Medicaid spending on Temporary National Codes (Non-Medicare) services hits $9,245,947 in Coral Gables for 2024

Coral Gables Medicaid providers claimed $9,245,947 in 2024 for services grouped under the Temporary National Codes (Non-Medicare), according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 90.6% increase over 2023, when $4,850,366 in Medicaid claims were made for the category.

Medicaid is a state-run public health insurance program, funded jointly by federal and state governments. The program supports low-income people, families, seniors, children, and those with disabilities, and it is a key part of the U.S. health care system.

Because taxes fund Medicaid, shifts in local billing illustrate how community health care dollars are distributed.

The “Temporary National Codes (Non-Medicare)” group covers services classified by the type of care and organized through standard HCPCS and CPT code sets. This study assigned each billing code to a single service group according to consistent prefixes and number ranges, ensuring similar services were analyzed together and rankings remained accurate across years.

Temporary National Codes (Non-Medicare) was the third-largest Medicaid service category in Coral Gables by total dollar amount in 2024, despite growth in other sectors.

Statewide, Temporary National Codes (Non-Medicare) topped the list for Medicaid payment totals in Florida for the year.

Between the five years up to 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) category in Coral Gables climbed by $8,170,234, or 759.5%. The pace of spending accelerated in certain years, particularly in 2023 and 2021.

Payments for these services were distributed citywide but heavily focused within a handful of ZIP codes. In 2024, the highest Medicaid payments in this category came from ZIP code 33134 at $8,080,231, ZIP code 33145 at $1,165,715, and 33146 at $0. Collectively, these top 3 ZIP codes made up 100% of related Medicaid payments in Coral Gables in 2024.

Payments within the category were also concentrated in just a few individual billing codes.

While Medicaid payments for the Temporary National Codes (Non-Medicare) category in Coral Gables rose 90.6% from 2023 to 2024, total spending across all Medicaid claim categories in the city increased 7.8% in the same interval.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion in fiscal 2023, making up roughly 18% of total U.S. health expenditures. That’s up considerably from about $613.5 billion in 2019, before the COVID-19 pandemic.

This rise amounts to approximately 40% growth in recent years, largely the result of increased enrollment and greater use of services in pandemic and post-pandemic periods.

Major federal budget moves under the Trump administration featured plans to trim federal Medicaid dollars and overhaul program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is set to lower federal Medicaid spending by more than $1 trillion in the coming decade. Its provisions—such as work requirements and higher out-of-pocket costs—could limit both the funding available and the scope of coverage for beneficiaries. States are expected to shoulder larger shares of Medicaid costs even as national enrollment remains high.

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.