 2024 | $11,729,270 | 8.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $11,729,270 | 67.5% |
| 2 | Medicine Services and Procedures | $4,332,692 | 24.9% |
| 3 | Evaluation and Management | $632,451 | 3.6% |
| 4 | Alcohol and Drug Abuse Treatment | $354,608 | 2% |
| 5 | Ambulance and Other Transport Services and Supplies | $137,709 | 0.8% |
| 6 | Medical And Surgical Supplies | $104,216 | 0.6% |
| 7 | Temporary National Codes (Non-Medicare) | $47,000 | 0.3% |
| 8 | Durable Medical Equipment | $16,086 | 0.1% |
| 9 | Drugs Administered Other than Oral Method | $11,260 | 0.1% |
| 10 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $6,655 | <0.1% |
| 11 | Dental Services | $5,354 | <0.1% |
| 12 | Hearing Services | $4,680 | <0.1% |
| 13 | Pathology and Laboratory Procedures | $2,351 | <0.1% |
| 14 | Surgery | $357 | <0.1% |
| 15 | Temporary Codes | $252 | <0.1% |
| 16 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T2016 | Habil res waiver per diem | $8,188,664 | 12 |
| T2020 | Day habil waiver per diem | $1,301,279 | 12 |
| T2014 | Habil prevoc waiver, per d | $1,185,820 | 12 |
| T1015 | Clinic service | $283,879 | 10 |
| T1502 | Medication admin visit | $237,336 | 8 |
| T1002 | Rn services up to 15 minutes | $222,324 | 19 |
| T4528 | Adult size pull-on xl | $49,848 | 24 |
| T4527 | Adult size pull-on lg | $49,621 | 23 |
| T5999 | Supply, nos | $48,703 | 24 |
| T4534 | Youth size pull-on | $40,537 | 12 |
| T4526 | Adult size pull-on med | $35,698 | 23 |
| T4535 | Disposable liner/shield/pad | $29,210 | 24 |
| T4543 | Adult disp brief/diap abv xl | $24,373 | 12 |
| T4525 | Adult size pull-on sm | $20,953 | 22 |
| T4522 | Adult size brief/diaper med | $9,317 | 8 |
| T1003 | Lpn/lvn services up to 15min | $1,702 | 5 |
Note: HCPCS codes are provided for context. The category totals and rankings presented here are based on standardized groups of services, not on individual billing codes.
Source data for this article come from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.
