Keystone Medicaid providers billed $1,966,823 for Temporary National Codes (Non-Medicare) services in 2024

In 2024, Medicaid providers in Keystone submitted $1,966,823 in claims for Temporary National Codes (Non-Medicare) services, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This total was up 0.2% compared with 2023, when claims in this service category reached $1,963,569.

Medicaid, a public health insurance program managed at the state level and funded jointly by federal and state governments, serves low-income people, seniors, children and individuals with disabilities, making it a key element of the U.S. health care system.

Because taxpayer funds are used for Medicaid, shifts in local billing patterns highlight how public health care resources are distributed within a community.

The Temporary National Codes (Non-Medicare) category encompasses a defined set of Medicaid-billed services based on the relevant type of care, utilizing standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a single service group using common prefixes and number ranges, which allowed these services to be grouped and ranked without double counting.

With Medicaid spending increasing in several categories, Temporary National Codes (Non-Medicare) led all categories by total Medicaid payments in Keystone for 2024.

Statewide in West Virginia, Temporary National Codes (Non-Medicare) ranked fourth for total Medicaid payments during 2024.

During the five years preceding 2024, Medicaid payments for Temporary National Codes (Non-Medicare) services in Keystone grew by $1,514,155, translating into a 334.5% increase. Spending growth was particularly strong in some years, with notable year-over-year gains reported for 2021 and 2022.

Although care in this category was available throughout the city, payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 24868 accounted for $1,966,823 in Medicaid payments under the Temporary National Codes (Non-Medicare) category. The top ZIP code made up 100% of Medicaid payments for this service category in Keystone that year.

Medicaid payments within the Temporary National Codes (Non-Medicare) group were further focused among specific billing codes.

For reference, the 0.2% year-over-year rise in Medicaid payments for Temporary National Codes (Non-Medicare) in Keystone compared with a 1.2% increase for all Medicaid claim categories in the city during that period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health expenditures—up sharply from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This reflects growth of around 40% over several years, largely attributed to increased enrollment and utilization during and after the pandemic.

Recent federal budget legislation enacted under the Trump administration features significant federal Medicaid funding reductions and program restructuring. For instance, the “One Big Beautiful Bill Act,” approved in 2025, is expected to cut over $1 trillion from federal Medicaid spending through the next decade and could lead to lower coverage and funding for certain recipients by introducing work requirements and more cost-sharing. As a result, more costs are expected to shift to states while federal Medicaid growth becomes more limited, despite the program’s continued reach to tens of millions of Americans.

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.