In 2024, Medicaid providers in Paris submitted $7,858,714 in claims for services under the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 35.7% higher than 2023, when claims for the same services totaled $5,792,988.
Medicaid, a public health insurance program operated by the states with joint federal and state funding, serves low-income individuals and families, seniors, children, and those with disabilities. It is one of the largest segments of the U.S. health care system.
Because Medicaid dollars come from taxpayers, changes in billing activity reflect how public health care resources are distributed in each community.
The “Temporary National Codes (Non-Medicare)” category represents a set of services billed to Medicaid, determined by type of care and organized according to standardized HCPCS and CPT code groupings. This report assigns each billing code to a single service group using consistent prefixes and number ranges, ensuring accuracy in analyzing related services and maintaining proper rankings without double counting.
Total Medicaid payments in Paris increased across several service types, but Temporary National Codes (Non-Medicare) ranked second in the city by payment volume in 2024.
Across Texas, Temporary National Codes (Non-Medicare) ranked first for all Medicaid payments statewide in 2024.
From five years before 2024, Medicaid payments connected to Temporary National Codes (Non-Medicare) in Paris rose by $3,284,293, or 71.8%. This growth rate accelerated during specific years, with marked annual increases appearing in both 2021 and 2020.
Most Medicaid payments for Temporary National Codes (Non-Medicare) in Paris were concentrated in a few ZIP codes. In 2024, ZIP code 75460 accounted for $7,858,714 in payments. Altogether, the leading ZIP code was responsible for 100% of all Paris Medicaid payments in this category for the year.
Payments within the Temporary National Codes (Non-Medicare) category were also focused among a small subset of billing codes.
To put the data in context, from 2023 to 2024, Paris saw Medicaid payments tied to Temporary National Codes (Non-Medicare) rise by 35.7%, compared to a 5.3% change across all Medicaid claim types citywide for the same period.
According to the Centers for Medicare & Medicaid Services, state and federal Medicaid expenditures reached about $871.7 billion during fiscal year 2023, making up roughly 18% of total U.S. health spending. That number was up considerably from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth represents an approximate 40% increase in just a few years, mainly due to expanded Medicaid enrollment and higher utilization during and following the pandemic period.
Under the Trump administration, recent federal budget laws have included proposals intended to cut federal Medicaid funding and alter the structure of the program. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. It introduces measures such as work requirements and more cost-sharing, changes that may restrict coverage and funding for some groups. These policies are likely to shift more financial responsibility onto states and slow future federal Medicaid growth, though the program continues to offer coverage for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,574,421 | 40.5% |
| 2021 | $8,682,476 | 89.8% |
| 2022 | $6,407,815 | -26.2% |
| 2023 | $5,792,988 | -9.6% |
| 2024 | $7,858,714 | 35.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $12,641,062 | 53.2% |
| 2 | Temporary National Codes (Non-Medicare) | $7,858,714 | 33.1% |
| 3 | Evaluation and Management | $1,775,271 | 7.5% |
| 4 | Dental Services | $404,073 | 1.7% |
| 5 | Diagnostic Radiology Services | $318,172 | 1.3% |
| 6 | Medicine Services and Procedures | $208,645 | 0.9% |
| 7 | Ambulance and Other Transport Services and Supplies | $204,041 | 0.9% |
| 8 | Durable Medical Equipment | $79,928 | 0.3% |
| 9 | Radiology Procedures | $72,834 | 0.3% |
| 10 | Pathology and Laboratory Procedures | $65,726 | 0.3% |
| 11 | Procedures / Professional Services | $60,332 | 0.3% |
| 12 | Surgery | $40,160 | 0.2% |
| 13 | Medical And Surgical Supplies | $28,921 | 0.1% |
| 14 | Vision Services | $11,458 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $1,791 | <0.1% |
| 16 | Temporary Codes | $898 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $752 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $7,823,229 | 11 |
| S5170 | Homedelivered prepared meal | $29,418 | 11 |
| S0621 | Routine ophthalmological exa | $6,066 | 8 |
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.
