Penitas sees $3,549,909 in Medicaid payments for Temporary National Codes services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Penitas submitted $3,549,909 in claims for services under the Temporary National Codes (Non-Medicare) category, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 10.4% increase from 2023, when claim totals reached $3,216,889 for the same category.

Medicaid is a public health insurance initiative managed at the state level with joint funding from federal and state governments. The program provides coverage for low-income residents, seniors, children and people with disabilities, representing one of the largest components of U.S. health care.

Since Medicaid payments are sourced from tax dollars, adjustments in local billing patterns reveal how community resources are spent on public health care.

The Temporary National Codes (Non-Medicare) category denotes a collection of Medicaid-billed services defined by service type, organized by standardized HCPCS and CPT coding ranges. This analysis assigned each billing code to a single service type through a grouping process that used consistent code prefixes and numeric spans, ensuring similar services were evaluated together while maintaining unduplicated totals and rankings.

While Medicaid costs grew in several categories, Temporary National Codes (Non-Medicare) represented the top Medicaid payment category in Penitas in 2024.

Statewide in Texas, the Temporary National Codes (Non-Medicare) category also ranked first by total Medicaid spending that year.

Between 2019 and 2024, Medicaid payments associated with the Temporary National Codes (Non-Medicare) category in Penitas rose by $3,446,960, an increase of 3348.2%. Certain years, such as 2021 and 2022, experienced particularly sharp growth.

Payment distribution for the Temporary National Codes (Non-Medicare) services covered the entire city, but was mainly concentrated in a small number of ZIP codes. In 2024, ZIP code 78576 recorded all $3,549,909 in Medicaid billing for this category, accounting for 100% of such payments in Penitas for the year.

Most Medicaid spending for Temporary National Codes (Non-Medicare) services came from a limited number of unique billing codes.

When compared with other Medicaid claim categories, payments for Temporary National Codes (Non-Medicare) in Penitas increased by 10.4% between 2024 and 2023, while all categories in the city saw a 12.8% rise during the same period.

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

This marks nearly 40% growth in only a few years, driven primarily by wider enrollment and higher service use connected to the pandemic period and its aftermath.

Recent federal budget actions during the Trump administration included significant efforts to decrease federal Medicaid dollars and reorganize the program. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years and implement provisions like work requirements and greater cost-sharing, which may curtail coverage and funding for some enrollees. These moves are likely to shift additional costs to states and slow the growth of federal Medicaid resources, while the program still provides coverage for millions nationwide.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Penitas, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $102,948
2021 $509,836 395.2%
2022 $2,132,825 318.3%
2023 $3,216,888 50.8%
2024 $3,549,909 10.4%
Top Categories by Medicaid Payments in Penitas, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $3,549,909 74.6%
2 Medicine Services and Procedures $459,713 9.7%
3 National Codes Established for State Medicaid Agencies $457,031 9.6%
4 Dental Services $126,594 2.7%
5 Evaluation and Management $112,442 2.4%
6 Pathology and Laboratory Procedures $34,067 0.7%
7 Medical And Surgical Supplies $21,229 0.4%
8 Drugs Administered Other than Oral Method $22 <0.1%
9 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Penitas, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
S5125 Attendant care service /15m $3,150,234 12
S5101 Adult day care per half day $399,674 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.



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