Revere Medicaid spending for Temporary National Codes (Non-Medicare) climbs to $5.7 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Revere billed $5,655,164 for services under the Temporary National Codes (Non-Medicare) category, according to data in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount is a 20.7% rise from 2023, when claims for these services totaled $4,684,719.

Medicaid is a public health insurance program funded jointly by federal and state governments and operated by the states. It serves low-income people, seniors, children, and those with disabilities, making it a major component of the U.S. health care system.

Since Medicaid spending relies on taxpayer funds, shifts in local billing patterns reveal how public health care dollars flow through communities.

The “Temporary National Codes (Non-Medicare)” category covers a defined group of Medicaid-billed services based on HCPCS and CPT code groupings. For the purposes of this report, each billing code was assigned to a unique service category using uniform code prefixes and numeric segments, which allows services to be tracked together, avoids duplicate counting, and maintains historical ranking accuracy.

While Medicaid spending grew in several categories, Temporary National Codes (Non-Medicare) represented the largest share of Medicaid funding in Revere for 2024.

Statewide, Temporary National Codes (Non-Medicare) ranked second by total Medicaid payments in Massachusetts for 2024.

Over the five years preceding 2024, Medicaid reimbursement in Revere for Temporary National Codes (Non-Medicare) rose by $2,301,226, or 68.6%. There were periods of accelerated growth, particularly notable increases recorded in 2023 and 2022.

Although spending in this category was distributed across Revere, payments were primarily concentrated within certain ZIP codes. In 2024, ZIP code 02151 accounted for $5,655,163, representing 100% of all Medicaid spending tied to this category in the city.

Payments within the Temporary National Codes (Non-Medicare) group were also focused among a small subset of individual billing codes.

Comparatively, while Medicaid payments related to Temporary National Codes (Non-Medicare) in Revere increased by 20.7% from 2023 to 2024, overall Medicaid claim categories citywide saw an 11.9% change over the same period.

Centers for Medicare & Medicaid Services data shows that combined federal and state Medicaid expenditures totaled around $871.7 billion in fiscal year 2023, about 18% of national health costs, up from $613.5 billion in 2019 before the COVID-19 pandemic.

This increase reflects roughly 40% growth over a few years, primarily resulting from greater enrollment and utilization during and after the pandemic.

Recent budget laws signed during the Trump administration have included proposals to decrease federal Medicaid outlays and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is slated to cut more than $1 trillion from federal Medicaid funding over the coming decade. It also establishes work requirements and increases cost-sharing, measures that may limit coverage and funding for some enrollees. These adjustments are expected to shift more expenses to states and restrict federal Medicaid growth, even as participation remains high.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Revere, Massachusetts Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $3,353,938 -19.6%
2021 $3,145,889 -6.2%
2022 $2,889,017 -8.2%
2023 $4,684,718 62.2%
2024 $5,655,163 20.7%
Top Categories by Medicaid Payments in Revere, Massachusetts, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $5,655,163 52.1%
2 National Codes Established for State Medicaid Agencies $2,631,180 24.3%
3 Ambulance and Other Transport Services and Supplies $765,662 7.1%
4 Medicine Services and Procedures $484,564 4.5%
5 Dental Services $483,244 4.5%
6 Procedures / Professional Services $462,750 4.3%
7 Alcohol and Drug Abuse Treatment $285,276 2.6%
8 Pathology and Laboratory Procedures $41,712 0.4%
9 Evaluation and Management $37,038 0.3%
10 Vision Services $626 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Revere, Massachusetts, 2024

HCPCS Code Description Medicaid Payments Claims
S5102 Adult day care per diem $3,326,425 23
S5140 Adult foster care per diem $1,767,879 12
S0215 Nonemerg transp mileage $548,265 12
S0302 Completed epsdt $11,204 46
S5101 Adult day care per half day $1,389 2

Note: HCPCS codes are provided to contextualize the category. Category summaries and rankings referenced in this piece are determined by standardized service groupings, not individual billing codes.

Details were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.



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