Medicaid spending for Temporary National Codes (Non-Medicare) grows 6.8% in West Miami in 2024

In 2024, Medicaid providers in West Miami billed $873,890 for services under the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This figure was 6.8% higher than in 2023, when these providers reported $818,349 in claims for the same category.

Medicaid is a public insurance program operated by states and funded by both federal and state governments. It provides coverage for low-income adults, families, the elderly, children, and disabled individuals, making it a major segment of the U.S. health system.

Because taxpayer funds sustain Medicaid payments, shifts in local billing reflect how a community allocates public healthcare resources.

The “Temporary National Codes (Non-Medicare)” classification covers a set of Medicaid services categorized by care type, using standard HCPCS and CPT code groupings. For the purposes of this review, billing codes were grouped into single service categories with standardized code prefixes and number ranges to evaluate related services together, ensuring no duplication and accurate historical comparisons.

Spending on Medicaid increased among several service classes, but in 2024, Temporary National Codes (Non-Medicare) held the second position by total Medicaid payments in West Miami.

Statewide in Florida, Temporary National Codes (Non-Medicare) led all service categories by total Medicaid payments for 2024.

From five years prior to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) services in West Miami saw an increase of $659,005, or 306.7%. Notably, spending growth accelerated during specific years, especially with marked rises from 2021 and 2022.

While payments for services under Temporary National Codes (Non-Medicare) were distributed throughout West Miami, they were mainly concentrated in a few ZIP codes. In 2024, ZIP code 33144 accounted for $873,890 in Medicaid payments tied to this category, representing 100% of category-related Medicaid payments citywide.

Within this group, Medicaid dollars were heavily focused on a small number of billing codes.

Payments connected to Temporary National Codes (Non-Medicare) in West Miami were up 6.8% between 2024 and 2023. In contrast, all Medicaid claim categories in the city increased by 23.8% over the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached roughly $871.7 billion for fiscal year 2023, or about 18% of all national health spending. This was a sharp rise from approximately $613.5 billion in 2019, before the COVID-19 pandemic began.

That change marks an approximately 40% jump over just a few years, driven mainly by higher enrollments and greater service utilization during and after the pandemic.

Recent federal budget enactments signed under the Trump administration have featured key efforts to lower federal Medicaid contributions and modify the program structure. The “One Big Beautiful Bill Act,” effective in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and imposes policies such as new work requirements and higher cost-sharing that could limit subsidies and coverage for some enrollees. These provisions are likely to increase state funding responsibility over time, curbing federal Medicaid expansion despite continued demand among millions of Americans.

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.