Swansboro Medicaid providers billed $300 for Medicine Services and Procedures in 2024

In 2024, Medicaid providers in Swansboro billed $300 for services within the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This total marks a 17.6% rise from 2023, when claims for the same service category reached $255.

Medicaid, a public health insurance program administered by the states and funded jointly by state and federal governments, serves low-income individuals and families, seniors, children, and people with disabilities, making it a major part of the U.S. health care system.

Because Medicaid payments are derived from taxpayers, changes in local claim amounts can highlight how public health funding is allocated across the community.

The “Medicine Services and Procedures” category includes a set of Medicaid-billed services defined by the type of care, based on standardized HCPCS and CPT code groups. For analysis purposes, each billing code was assigned to only one service category using consistent code prefixes and numeric ranges, enabling related services to be tracked together and preventing double counting, while maintaining accurate rankings over time.

Medicine Services and Procedures was the third-highest Medicaid payment category in Swansboro for 2024, despite growth seen in several service categories.

Statewide, Medicine Services and Procedures also ranked third in North Carolina by total Medicaid payments in 2024.

During the five years prior to 2024, Medicaid payments for Medicine Services and Procedures in Swansboro rose by $5,944, a 95.2% gain. Spending increases accelerated in certain years, with significant annual growth seen in both 2023 and 2022.

Payments for Medicine Services and Procedures were distributed across Swansboro, but most were concentrated in a small number of ZIP codes. In 2024, ZIP code 28584 accounted for $299, and the top 1 ZIP codes represented 99.9% of all Medicine Services and Procedures Medicaid payments in the city for the year.

Within the Medicine Services and Procedures category, Medicaid payments were focused on a few billing codes.

Medicaid payments linked to Medicine Services and Procedures in Swansboro rose by 17.6% from 2023 to 2024, compared to an 85.4% change across all Medicaid claim categories citywide during the same period.

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

This increase reflects about 40% growth over a few years, largely due to greater enrollment and higher utilization during and after the pandemic.

Recent federal budget laws enacted under the Trump administration have brought significant proposals to cut federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” which became law in 2025, is anticipated to reduce federal Medicaid expenditures by more than $1 trillion over the next decade and adds measures such as work requirements and increased cost-sharing that may limit funding and coverage for some individuals. As a result, states are expected to assume more costs and face restricted growth in federal Medicaid support, even as the program continues to serve tens of millions nationally.

Note: HCPCS codes are provided for context within the category. Category totals and rankings in this article are calculated using standardized service groupings and not by individual billing codes.

Information in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The data is available here.