Medicaid payments tied to state agency codes in Fountain Inn reach $123,764 in 2024

In 2024, Fountain Inn Medicaid providers billed $123,764 for services linked to the National Codes Established for State Medicaid Agencies, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 16.3% gain over 2023, when local providers filed $106,398 in claims for these services.

Medicaid, a public health insurance program administered at the state level and jointly funded by federal and state governments, covers low-income families and individuals, seniors, children, and people with disabilities. The program is one of the largest elements of the nation’s health care system.

Since Medicaid payments are financed by taxpayers, fluctuations in local billing levels show how public dollars for health care are distributed within a community.

The “National Codes Established for State Medicaid Agencies” group includes a set of Medicaid-billed services categorized by care type, using standard HCPCS and CPT code structures. For this report, each billing code was placed into a single service category, which was done using consistent code prefixes and numeric groupings to ensure services were not counted more than once and rankings remained accurate through the years.

While Medicaid spending went up across several service groups, National Codes Established for State Medicaid Agencies placed second overall by payment total among Fountain Inn service categories in 2024.

Statewide, this group held the top spot for total Medicaid payments in South Carolina in 2024.

From 2019 to 2024, Medicaid payments in Fountain Inn connected to the National Codes Established for State Medicaid Agencies grew by $122,204, or 7834%. The increase was particularly steep in certain time spans, especially in 2022 and 2021, when notable year-over-year jumps occurred.

Although funding for this service category was distributed citywide, most of the Medicaid payments were focused in a small number of ZIP codes. In 2024, ZIP code 29644 represented $123,764 in payments, making up all Medicaid payments for this category in Fountain Inn that year.

Within this service group, a small selection of individual billing codes accounted for most of the Medicaid spending.

To compare, the 16.3% rise in Medicaid payments for this group between 2023 and 2024 matched closely with the 16.2% increase seen across all Medicaid claim categories in Fountain Inn over the same period.

The Centers for Medicare & Medicaid Services reported that federal and state Medicaid spending hit about $871.7 billion in fiscal year 2023. That made up roughly 18% of U.S. health care expenditures, up from about $613.5 billion in 2019 before the COVID-19 pandemic.

This change shows growth of about 40% over a few years, driven mainly by rising enrollment and greater service use during and after the pandemic.

Recent federal budget measures under the Trump administration have proposed major reductions to federal Medicaid funding and changes to the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to cut federal Medicaid spending by more than $1 trillion over a decade and includes provisions such as work requirements and higher cost-sharing, changes that could restrict coverage and spending for some enrollees. These reforms are poised to shift more financial responsibility to states and limit the expansion of federal Medicaid support, even as tens of millions continue to rely on the program.

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.