Mission Medicaid providers submitted $142,386,468 in claims for Temporary National Codes (Non-Medicare) services in 2024, information from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount marks a 7.5% gain from the prior year, when providers billed $132,412,720 for these services.
Medicaid, a health insurance program managed by states and jointly funded by the federal and state governments, covers low-income people and families, seniors, children, and those with disabilities. It remains a major piece of the nation’s health care system.
Since Medicaid payments come from taxpayers, shifts in billing categories locally offer a view into how government health care resources flow within communities.
The “Temporary National Codes (Non-Medicare)” grouping refers to Medicaid-billed services based on classifications using HCPCS and CPT code structures. The analysis involved assigning each billing code to a particular category, relying on established numeric ranges and code prefixes. This approach groups related care together for cross-year comparison and avoids counting the same service more than once.
While spending went up across several Medicaid categories, Temporary National Codes (Non-Medicare) accounted for the largest total in Mission for 2024.
Across Texas, Temporary National Codes (Non-Medicare) also led all Medicaid categories in total spending during the year.
From 2019 through 2024, Medicaid funds linked to Temporary National Codes (Non-Medicare) in Mission climbed by $95,166,415, or 201.5%. Periods of heightened year-over-year growth occurred in 2021 and 2020.
The distribution of these Medicaid payments extended throughout Mission, though the top ZIP codes processed most of the funds. For 2024, ZIP code 78572 received $112,853,012, ZIP code 78574 received $28,691,161, and ZIP code 78573 posted $842,293. These three ZIP codes together made up all Medicaid spending tied to the Temporary National Codes (Non-Medicare) category in Mission.
A limited number of billing codes captured the bulk of the Medicaid spending within this care category.
In Mission, the year-over-year rise for Medicaid claims in the Temporary National Codes (Non-Medicare) category was 7.5% between 2024 and 2023, exceeding the overall claim category increase across the city, which was 4.2% for the same period.
According to the Centers for Medicare & Medicaid Services, combined Medicaid spending by states and the federal government hit about $871.7 billion for fiscal 2023, making up roughly 18% of all health expenditures across the nation. That is up significantly from about $613.5 billion in 2019, before the COVID-19 pandemic began.
This nearly 40% growth reflects expanded enrollment and increased service use prompted by the pandemic and its aftermath.
Recent federal budget laws enacted during the Trump administration have outlined sizable cuts to federal Medicaid obligations and included changes to the program’s framework. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, is forecast to shrink federal Medicaid funding by more than $1 trillion over 10 years. It also establishes work requirements and higher cost-sharing, measures that could limit access and funding for certain Medicaid recipients. These provisions would increase state responsibility and place a cap on federal funding growth, though Medicaid still covers tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $47,220,052 | 94.3% |
| 2021 | $115,701,513 | 145% |
| 2022 | $135,538,980 | 17.1% |
| 2023 | $132,412,719 | -2.3% |
| 2024 | $142,386,468 | 7.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $142,386,468 | 80.9% |
| 2 | National Codes Established for State Medicaid Agencies | $15,080,984 | 8.6% |
| 3 | Evaluation and Management | $6,502,893 | 3.7% |
| 4 | Medicine Services and Procedures | $5,225,064 | 3% |
| 5 | Pathology and Laboratory Procedures | $2,561,690 | 1.5% |
| 6 | Dental Services | $2,205,760 | 1.3% |
| 7 | Medical And Surgical Supplies | $828,611 | 0.5% |
| 8 | Ambulance and Other Transport Services and Supplies | $522,297 | 0.3% |
| 9 | Procedures / Professional Services | $326,730 | 0.2% |
| 10 | Surgery | $112,267 | 0.1% |
| 11 | Vision Services | $79,000 | <0.1% |
| 12 | Radiology Procedures | $78,038 | <0.1% |
| 13 | Enteral and Parenteral Therapy | $17,967 | <0.1% |
| 14 | Durable Medical Equipment | $13,231 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $4,683 | <0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $650 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $535 | <0.1% |
| 18 | Pathology and Laboratory Services | $0 | <0.1% |
| 18 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $130,509,711 | 409 |
| S5101 | Adult day care per half day | $6,418,919 | 248 |
| S5165 | Home modifications per serv | $4,535,543 | 23 |
| S5170 | Homedelivered prepared meal | $448,191 | 21 |
| S9110 | Telemonitoring/home per mnth | $169,540 | 12 |
| S0621 | Routine ophthalmological exa | $135,505 | 56 |
| S0620 | Routine ophthalmological exa | $133,655 | 58 |
| S9152 | Speech therapy, re-eval | $25,875 | 16 |
| S9441 | Asthma education | $4,303 | 9 |
| S4993 | Contraceptive pills for bc | $2,819 | 1 |
| S9470 | Nutritional counseling, diet | $2,401 | 3 |
| S9451 | Exercise class | $0 | 38 |
| S8301 | Infect control supplies nos | $0 | 3 |
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.
