In 2024, Medicaid providers in Cary received $669,658 for services billed 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 represented a 29.5% rise from 2023, when $517,037 in claims were filed for services in the same category.
Medicaid, a public health insurance program, operates through both state administration and joint federal and state funding. It serves low-income individuals and families, seniors, children, and people with disabilities, and is a significant component of the U.S. health care framework.
Since Medicaid is funded by taxpayers, changes in billing at the local level reflect how a community allocates its public health care spending.
The “Temporary National Codes (Non-Medicare)” grouping includes Medicaid-billed services defined by the care provided, using standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a single service category by using uniform code prefixes and numeric ranges, ensuring related services could be reviewed collectively while preventing double counting and maintaining accurate comparisons over time.
Even though multiple categories saw increases in Medicaid spending, Temporary National Codes (Non-Medicare) ranked seventh for total Medicaid payments in Cary during 2024.
Statewide in North Carolina, the Temporary National Codes (Non-Medicare) category ranked fifth for total Medicaid payments in 2024.
During the five years before 2024, Cary’s Medicaid payments for Temporary National Codes (Non-Medicare) rose by $61,154, or 8.4%. Certain years saw sharper increases, with significant gains recorded in 2020 and 2022.
Payments for services within this category were made throughout Cary, though a majority were attributed to a few ZIP codes. In 2024, ZIP code 27513 accounted for $430,712, ZIP code 27511 recorded $137,947, and ZIP code 27519 had $98,302. Combined, the top 3 ZIP codes made up 99.6% of all Medicaid payments for this category within Cary for the year.
Within the Temporary National Codes (Non-Medicare) classification, Medicaid spending was concentrated in a small subset of billing codes.
To compare, the 29.5% rise in Cary’s Medicaid payments for Temporary National Codes (Non-Medicare) between 2024 and 2023 outpaced the 4.6% growth seen across all Medicaid claim categories in the city during the same interval.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, accounting for nearly 18% of total national health expenditures. This was a marked increase from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth of about 40% over a few years was mainly due to expanded enrollment and increased service use during and after the pandemic.
Federal budget legislation enacted during the Trump administration featured substantial proposals to trim federal Medicaid support and change the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to cut over $1 trillion in federal Medicaid spending over the next decade and launches changes such as work requirements and greater cost-sharing that may reduce coverage and funding for certain participants. These amendments are expected to shift additional costs to states and slow the expansion of federal Medicaid funding, even as enrollment remains high.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $730,811 | 59.9% |
| 2021 | $682,504 | -6.6% |
| 2022 | $574,171 | -15.9% |
| 2023 | $517,037 | -10% |
| 2024 | $669,658 | 29.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $12,210,282 | 43.2% |
| 2 | Evaluation and Management | $7,652,165 | 27.1% |
| 3 | National Codes Established for State Medicaid Agencies | $2,951,840 | 10.4% |
| 4 | Durable Medical Equipment | $1,609,932 | 5.7% |
| 5 | Dental Services | $1,007,428 | 3.6% |
| 6 | Procedures / Professional Services | $678,116 | 2.4% |
| 7 | Temporary National Codes (Non-Medicare) | $669,658 | 2.4% |
| 8 | Medical And Surgical Supplies | $429,857 | 1.5% |
| 9 | Enteral and Parenteral Therapy | $372,846 | 1.3% |
| 10 | Pathology and Laboratory Procedures | $282,945 | 1% |
| 11 | Surgery | $215,437 | 0.8% |
| 12 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $137,732 | 0.5% |
| 13 | Alcohol and Drug Abuse Treatment | $19,990 | 0.1% |
| 14 | Anesthesia | $8,542 | <0.1% |
| 15 | Ambulance and Other Transport Services and Supplies | $5,177 | <0.1% |
| 16 | Radiology Procedures | $5,058 | <0.1% |
| 17 | Orthotic Procedures and services | $3,258 | <0.1% |
| 18 | Prosthetic Procedures | $943 | <0.1% |
| 19 | Temporary Codes | $750 | <0.1% |
| 20 | Drugs Administered Other than Oral Method | $705 | <0.1% |
| 21 | Miscellaneous Medical Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S1040 | Cranial remolding orthosis | $422,827 | 8 |
| S0620 | Routine ophthalmological exa | $170,452 | 31 |
| S0621 | Routine ophthalmological exa | $74,878 | 15 |
| S0281 | Medical home, maintenance | $1,500 | 1 |
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.
