Mauldin Medicaid spending reaches $2,172,204 in 2024 for National Codes Established for State Medicaid Agencies services

In 2024, Medicaid providers in Mauldin billed $2,172,204 for services within 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 represented a 14.1% increase over 2023, when providers billed $1,904,495 for the same services.

Medicaid, a public insurance program operated by states and jointly funded by federal and state governments, covers low-income individuals, families, seniors, children, and people with disabilities, making it one of the core components of the U.S. health care system. More details about Medicaid can be found in an explainer here.

Because Medicaid is funded by taxpayers, changes in local billing help to show how health care dollars are distributed across the community.

The “National Codes Established for State Medicaid Agencies” category includes a range of Medicaid-billed services identified using standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to one service category by applying uniform code prefixes and number ranges, supporting assessment of groups of related services while preventing double counting and maintaining correct year-to-year rankings.

While Medicaid spending rose in multiple categories, the National Codes Established for State Medicaid Agencies category held the top spot in Mauldin for total Medicaid payments in 2024.

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

From 2019 to 2024, Mauldin’s Medicaid payments for the National Codes Established for State Medicaid Agencies category climbed by $1,609,657, or 286.1%. Payment growth varied by year, with especially large year-over-year jumps in 2020 and 2023.

Although services in this category were billed citywide, payments were focused in a narrow set of ZIP codes. In 2024, ZIP code 29662 accounted for $2,172,203 in such Medicaid transactions, meaning the leading ZIP code made up 100% of these Medicaid payments in Mauldin that year.

Within this category, Medicaid payments centered on a small group of specific billing codes.

Compared to the prior year, Medicaid payments in this category in Mauldin rose 14.1% between 2024 and 2023. By contrast, across all Medicaid claim categories in the city, payments increased 9.7% during that period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending nationwide reached about $871.7 billion in fiscal year 2023, or roughly 18% of all national health expenditures. This is a significant increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

The growth represents an approximate 40% increase in several years, due mainly to expanded enrollment and increased use of services during and after the pandemic.

Recent federal budget laws, signed during the Trump administration, have included major efforts to scale back federal Medicaid contributions and reshape the program. The “One Big Beautiful Bill Act,” which became law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over 10 years and creates work requirements and higher cost-sharing that could lower coverage and funding for some enrollees. These revisions are anticipated to leave states with a greater share of costs and limit growth in federal funding, even as the program continues to serve tens of millions nationwide.

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.