In 2024, Medicaid providers in Hayesville billed $983,195 for services in the Temporary National Codes (Non-Medicare) category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 0.3% rise from the $980,100 recorded in 2023 for the same grouping of services.
Medicaid, the public health insurance program managed by states and funded by both federal and state governments, serves low-income individuals, families, seniors, children, and people with disabilities, making it a significant component of the U.S. health care landscape.
Because Medicaid dollars are sourced from taxpayers, shifts in local billing levels illustrate how public health funds are distributed within a community.
The “Temporary National Codes (Non-Medicare)” classification includes various Medicaid-billed services identified by specific care types, as outlined by standard HCPCS and CPT code groupings. For this review, each billing code was placed into a distinct service category using set prefixes and number ranges, supporting consistent grouping of related services while preventing double counting and maintaining accurate rankings by year.
Spending grew for several Medicaid service categories in Hayesville, with Temporary National Codes (Non-Medicare) generating the highest total payments locally in 2024.
Across North Carolina, Temporary National Codes (Non-Medicare) placed fifth among all categories by total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments linked to Temporary National Codes (Non-Medicare) in Hayesville rose by $369,741, an increase of 60.3%. Some years saw faster growth, with notable year-over-year gains in both 2023 and 2022.
While these services are accessed throughout Hayesville, Medicaid payments were mostly concentrated in a select group of ZIP codes. In 2024, ZIP code 28904 tallied the highest amount—$983,194—accounting for 100% of all Temporary National Codes (Non-Medicare) payments in the city during the year.
Payments within the Temporary National Codes (Non-Medicare) service area were focused on a relatively small set of billing codes.
For additional perspective, the 0.3% increase for Temporary National Codes (Non-Medicare) from 2023 to 2024 contrasts with a 10.4% overall change across all Medicaid claim categories in Hayesville during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, representing about 18% of nationwide health spending, up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents an approximate 40% increase in a short span, largely fueled by greater enrollment and higher usage rates during and after the pandemic.
Federal budget laws passed under the Trump administration introduced major changes to Medicaid funding, including the “One Big Beautiful Bill Act,” enacted in 2025. The law is expected to trim more than $1 trillion from federal Medicaid support over ten years and bring policies such as work requirements and greater cost-sharing, potentially reducing benefits and coverage for some recipients. These measures could shift added costs to states and constrain federal Medicaid growth, though the program still supports tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $613,454 | -7.3% |
| 2021 | $646,293 | 5.4% |
| 2022 | $790,198 | 22.3% |
| 2023 | $980,100 | 24% |
| 2024 | $983,194 | 0.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $983,194 | 32.4% |
| 2 | National Codes Established for State Medicaid Agencies | $764,355 | 25.2% |
| 3 | Medicine Services and Procedures | $667,629 | 22% |
| 4 | Evaluation and Management | $455,036 | 15% |
| 5 | Dental Services | $109,179 | 3.6% |
| 6 | Ambulance and Other Transport Services and Supplies | $42,300 | 1.4% |
| 7 | Pathology and Laboratory Procedures | $12,019 | 0.4% |
| 8 | Surgery | $98 | <0.1% |
| 9 | Procedures / Professional Services | $9 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $983,194 | 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.
