In 2024, Ladson Medicaid providers recorded $4,256,588 in billing for Medicine Services and Procedures, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represented a 0.8% rise compared to 2023, when claims for the same category amounted to $4,224,288.
Medicaid is a joint federal and state public health insurance program funded by both levels of government. It provides coverage for low-income individuals and families, as well as seniors, children, and those with disabilities, and is one of the largest components of the American health care system.
Because Medicaid financing is sourced from taxpayer dollars, shifts in local billing give insight into the allocation of public health resources within a community.
The “Medicine Services and Procedures” category includes services grouped by type of care, classified according to standard HCPCS and CPT coding. For this analysis, each billing code was assigned exclusively to a single service category based on code prefixes and numeric ranges, allowing for analysis of similar services together without double counting and ensuring consistent rankings over time.
Even as Medicaid expenditures grew in multiple service categories, Medicine Services and Procedures ranked as the highest by total Medicaid spending in Ladson in 2024.
Statewide in South Carolina, Medicine Services and Procedures came in third for total Medicaid payments in 2024.
During the five years preceding 2024, Medicaid spending on Medicine Services and Procedures in Ladson increased by $465,520, representing a 9.9% gain. Several periods saw accelerated growth, including distinct year-over-year increases documented in both 2022 and 2022.
Although spending in this category occurred citywide, most Medicaid payments were concentrated within a small number of ZIP codes. In 2024, ZIP code 29456 accounted for $4,256,588 of Medicaid spending in Medicine Services and Procedures. Altogether, the top 1 ZIP codes were responsible for 100% of all Medicaid payouts for this category in Ladson for the year.
Within Medicine Services and Procedures, a small number of billing codes accounted for the majority of Medicaid payments.
To compare, Medicaid spending for Medicine Services and Procedures in Ladson saw a 0.8% increase between 2024 and 2023, while all Medicaid claim categories in the city experienced a 3.8% change in the same timeframe.
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, and rising steeply from roughly $613.5 billion in 2019 prior to the COVID-19 pandemic.
This signifies growth of about 40% over just a few years, largely attributed to increased enrollment and higher utilization during and after the pandemic period.
Federal budget actions taken under the Trump administration have proposed significant reductions in federal funding for Medicaid and revision of its structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next 10 years, and introduces new requirements including work mandates and higher cost-sharing that could lead to reduced funding and coverage for certain beneficiaries. As a result, these actions could shift financial responsibility to states and may constrain the expansion of federal Medicaid support, even as the program remains a key source of coverage for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,722,107 | -11.3% |
| 2021 | $4,716,831 | -0.1% |
| 2022 | $4,829,139 | 2.4% |
| 2023 | $4,224,287 | -12.5% |
| 2024 | $4,256,588 | 0.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $4,256,588 | 50.6% |
| 2 | National Codes Established for State Medicaid Agencies | $2,291,099 | 27.2% |
| 3 | Temporary National Codes (Non-Medicare) | $988,964 | 11.8% |
| 4 | Evaluation and Management | $565,435 | 6.7% |
| 5 | Pathology and Laboratory Procedures | $117,659 | 1.4% |
| 6 | Medical And Surgical Supplies | $85,372 | 1% |
| 7 | Dental Services | $61,625 | 0.7% |
| 8 | Surgery | $22,877 | 0.3% |
| 9 | Administrative, Miscellaneous and Investigational | $16,607 | 0.2% |
| 10 | Radiology Procedures | $1,041 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $741 | <0.1% |
| 12 | Temporary Codes | $2 | <0.1% |
| 13 | Procedures / Professional Services | $0 | <0.1% |
| 13 | Vision Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 92507 | Tx sp lang voice comm indiv | $2,029,156 | 241 |
| 97530 | Therapeutic activities | $2,001,492 | 264 |
| 92060 | Sensorimotor examination | $57,577 | 22 |
| 92014 | Compre oph exam est pt 1/> | $55,735 | 14 |
| 92609 | Use of speech device service | $51,056 | 18 |
| 92015 | Determine refractive state | $27,439 | 22 |
| 93306 | Tte w/doppler complete | $22,203 | 28 |
| 97110 | Therapeutic exercises | $4,516 | 5 |
| 92523 | Speech sound lang comprehen | $2,576 | 1 |
| 92340 | Fit spectacles monofocal | $1,415 | 5 |
| 92004 | Compre oph exam new pt 1/> | $1,296 | 1 |
| 93000 | Electrocardiogram complete | $1,157 | 18 |
| 92250 | Fundus photography w/i&r | $424 | 2 |
| 92133 | Cptrzd oph dx img pst sgm on | $389 | 1 |
| 92020 | Gonioscopy | $151 | 1 |
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.
