Garner Medicaid payments for Temporary National Codes (Non-Medicare) reach $5,134,199 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Garner Medicaid providers submitted $5,134,199 in 2024 for services under the Temporary National Codes (Non-Medicare) group, with data sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total was 1.4% higher than in 2023, when claims reached $5,065,206 for this service type.

Medicaid is a joint federal and state health insurance program serving low-income individuals, seniors, children and people with disabilities; it accounts for a major share of the U.S. health care system. More details are available from federal and state government funding sources.

Because Medicaid is funded through taxpayer dollars, shifts in local payment levels reflect how public health funding is distributed within communities.

The “Temporary National Codes (Non-Medicare)” group contains a set of Medicaid-billed services organized by specific care types, based on standardized HCPCS and CPT code ranges and prefixes. For this review, each billing code was categorized to a single service group, supporting accurate time-based comparisons and clear category rankings while preventing duplicate counts.

Medicaid spending in Garner rose in several service areas, with Temporary National Codes (Non-Medicare) finishing second by total Medicaid payments in 2024.

Statewide, in North Carolina, Temporary National Codes (Non-Medicare) placed fifth for Medicaid payments in 2024.

From 2019 to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Garner rose by $2,086,884, or 68.5%. There were distinct periods of accelerated spending, including notable annual increases in 2023 and 2022.

While the spending was distributed across various parts of Garner, Medicaid payments in this category were concentrated in a small number of ZIP codes. In 2024, ZIP code 27529 alone accounted for $5,134,199, representing 100% of Temporary National Codes (Non-Medicare) Medicaid payments in the city that year.

Within Temporary National Codes (Non-Medicare), most Medicaid payments were focused on a few billing codes.

For context, Medicaid payments associated with Temporary National Codes (Non-Medicare) in Garner grew by 1.4% from 2023 to 2024, while payments across all Medicaid claim types in the city increased by 14.6% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid outlays hit about $871.7 billion in the 2023 fiscal year, roughly 18% of all U.S. health care spending, up from around $613.5 billion in 2019, before COVID-19.

This marks an increase of about 40% in just several years, mainly due to higher enrollment and service use during and after the pandemic.

Major federal budget legislation passed under the Trump administration has included efforts to scale back federal Medicaid spending and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid spending by over $1 trillion over ten years. The law adds work requirements and more cost-sharing, which could reduce funding and coverage for certain beneficiaries, shifting more responsibility to states and potentially limiting federal Medicaid growth while the program still serves millions of Americans.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Garner, North Carolina Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,047,314 -0.4%
2021 $2,757,943 -9.5%
2022 $2,475,471 -10.2%
2023 $5,065,205 104.6%
2024 $5,134,199 1.4%
Top Categories by Medicaid Payments in Garner, North Carolina, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $10,965,714 45.8%
2 Temporary National Codes (Non-Medicare) $5,134,199 21.5%
3 Alcohol and Drug Abuse Treatment $2,891,800 12.1%
4 Medicine Services and Procedures $2,749,006 11.5%
5 Evaluation and Management $1,793,218 7.5%
6 Dental Services $289,477 1.2%
7 Pathology and Laboratory Procedures $65,849 0.3%
8 Radiology Procedures $27,451 0.1%
9 Surgery $3,867 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Garner, North Carolina, 2024

HCPCS Code Description Medicaid Payments Claims
S5145 Child fostercare th per diem $4,801,137 11
S5150 Unskilled respite care /15m $283,287 11
S0620 Routine ophthalmological exa $33,883 21
S0621 Routine ophthalmological exa $15,890 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.



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