Cutler Bay Medicaid payments for Temporary National Codes (Non-Medicare) reach $6,234,111 in 2024

In 2024, Medicaid providers in Cutler Bay billed $6,234,111 for services in the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure marks a 40.8% rise from 2023, when $4,428,272 in claims were submitted for the same category.

Medicaid, operated by individual states with joint federal and state funding, covers low-income populations, older adults, children, and people with disabilities, making it one of the nation’s largest health insurance programs. More information about its funding is provided by the Commonwealth Fund.

Since Medicaid payments derive from public funds, changes in local claims reflect shifts in how health care resources are distributed throughout the community.

The “Temporary National Codes (Non-Medicare)” category groups Medicaid-billed services by specific care types, using standardized HCPCS and CPT code groupings. For analysis, billing codes were assigned to single service categories based on their code prefixes and ranges, which enables analysis of related services together while maintaining accuracy in rankings and without double counting.

Of all Medicaid spending categories, Temporary National Codes (Non-Medicare) led in Cutler Bay for total payments received in 2024.

Statewide in Florida, this same category also ranked first for Medicaid disbursements in 2024.

From 2019 to 2024, Medicaid payments associated with the Temporary National Codes (Non-Medicare) category in Cutler Bay grew by $5,863,324, an increase of 1,581.3%. Major year-over-year increases were especially apparent in 2022 and 2021.

Although payments for these services occurred citywide, the funds were mainly concentrated in a few ZIP codes. In 2024, ZIP code 33157 saw Medicaid payments of $4,660,150, followed by 33190 with $1,124,927 and 33189 at $449,033. Combined, these top 3 ZIP codes accounted for all Medicaid payments in this category in Cutler Bay for the year.

Payments within the Temporary National Codes (Non-Medicare) category were also heavily focused on a narrow set of billing codes.

Looking at year-over-year changes, Medicaid payments for this service category in Cutler Bay went up 40.8% from 2023 to 2024, compared to a citywide increase of 18.1% for all Medicaid claim categories over the same span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in the 2023 fiscal year, making up nearly 18% of total health expenditures nationally and rising notably from $613.5 billion in 2019, before the COVID-19 pandemic.

This uptick reflects a roughly 40% increase over several years, primarily due to broader enrollment and increased use of services during and after the pandemic.

Federal budget legislation under the Trump administration included major proposals to shrink federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over 10 years. It introduces work requirements and greater cost-sharing, changes that could impact coverage and funding for certain beneficiaries, shifting more of the financial responsibility to states and limiting the growth of federal Medicaid assistance while the program continues to serve 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.