Greer Medicaid providers recorded $2,916,308 in 2024 for services under the National Codes Established for State Medicaid Agencies category, based on data reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 0.5% increase compared to 2023, when $2,902,969 was billed for the same group of services.
Medicaid, a state-run public health insurance program funded jointly by federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people with disabilities. It remains a significant part of the U.S. health care system.
Since taxpayer funds support Medicaid, shifts in local billing levels illustrate how public health care resources are distributed throughout the community.
The “National Codes Established for State Medicaid Agencies” category encompasses different Medicaid services defined by standardized HCPCS and CPT code groupings relating to the care provided. For this review, each billing code was grouped under a single service category using systematic code prefixes and numeric ranges, enabling consistent analysis over time without double counting or misrepresentation in category rankings.
Although various service categories saw increases in Medicaid spending, National Codes Established for State Medicaid Agencies held the top spot in Greer for total Medicaid payments in 2024.
Statewide in South Carolina, National Codes Established for State Medicaid Agencies was also the largest category by total payments in 2024.
From five years prior to 2024, Medicaid spending for this specific category in Greer rose by $1,505,379, or 106.7%. Certain years, such as 2020 and 2022, experienced large year-over-year increases contributing to this overall growth.
Within Greer, payments for the National Codes Established for State Medicaid Agencies category were mostly concentrated in a small number of ZIP codes. In 2024, ZIP code 29651 accounted for $2,781,080, while 29650 represented $135,228. Collectively, these two ZIP codes made up 100% of the category’s Medicaid payments for the city that year.
Within the National Codes Established for State Medicaid Agencies category, a small group of individual billing codes accounted for the majority of Medicaid payments.
To compare, the 0.5% increase in Greer Medicaid payments for this category between 2023 and 2024 was below the citywide increase of 12.4% across all Medicaid claim categories in the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, which was about 18% of total U.S. health spending. This was a significant jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This change represents an increase of around 40% over several years, mainly due to expanded program enrollment and increased use during and after the pandemic.
Legislation enacted during the Trump administration included major proposals that reduced federal Medicaid support and restructured the system. The “One Big Beautiful Bill Act,” signed in 2025, is set to decrease federal Medicaid spending by more than $1 trillion over the next ten years and adds work requirements and more cost-sharing. These measures are projected to shift greater costs to states and curb federal growth for Medicaid, even with the program continuing to serve many millions of individuals.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,410,928 | 123% |
| 2021 | $1,760,303 | 24.8% |
| 2022 | $2,505,963 | 42.4% |
| 2023 | $2,902,969 | 15.8% |
| 2024 | $2,916,308 | 0.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $2,916,308 | 24.4% |
| 2 | Evaluation and Management | $2,788,484 | 23.3% |
| 3 | Medicine Services and Procedures | $1,929,653 | 16.1% |
| 4 | Pathology and Laboratory Procedures | $1,098,634 | 9.2% |
| 5 | Medical And Surgical Supplies | $609,588 | 5.1% |
| 6 | Dental Services | $581,873 | 4.9% |
| 7 | Radiology Procedures | $411,051 | 3.4% |
| 8 | Temporary National Codes (Non-Medicare) | $404,736 | 3.4% |
| 9 | Drugs Administered Other than Oral Method | $294,573 | 2.5% |
| 10 | Surgery | $287,045 | 2.4% |
| 11 | Temporary Codes | $278,941 | 2.3% |
| 12 | Alcohol and Drug Abuse Treatment | $117,315 | 1% |
| 13 | Administrative, Miscellaneous and Investigational | $97,916 | 0.8% |
| 14 | Orthotic Procedures and services | $70,744 | 0.6% |
| 15 | Procedures / Professional Services | $61,763 | 0.5% |
| 16 | Vision Services | $11,271 | 0.1% |
| 17 | Durable Medical Equipment | $1,026 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1019 | Personal care ser per 15 min | $1,599,831 | 12 |
| T1005 | Respite care service 15 min | $297,200 | 12 |
| T4534 | Youth size pull-on | $182,092 | 10 |
| T2046 | Hospice long term care, r&b | $135,228 | 2 |
| T4543 | Adult disp brief/diap abv xl | $119,315 | 10 |
| T4535 | Disposable liner/shield/pad | $87,386 | 10 |
| T5999 | Supply, nos | $77,854 | 10 |
| T1015 | Clinic service | $69,274 | 17 |
| T4527 | Adult size pull-on lg | $68,490 | 10 |
| T4528 | Adult size pull-on xl | $65,813 | 9 |
| T4526 | Adult size pull-on med | $55,790 | 9 |
| T4532 | Ped size pull-on lg | $46,564 | 9 |
| T4533 | Youth size brief/diaper | $38,974 | 8 |
| T4522 | Adult size brief/diaper med | $15,699 | 7 |
| T4523 | Adult size brief/diaper lg | $14,500 | 7 |
| T4525 | Adult size pull-on sm | $14,212 | 8 |
| T4524 | Adult size brief/diaper xl | $14,128 | 7 |
| T4530 | Ped size brief/diaper lg | $13,952 | 7 |
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.
