Mauldin sees 12.2% rise in Medicaid spending for medicine services and procedures in 2024

In 2024, Medicaid providers in Mauldin billed $510,858 for services grouped under the Medicine Services and Procedures category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 12.2% rise over 2023, when providers filed $455,270 in claims for the same category.

Medicaid, a public health insurance system, operates under state management and is jointly funded by federal and state governments. The program covers qualifying low-income individuals and families, seniors, children, and those with disabilities, making it a central component of the U.S. health care system.

Since Medicaid payments are sourced from public funds, local changes in claim levels provide insights into how community health care resources are distributed.

The “Medicine Services and Procedures” classification includes a variety of Medicaid-billed services defined by the type of care delivered, relying on standardized HCPCS and CPT code sets. Each billing code was assigned to a single service category for this analysis, using established numeric ranges and code prefixes. This approach lets analysts review related services together, prevent duplicate counting, and maintain consistent rankings throughout the years.

Several Medicaid service categories experienced rising costs, with Medicine Services and Procedures coming in second for total Medicaid payments in Mauldin in 2024.

Statewide, this category was the third-largest by Medicaid payment totals in South Carolina for 2024.

Over the five years before 2024, Medicaid payments for Medicine Services and Procedures in Mauldin climbed by $304,699—an increase of 147.8%. Growth rates were especially pronounced in some years, with meaningful gains in 2022 and 2021 compared to their preceding years.

While payments for Medicine Services and Procedures were made across Mauldin, most funding was concentrated in a few ZIP codes. In 2024, for example, ZIP code 29662 accounted for $510,857 of these payments, making up 100% of Medicaid spending tied to this service category in Mauldin for that year.

Within the Medicine Services and Procedures area, a small number of individual billing codes accounted for the majority of payments.

Comparing annual changes, Medicaid spending on Medicine Services and Procedures in Mauldin increased by 12.2% from 2023 to 2024, while across all Medicaid categories in the city, the year-over-year change was 9.7% during this period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays reached roughly $871.7 billion for fiscal year 2023, representing about 18% of total U.S. health spending. This is a sharp increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This reflects a growth of around 40% over the few years, largely attributed to higher enrollment numbers and greater service utilization linked to the pandemic and the period afterward.

Changes to federal budget policy during the Trump administration included several major proposals that would reduce federal Medicaid dollars and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to lower federal Medicaid spending by more than $1 trillion over the next 10 years, and implements measures such as work requirements and higher cost-sharing, which may impact eligibility and state budgets. These measures are expected to push more financial responsibility onto states and limit federal Medicaid growth, though the program continues providing services to tens of 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.