Medicaid spending on Medicine Services and Procedures climbs 12.9% in Greer for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Greer Medicaid providers submitted $1,929,653 in claims for services grouped under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects a 12.9% increase from 2023, when providers billed $1,708,820 for the same services.

Medicaid, a public health insurance program administered by states and funded jointly by state and federal governments, serves low-income individuals, families, seniors, children, and those with disabilities. It is considered one of the largest programs within the U.S. health care system.

Taxpayer funds support Medicaid payments, meaning shifts in local billing reflect how a community allocates public health care resources.

The Medicine Services and Procedures category encompasses a range of Medicaid-billed services, distinguished by care type and identified through unified HCPCS and CPT code groupings. For this analysis, billing codes were assigned to a single category based on consistent code prefixes and numbers, ensuring that related services are grouped together while preventing double counting and maintaining accurate rankings.

While Medicaid spending grew in several service categories, Medicine Services and Procedures held the third-highest total in Greer for 2024.

Statewide in South Carolina, the Medicine Services and Procedures category also placed third for total Medicaid payments in 2024.

From 2019 through 2024, Medicaid payments for Medicine Services and Procedures in Greer rose $1,069,390, a 124.3% increase. Spending growth was especially pronounced during select periods, including notable year-over-year gains in 2021 and 2023.

Spending within this service category was distributed across Greer, but most Medicaid payments were concentrated in a few ZIP codes. In 2024, ZIP code 29650 accounted for $1,861,923 and 29651 for $67,729 in Medicaid payments within the Medicine Services and Procedures category. Combined, these 2 ZIP codes represented 100% of related Medicaid payments in Greer for the year.

On a code level, most Medicaid payments in Medicine Services and Procedures were concentrated within a select group of individual billing codes.

Looking at broader trends, Medicaid payments for Medicine Services and Procedures in Greer increased 12.9% from 2023 to 2024, while, across all Medicaid claim categories in the city, payments grew by 12.4% over the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up about 18% of total U.S. health expenditures, a significant jump from $613.5 billion in 2019, before the COVID-19 pandemic.

This increase amounts to nearly 40% growth in a handful of years, primarily due to expanded enrollment and greater utilization during and after the pandemic.

In recent years, federal budget bills under the Trump administration have included notable proposals to cut federal Medicaid funding and change program structure. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade, adding measures like work requirements and increased cost-sharing that could mean less coverage and funding for some recipients. These changes are projected to shift more cost responsibility to states and curb growth in federal Medicaid payments, even as the program continues serving tens of millions nationally.

Medicaid Payments Tied to Medicine Services and Procedures in Greer, South Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $860,263 15.1%
2021 $1,256,007 46%
2022 $1,292,635 2.9%
2023 $1,708,819 32.2%
2024 $1,929,653 12.9%
Top Categories by Medicaid Payments in Greer, South Carolina, 2024

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%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Greer, South Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
90837 Psytx w pt 60 minutes $733,393 76
90834 Psytx w pt 45 minutes $480,972 39
96361 Hydrate iv infusion add-on $110,730 22
96374 Ther/proph/diag inj iv push $63,246 24
90792 Psych diag eval w/med srvcs $62,137 32
97802 Medical nutrition indiv in $59,136 12
90791 Psych diagnostic evaluation $54,631 15
96372 Ther/proph/diag inj sc/im $50,256 23
90460 Im admin 1st/only component $47,062 30
96360 Hydration iv infusion init $43,492 18
93306 Tte w/doppler complete $37,673 11
92004 Compre oph exam new pt 1/> $37,378 18
92014 Compre oph exam est pt 1/> $22,868 14
97110 Therapeutic exercises $19,557 11
96365 Ther/proph/diag iv inf init $17,894 22
93971 Extremity study $17,465 8
90832 Psytx w pt 30 minutes $13,355 9
90846 Family psytx w/o pt 50 min $13,069 3
92015 Determine refractive state $8,601 23
92250 Fundus photography w/i&r $5,953 10

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.



Related

Senator Lindsey Graham, US Senator for South Carolina

Senate Judiciary Committee advances Sheria Clarke’s nomination for U.S. District Court judge

The Senate Judiciary Committee voted in favor of advancing Sheria Clarke’s nomination for U.S. District Court Judge in South Carolina after bipartisan support was secured. Senator Lindsey Graham praised Clarke’s qualifications and expressed hope for quick confirmation by the full Senate.

Rep. William Timmons

Timmons’ bills to address waste and protect taxpayer funds advance in House committee

Two bills sponsored by Congressman William Timmons have moved forward after unanimous approval from a key committee. The legislation targets federal spending oversight with support from bipartisan lawmakers.

Senator Lindsey Graham, US Senator for South Carolina

Graham and Blackburn introduce bill to expand immigration enforcement partnerships with ICE

Senators Lindsey Graham and Marsha Blackburn have introduced new legislation aiming at expanding state cooperation with U.S. Immigration and Customs Enforcement through increased incentives for participation in ICE’s existing programs targeting criminal non-citizens.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Greenville Leader.