Robbinsville sees 7.5% rise in Medicaid payments for Temporary National Codes (Non-Medicare) in 2024

Robbinsville Medicaid providers submitted $1,506,278 in claims for services within the Temporary National Codes (Non-Medicare) category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 7.5% uptick over 2023, when the same category saw $1,401,051 in billed Medicaid payments.

Medicaid is a health insurance program overseen by states and supported by both federal and state governments. It serves low-income individuals, families, seniors, children, and those with disabilities, and remains a significant segment of the U.S. health care landscape.

As Medicaid relies on taxpayer funding, shifts in local billing patterns indicate how public health care resources are distributed within a community.

The “Temporary National Codes (Non-Medicare)” category encompasses Medicaid-billed services defined by care type, organized according to standard HCPCS and CPT code groupings. In this review, each billing code was consistently placed into a distinct service category using code prefixes and numeric sequences to group related services, preventing double counting and ensuring accuracy in year-to-year rankings.

Temporary National Codes (Non-Medicare) accounted for the highest total Medicaid payments among service categories in Robbinsville in 2024 as Medicaid spending climbed in multiple areas.

This category ranked fifth in North Carolina overall for Medicaid payment totals in 2024.

From 2019 to 2024, Robbinsville Medicaid payments for the Temporary National Codes (Non-Medicare) category climbed by $28,725, a 1.9% increase. Growth was particularly strong certain years, especially in 2021 and 2020, with notable year-over-year increases.

While spending for services in this category was present throughout Robbinsville, payments in 2024 were concentrated in a small number of ZIP codes. ZIP code 28771 generated $1,506,277 in Medicaid payments for this service category, representing 100% of the category’s total within the city for the year.

Most Medicaid payments within the Temporary National Codes (Non-Medicare) category were driven by a limited selection of billing codes.

Medicaid payments in Robbinsville associated with this service group grew 7.5% from 2023 to 2024, whereas overall Medicaid claim categories in the city posted a 15.6% change during the same period.

The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid expenditures reached about $871.7 billion in the 2023 fiscal year, which made up around 18% of all national health spending. That is a notable jump from approximately $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This represents nearly 40% growth over a handful of years, largely propelled by increases in enrollment and service utilization during and after the pandemic period.

Recent federal budget legislation passed during the Trump administration has featured key proposals to trim federal Medicaid funding and alter how the program functions. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over 10 years while adding requirements such as work mandates and higher cost-sharing, potentially reducing coverage and funding for some participants. These adjustments are likely to place more financial responsibility on states and curb the growth in federal Medicaid funding, even as tens of millions of Americans continue to rely on the program.

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.