For 2024, West Palm Beach Medicaid providers billed $28,342,780 for services under the Temporary National Codes (Non-Medicare) group, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 0.8% rise from 2023, when $28,112,458 was billed for the same service category.
Medicaid is a joint federal-state health insurance initiative administered by states for low-income residents, seniors, families, children, and individuals with disabilities, forming one of the largest portions of the U.S. health care structure. Funding is shared between federal and state governments; details here: jointly by federal and state governments.
Since Medicaid is publicly funded, shifts in local Medicaid billing reflect changes in how communities allocate public health care resources.
The “Temporary National Codes (Non-Medicare)” category groups together Medicaid services defined by treatment type and standardized by corresponding HCPCS and CPT codes. The analysis assigns individual billing codes to distinct service groups using their code structures, allowing analysts to track categories consistently, minimize overlap, and maintain accurate annual trends.
Although several Medicaid service categories experienced increases in expenditure, Temporary National Codes (Non-Medicare) was the second highest in terms of total Medicaid payments in West Palm Beach in 2024.
Statewide, the Temporary National Codes (Non-Medicare) category ranked first in Florida for Medicaid payment totals in 2024.
Between 2019 and 2024, Medicaid disbursements specific to Temporary National Codes (Non-Medicare) in West Palm Beach rose by $17,260,598, equaling 155.8% growth. The largest increases occurred during certain intervals, including notable annual growth in 2023 and 2022.
Spending across the city on this service category was highest in just a few ZIP codes. In 2024, ZIP code 33407 registered $12,106,988, 33401 reported $9,089,685, and 33409 posted $3,577,573, together representing 87.4% of all Medicaid payments for this category citywide.
Medicaid billing within this service group was also mostly attributed to a small selection of specific provider codes.
By comparison, the 0.8% payment increase for Temporary National Codes (Non-Medicare) in West Palm Beach from 2023 to 2024 contrasts with a steeper 13.1% gain across all Medicaid claim groups locally during that span.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, making up roughly 18% of all U.S. health spending. This is a significant climb from $613.5 billion in 2019, before the onset of the COVID-19 crisis.
This approximate 40% rise was fueled primarily by increased program usage and broader enrollment stemming from pandemic impacts and subsequent public health needs.
Federal budget actions enacted during the Trump administration have included large-scale plans to decrease federal Medicaid funds and revamp the system. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to trim federal Medicaid spending by more than $1 trillion over 10 years while implementing new policies such as work rules and higher out-of-pocket costs. These changes are expected to cause states to take on more financial responsibility and limit federal Medicaid expenditure growth, despite continued high enrollment.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $11,082,182 | -16.2% |
| 2021 | $12,213,346 | 10.2% |
| 2022 | $17,124,044 | 40.2% |
| 2023 | $28,112,458 | 64.2% |
| 2024 | $28,342,780 | 0.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $40,718,480 | 42.9% |
| 2 | Temporary National Codes (Non-Medicare) | $28,342,780 | 29.8% |
| 3 | Alcohol and Drug Abuse Treatment | $8,806,634 | 9.3% |
| 4 | Evaluation and Management | $8,162,045 | 8.6% |
| 5 | Medicine Services and Procedures | $4,885,012 | 5.1% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,467,914 | 1.5% |
| 7 | Pathology and Laboratory Procedures | $888,104 | 0.9% |
| 8 | Dental Services | $453,764 | 0.5% |
| 9 | Radiology Procedures | $370,449 | 0.4% |
| 10 | Administrative, Miscellaneous and Investigational | $341,205 | 0.4% |
| 11 | Diagnostic Radiology Services | $155,760 | 0.2% |
| 12 | Procedures / Professional Services | $152,967 | 0.2% |
| 13 | Surgery | $63,705 | 0.1% |
| 14 | Medical And Surgical Supplies | $54,388 | 0.1% |
| 15 | Durable Medical Equipment | $40,675 | <0.1% |
| 16 | Temporary Codes | $39,452 | <0.1% |
| 17 | Vision Services | $14,922 | <0.1% |
| 18 | Drugs Administered Other than Oral Method | $3,262 | <0.1% |
| 19 | Coronavirus Diagnostic Panel | $824 | <0.1% |
| 20 | Anesthesia | $790 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5130 | Homaker service nos per 15m | $12,911,575 | 207 |
| S9124 | Nursing care, in the home; b | $6,232,375 | 20 |
| S5135 | Adult companioncare per 15m | $2,582,839 | 88 |
| S9122 | Home health aide or certifie | $2,379,323 | 29 |
| S9123 | Nursing care in home rn | $1,643,332 | 8 |
| S5102 | Adult day care per diem | $906,889 | 28 |
| S5165 | Home modifications per serv | $662,001 | 11 |
| S5150 | Unskilled respite care /15m | $294,686 | 14 |
| S5151 | Unskilled respitecare /diem | $261,256 | 12 |
| S5100 | Adult daycare services 15min | $245,655 | 10 |
| S9083 | Urgent care center global | $222,845 | 28 |
| S9451 | Exercise class | $0 | 12 |
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.
