Medicaid spending for Temporary National Codes (Non-Medicare) services in Mount Vernon reaches $57.5 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Mount Vernon billed $57,537,191 for services under the Temporary National Codes (Non-Medicare) group, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 5.3% rise from 2023, when billing for these services totaled $54,666,646.

Medicaid, a public health insurance program jointly funded by state and federal governments, covers low-income people, families, seniors, children, and those with disabilities. This makes it a major component of the nation’s health care system. Learn more about Medicaid funding here.

Because taxpayer funds support Medicaid payments, shifts in local billing demonstrate how public health dollars are allocated in each community.

The “Temporary National Codes (Non-Medicare)” group includes Medicaid services identified by their care type based on HCPCS and CPT code standards. For this analysis, each billing code was assigned to one specific service category using consistent code prefixes and numerical ranges, allowing a review of related services without duplication and providing accurate rankings over time.

Spending in the Temporary National Codes (Non-Medicare) group led all Medicaid service categories in Mount Vernon for total payments in 2024.

Statewide in Texas, total Medicaid payments in the Temporary National Codes (Non-Medicare) group also ranked highest in 2024.

Over the five years prior to 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) group in Mount Vernon grew by $33,693,264, or 141.3%. Major increases occurred in particular years, with strong growth noted in both 2021 and 2020.

Although care payments in the Temporary National Codes (Non-Medicare) group covered locations across Mount Vernon, most payments were concentrated in a handful of ZIP codes. In 2024, ZIP code 75457 accounted for $57,537,191, totaling 100% of Medicaid payments in this category for Mount Vernon.

Within this category, most Medicaid payments were tied to a small number of individual billing codes.

Payments linked to the Temporary National Codes (Non-Medicare) group in Mount Vernon went up 5.3% from 2023 to 2024, compared to a 2.9% change across all Medicaid claim groups locally during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached an estimated $871.7 billion in fiscal 2023, making up nearly 18% of total U.S. health spending. That is up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This reflects about 40% growth in just a few years, driven mostly by expanded enrollment and greater use of care during and after the pandemic.

Recent federal budget measures enacted under the Trump administration included major proposals to reduce Medicaid funding and restructure the program. For example, the “One Big Beautiful Bill Act,” signed in 2025, projects over $1 trillion in federal Medicaid funding cuts over the next decade. The law introduces policies such as work requirements and greater cost-sharing, which could cut coverage and funding for certain beneficiaries. These policy shifts are expected to move more of the cost burden to states and potentially limit federal Medicaid funding growth while the program continues serving millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $23,843,926 68.5%
2021 $60,475,091 153.6%
2022 $58,776,837 -2.8%
2023 $54,666,646 -7%
2024 $57,537,191 5.3%
Top Categories by Medicaid Payments in Mount Vernon, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $57,537,191 62.9%
2 National Codes Established for State Medicaid Agencies $29,786,039 32.6%
3 Alcohol and Drug Abuse Treatment $2,797,953 3.1%
4 Procedures / Professional Services $913,571 1%
5 Miscellaneous Medical Services $405,034 0.4%
6 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Mount Vernon, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
S5125 Attendant care service /15m $56,770,729 47
S9125 Respite care, in the home, p $766,462 21

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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