In 2024, Medicaid providers in Palmhurst reported $645,113 in charges for services classified under the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure shows an 18.4% increase over 2023, when providers claimed $545,019 for the same category.
Medicaid is operated by individual states using both state and federal funding and serves groups including low-income individuals, families, seniors, children, and people living with disabilities, making it one of the largest sectors of the nation’s health care system. More information is available at this resource.
Changes in Medicaid billing locally reflect how taxpayer-funded health care resources are distributed across communities.
The “Temporary National Codes (Non-Medicare)” group represents a set of Medicaid services identified by specific HCPCS and CPT code groupings. This analysis assigns each billing code to one service category using uniform prefixes and number ranges, allowing for more accurate tracking of related services and preventing duplication when reporting totals and rankings across time.
Temporary National Codes (Non-Medicare) represented the leading Medicaid service category in Palmhurst by total payments during 2024, outpacing other types of care.
Statewide in Texas, Temporary National Codes (Non-Medicare) also ranked first by Medicaid payment totals in 2024.
From 2019 through 2024, payments linked to the Temporary National Codes (Non-Medicare) category in Palmhurst rose by $566,567, an increase of 721.3%. Accelerated year-over-year growth was especially notable throughout 2021 and 2022.
Although payments were distributed citywide, the majority of funds in 2024 were concentrated in a small number of ZIP codes. ZIP code 78573 accounted for $645,113, representing 100% of Palmhurst Medicaid payments tied to the Temporary National Codes (Non-Medicare) category that year.
Within this category, a few specific billing codes accounted for most of the Medicaid payments.
Comparing year-over-year growth, Medicaid payments associated with this category in Palmhurst rose 18.4% between 2024 and 2023, whereas all Medicaid claim categories in the city increased by 7.8% during the same span.
The Centers for Medicare & Medicaid Services report that combined federal and state Medicaid expenditures hit around $871.7 billion in fiscal year 2023, representing nearly 18% of total national health costs—a significant jump from about $613.5 billion in 2019 before the COVID-19 pandemic.
This growth—approximately 40% in just a few years—stems largely from expanded eligibility and higher utilization during and following the pandemic.
Recent federal legislation passed under the Trump administration brought forward major proposals to curtail federal Medicaid funding and reform the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is slated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, introducing changes such as work requirements and greater cost-sharing that could affect benefits and shift financial responsibility to states.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $78,545 | – |
| 2021 | $478,097 | 508.7% |
| 2022 | $533,388 | 11.6% |
| 2023 | $545,019 | 2.2% |
| 2024 | $645,113 | 18.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $645,113 | 45.9% |
| 2 | Dental Services | $402,981 | 28.7% |
| 3 | Medicine Services and Procedures | $191,440 | 13.6% |
| 4 | Evaluation and Management | $109,839 | 7.8% |
| 5 | Pathology and Laboratory Procedures | $40,259 | 2.9% |
| 6 | Vision Services | $14,950 | 1.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5101 | Adult day care per half day | $645,113 | 32 |
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.
