Onley Medicaid providers received $1,245 in payments for services listed under the Temporary National Codes (Non-Medicare) category in 2024, as indicated by information in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 182.3% rise compared to 2023, when claims amounted to $441 for the same service type.
Medicaid, operated by states and funded through both federal and state contributions, insures low-income individuals, families, children, seniors, and people with disabilities. The program is one of the largest elements of the U.S. health care system.
Because Medicaid funding comes from taxpayer dollars, shifts in local billing help show how communities allocate public health care funds.
The “Temporary National Codes (Non-Medicare)” classification includes Medicaid services defined by the care type, relying on bundled HCPCS and CPT code groupings. In this analysis, each code is assigned to one service category using methodological code prefixes and number ranges, grouping similar services for accurate ranking and to prevent double counting over time.
Medicaid spending grew in several service categories, yet Temporary National Codes (Non-Medicare) ranked as the fifth-largest category in Onley for Medicaid payments in 2024.
Similarly, for Virginia overall, Temporary National Codes (Non-Medicare) were fifth by total Medicaid payment in 2024.
During the five years leading up to 2024, Medicaid payments tied to Temporary National Codes (Non-Medicare) in Onley increased by $1,245, or 0%. Certain periods—specifically in 2021 and 2022—saw an acceleration in spending growth year over year.
Though spending for Temporary National Codes (Non-Medicare) services was citywide, the payments were highly concentrated in a small selection of ZIP codes. For 2024, ZIP code 23418 recorded $1,244, making up 100% of Medicaid payments in this category in Onley.
Within the Temporary National Codes (Non-Medicare), Medicaid payments mostly clustered around a small set of billing codes.
Looking at citywide trends, the 182.3% rise in Medicaid payments for Temporary National Codes (Non-Medicare) from 2023 to 2024 outpaced the 50% overall increase across all Medicaid claim categories in the same span.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal 2023, representing about 18% of all national health expenditures. That is up sharply from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects about 40% growth in just a few years, largely influenced by expanded enrollment and greater use of services during and following the pandemic period.
Recent federal budget measures during the Trump administration have featured large proposals to reduce federal Medicaid contributions and restructure the program. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to cut more than $1 trillion in federal Medicaid outlays over 10 years and adds requirements such as work eligibility and increased cost-sharing, which could lower funding and coverage for some enrollees. These policy changes are set to transfer greater costs to states and constrain future federal Medicaid funding, even as the program continues serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $1,561 | 348% |
| 2022 | $1,617 | 3.6% |
| 2023 | $441 | -72.7% |
| 2024 | $1,244 | 182.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $253,247 | 66.4% |
| 2 | Medicine Services and Procedures | $107,675 | 28.3% |
| 3 | Pathology and Laboratory Procedures | $9,728 | 2.6% |
| 4 | Procedures / Professional Services | $9,051 | 2.4% |
| 5 | Temporary National Codes (Non-Medicare) | $1,244 | 0.3% |
| 6 | Surgery | $195 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9129 | Occupational therapy, in the | $1,244 | 4 |
Note: HCPCS codes are included for reference within the category. Totals and rankings above are based on standardized service groupings, not individual billing codes.
Data in this story were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data here.
