Hardeeville Medicaid payments for administrative, miscellaneous and investigational services reach $16,499 in 2024

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

In 2024, Medicaid providers in Hardeeville billed $16,499 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 represented a 372.8% increase from 2023, when the total for such services was $3,490.

Medicaid, a state-operated program with joint federal and state funding, covers low-income people and families, seniors, children, and those with disabilities—making it a cornerstone of the U.S. health care system.

Because taxpayer dollars support Medicaid payments, shifts in local billing reflect how community resources for health care are directed.

The “Administrative, Miscellaneous and Investigational” classification groups Medicaid services by care type using standardized HCPCS and CPT code clusters. For this analysis, each billing code was placed in a single service group with uniform code prefixes and numeric ranges, enabling related services to be reviewed together and ensuring no double counting or changes in rankings over time.

While Medicaid expenditures rose across various categories, Administrative, Miscellaneous and Investigational placed seventh in Hardeeville by total Medicaid payments during 2024.

Statewide, the Administrative, Miscellaneous and Investigational category ranked 17th in South Carolina for total Medicaid payments in 2024.

From five years prior to 2024, Medicaid payments for the Administrative, Miscellaneous and Investigational category in Hardeeville rose by $15,096, or 1075.9%. Growth accelerated in certain years, with sharp increases noted in 2022 and 2023.

Spending under the Administrative, Miscellaneous and Investigational category was spread throughout Hardeeville, but most payments were concentrated in a few ZIP codes. In 2024, ZIP code 29927 accounted for $16,498 in Medicaid payments in this category. In total, the top 1 ZIP code made up 100% of all Medicaid payments in the category for the city that year.

Payments in the Administrative, Miscellaneous and Investigational group were also largely tied to a limited set of individual billing codes.

By comparison, Medicaid payments for the Administrative, Miscellaneous and Investigational category in Hardeeville increased by 372.8% from 2023 to 2024, while payments across all claim categories in the city grew by 63.8% during the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending was about $871.7 billion in fiscal year 2023. That amount made up about 18% of total national health expenses, a sharp increase from roughly $613.5 billion in 2019 before COVID-19.

This represents nearly 40% growth in a few years, mainly because of expanded coverage and greater program use during and after the pandemic.

Recent federal budget laws enacted under the Trump administration have included major proposals to cut federal Medicaid funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and add requirements such as mandatory work and increased cost-sharing, potentially reducing coverage and support for some recipients. These policies are likely to shift more financial responsibilities to states and constrain future federal Medicaid funding, as the program continues to serve tens of millions across the country.

Medicaid Payments Tied to Administrative, Miscellaneous and Investigational in Hardeeville, South Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,403 -59.2%
2021 $18 -98.6%
2022 $335 1667%
2023 $3,489 940.6%
2024 $16,498 372.8%
Top Categories by Medicaid Payments in Hardeeville, South Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $187,956 29.6%
2 Pathology and Laboratory Procedures $177,413 27.9%
3 Evaluation and Management $83,221 13.1%
4 Coronavirus Diagnostic Panel $73,059 11.5%
5 Drugs Administered Other than Oral Method $50,373 7.9%
6 Dental Services $19,301 3%
7 Administrative, Miscellaneous and Investigational $16,498 2.6%
8 Surgery $16,073 2.5%
9 Radiology Procedures $8,189 1.3%
10 Temporary Codes $3,010 0.5%
Top 20 HCPCS Codes Within the Administrative, Miscellaneous and Investigational Category in Hardeeville, South Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
A9150 Misc/exper non-prescript dru $16,498 1
A9270 Non-covered item or service $0 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.



Related

Dr. Mehmet Oz CMS Administrator

Beaufort Medicaid Alcohol and Drug Abuse Treatment payments reach $1,387,401 in 2024

Beaufort Medicaid providers reported $1,387,401 in claims for Alcohol and Drug Abuse Treatment services in 2024, reflecting a 2.3% rise from the prior year.

Dr. Mehmet Oz CMS Administrator

Medicaid payments for National Codes Established for State Medicaid Agencies increase 9.7% in Ridgeland in 2024

In 2024, Ridgeland Medicaid providers submitted $2,917,844 in claims for services under the National Codes Established for State Medicaid Agencies, reflecting a 9.7% rise compared to the previous year.

Dr. Mehmet Oz CMS Administrator

Medicaid spending for medicine services jumps 26.3% in Hilton Head Island in 2024

Medicaid payments for Medicine Services and Procedures in Hilton Head Island increased by 26.3% in 2024, reflecting shifts in both utilization and reimbursement trends.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from Hilton Head Reporter.