In 2024, Medicaid providers in Greenwood billed $121,676 for services categorized as Administrative, Miscellaneous and Investigational, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This figure represents a 43.5% increase over 2023, when providers submitted $84,768 in claims for this group of services.
Medicaid is a government health insurance program managed by states with joint federal and state funding. It serves low-income individuals and families, seniors, children, and people with disabilities, standing as a major segment of the U.S. health system.
Because taxpayer dollars fund Medicaid, shifts in local billing indicate how public health funds are spent within the community.
The “Administrative, Miscellaneous and Investigational” classification encompasses a set of Medicaid services determined by care type, based on specific HCPCS and CPT code groupings. This review assigned each billing code to a single service group using code prefixes and numeric ranges, enabling consistent analysis of related services, minimizing duplication, and maintaining data accuracy across periods.
Medicaid payments increased among several service groups, but Administrative, Miscellaneous and Investigational placed 14th in total Medicaid payments for Greenwood in 2024.
Statewide in South Carolina, the Administrative, Miscellaneous and Investigational category was ranked 17th for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments in Greenwood for Administrative, Miscellaneous and Investigational services went up by $96,370, or 380.8%. Spending growth accelerated during select years, with significant year-over-year increases noted in 2022 and 2022.
The distribution of Medicaid spending for Administrative, Miscellaneous and Investigational services was spread citywide, yet payments were heavily concentrated within a few ZIP codes. In 2024, ZIP code 29646 accounted for $121,676 in Medicaid payments, capturing 100% of the city’s Medicaid payments in this service category.
Most Medicaid payments within the Administrative, Miscellaneous and Investigational category were tied to a small number of specific billing codes.
Comparatively, Greenwood saw a 43.5% rise in Medicaid payments for Administrative, Miscellaneous and Investigational services between 2024 and 2023, outpacing the 13.9% change recorded across all Medicaid claim categories in Greenwood during the same time frame.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached around $871.7 billion in fiscal year 2023, making up about 18% of U.S. health spending— up sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects an approximate 40% increase in just a few years, largely attributed to higher enrollment and greater utilization during and after the pandemic.
Recent federal budget measures enacted during the Trump administration included proposals to cut federal Medicaid funding and revamp program structures. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over a decade and implements policies such as work requirements and increased cost-sharing, which may lower coverage and funding for certain recipients. These policy changes are anticipated to place more cost burden on states and moderate federal Medicaid growth, though the program remains essential to millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $25,306 | -1.2% |
| 2021 | $8 | -100% |
| 2022 | $88,557 | 1077237.2% |
| 2023 | $84,767 | -4.3% |
| 2024 | $121,676 | 43.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $15,057,156 | 38.8% |
| 2 | Evaluation and Management | $7,786,121 | 2<0.1% |
| 3 | Medicine Services and Procedures | $4,802,146 | 12.4% |
| 4 | Temporary National Codes (Non-Medicare) | $4,149,551 | 10.7% |
| 5 | Pathology and Laboratory Procedures | $2,177,170 | 5.6% |
| 6 | Radiology Procedures | $1,664,750 | 4.3% |
| 7 | Surgery | $936,555 | 2.4% |
| 8 | Alcohol and Drug Abuse Treatment | $617,315 | 1.6% |
| 9 | Medical And Surgical Supplies | $428,551 | 1.1% |
| 10 | Procedures / Professional Services | $378,386 | 1% |
| 11 | Dental Services | $264,937 | 0.7% |
| 12 | Ambulance and Other Transport Services and Supplies | $167,564 | 0.4% |
| 13 | Durable Medical Equipment | $142,446 | 0.4% |
| 14 | Administrative, Miscellaneous and Investigational | $121,676 | 0.3% |
| 15 | Drugs Administered Other than Oral Method | $69,509 | 0.2% |
| 16 | Anesthesia | $59,492 | 0.2% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $8,221 | <0.1% |
| 18 | Enteral and Parenteral Therapy | $5,350 | <0.1% |
| 19 | Vision Services | $4,431 | <0.1% |
| 20 | Temporary Codes | $3,222 | <0.1% |
| 21 | Pathology and Laboratory Services | $1,726 | <0.1% |
| 22 | Coronavirus Diagnostic Panel | $872 | <0.1% |
| 23 | Outpatient PPS | $615 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A9552 | F18 fdg | $121,674 | 5 |
| A9585 | Gadobutrol injection | $1 | 4 |
| A9502 | Tc99m tetrofosmin | $0 | 6 |
| A9579 | Gad-base mr contrast nos,1ml | $0 | 11 |
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.
