Medicaid spending for non-oral drug administration in Kernersville soars to $96,590 in 2024

In 2024, Medicaid providers in Kernersville reported $96,590 in claims for the Drugs Administered Other than Oral Method category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a dramatic 14125.3% increase from the prior year, when $679 in claims were filed for the same services.

Medicaid is a public insurance program operated by states and funded jointly by state and federal governments. It serves low-income households, older adults, children, and individuals with disabilities, making it a major component of the nation’s health care system.

Since Medicaid is publicly funded, fluctuations in billing locally reflect how community health funds are distributed.

The “Drugs Administered Other than Oral Method” category includes a range of Medicaid-billed services grouped by type of care, following standardized HCPCS and CPT coding. For this report, each billing code was categorized based on set prefixes and numeric spans, allowing grouped analysis of related services while avoiding duplicate counts and maintaining accurate rankings over time.

While several Medicaid service categories experienced payment growth, Drugs Administered Other than Oral Method ranked fifth in Kernersville for total Medicaid expenditures in 2024.

Statewide in North Carolina, Drugs Administered Other than Oral Method was the 15th largest category by Medicaid payment total in 2024.

From 2019 through 2024, Medicaid payments in Kernersville for Drugs Administered Other than Oral Method services grew by $95,995, or 16141.8%. Spending increases accelerated during certain years, with particularly sharp annual jumps in 2021 and 2023.

Although payments were distributed across the Kernersville area, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 27284 accounted for all Medicaid payments—$96,590—linked to the Drugs Administered Other than Oral Method category, representing 100% of the city’s total for this category that year.

Within this service group, payments clustered around a few specific billing codes.

To compare, while Kernersville saw a 14125.3% year-over-year increase in Medicaid payments tied to this category between 2023 and 2024, overall Medicaid claims across all service groups in the city rose by 18% in the same period.

Centers for Medicare & Medicaid Services data show combined state and federal Medicaid spending hit approximately $871.7 billion in fiscal year 2023, making up about 18% of total national health expenditures—a steep rise from $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This increase amounts to growth of about 40% within several years, largely due to expanded enrollment and increased utilization associated with the pandemic and its aftermath.

Recent federal budget measures enacted during the Trump administration include major proposals to cut Medicaid funding and overhaul the program. For example, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years, introducing changes such as work requirements and greater cost-sharing that could reduce benefits and funding for some recipients. These policy shifts are anticipated to move more financial responsibility to states while constraining federal Medicaid growth, even as the program covers millions nationwide.

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.