In 2024, Medicaid providers in Lawrence billed a total of $29,927,857 for services under the Temporary National Codes (Non-Medicare) category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 2.9% rise from 2023, when providers submitted $29,097,976 in claims for similar services.
Medicaid is a state-administered public health insurance initiative that is funded jointly by federal and state governments. The program covers low-income families and individuals, children, seniors, and those with disabilities, representing a significant component of the U.S. health care landscape.
As Medicaid payments are funded by taxpayers, shifts in local billing patterns reflect how public health care funds are distributed within a community.
The “Temporary National Codes (Non-Medicare)” designation groups Medicaid-billed services by the type of care, based on standardized HCPCS and CPT code sets. For this analysis, each service code was categorized by consistent code prefixes and ranges, ensuring related services could be aggregated, preventing double counting and maintaining accuracy in historical ranks.
Although there was an increase in Medicaid spending across several categories, Temporary National Codes (Non-Medicare) was the second highest by total Medicaid payments in Lawrence in 2024.
Statewide in Massachusetts, the Temporary National Codes (Non-Medicare) category also ranked second for total Medicaid payments in 2024.
In the five years prior to 2024, Medicaid payments in Lawrence for the Temporary National Codes (Non-Medicare) group climbed by $5,402,484, or 22%. During that period, there were significant year-over-year increases, especially notable in 2023 and 2022.
While payments for services in the Temporary National Codes (Non-Medicare) category were made throughout Lawrence, a significant portion was concentrated in only a few ZIP codes. The highest amounts in 2024 were found in ZIP code 01843 with $24,750,958, followed by 01840 at $3,220,348, and 01841 with $1,956,549. Together, these 3 ZIP codes comprised 100% of all Medicaid payments in the category for Lawrence during 2024.
Within this category, Medicaid payments were concentrated among a select group of billing codes.
For added context, payments linked to the Temporary National Codes (Non-Medicare) category in Lawrence rose by 2.9% from 2023 to 2024, while all Medicaid claim categories in the city increased by 9.9% over the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal 2023, equating to nearly 18% of the nation’s health spending—up from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase amounts to about 40% over several years, driven mainly by rising enrollment and higher usage during and after the pandemic.
Recent federal budget measures under the Trump administration have put forward major plans to reduce federal Medicaid outlays and adjust program structure. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to decrease federal Medicaid spending by more than $1 trillion over 10 years and institutes policies such as work requirements and heightened cost-sharing that could limit coverage and dollars for some enrollees. These adjustments are expected to put greater cost responsibility on states and slow federal growth, even as Medicaid remains vital for millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $24,525,372 | -4.5% |
| 2021 | $24,347,953 | -0.7% |
| 2022 | $26,095,826 | 7.2% |
| 2023 | $29,097,975 | 11.5% |
| 2024 | $29,927,857 | 2.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $40,751,355 | 34.2% |
| 2 | Temporary National Codes (Non-Medicare) | $29,927,857 | 25.1% |
| 3 | Evaluation and Management | $10,439,414 | 8.8% |
| 4 | Procedures / Professional Services | $9,394,169 | 7.9% |
| 5 | Medicine Services and Procedures | $9,339,177 | 7.8% |
| 6 | Radiology Procedures | $4,610,569 | 3.9% |
| 7 | Pathology and Laboratory Procedures | $3,768,840 | 3.2% |
| 8 | Surgery | $3,635,104 | 3.1% |
| 9 | Dental Services | $3,202,442 | 2.7% |
| 10 | Alcohol and Drug Abuse Treatment | $2,298,323 | 1.9% |
| 11 | Ambulance and Other Transport Services and Supplies | $1,170,262 | 1% |
| 12 | Drugs Administered Other than Oral Method | $486,194 | 0.4% |
| 13 | Coronavirus Diagnostic Panel | $17,558 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $12,696 | <0.1% |
| 15 | Anesthesia | $734 | <0.1% |
| 16 | Temporary Codes | $247 | <0.1% |
| 17 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5102 | Adult day care per diem | $10,549,004 | 100 |
| S5130 | Homaker service nos per 15m | $7,340,259 | 97 |
| S5140 | Adult foster care per diem | $5,060,970 | 35 |
| S5135 | Adult companioncare per 15m | $2,586,112 | 73 |
| S5170 | Homedelivered prepared meal | $1,470,075 | 32 |
| S5161 | Emer rspns sys serv permonth | $694,112 | 87 |
| S9485 | Crisis intervention mental h | $627,064 | 23 |
| S0340 | Lifestyle mod 1st stage | $374,900 | 10 |
| S5101 | Adult day care per half day | $360,609 | 39 |
| S5131 | Homemaker service nos /diem | $260,102 | 9 |
| S5165 | Home modifications per serv | $256,530 | 19 |
| S0215 | Nonemerg transp mileage | $143,739 | 33 |
| S5120 | Chore services per 15 min | $79,589 | 9 |
| S0341 | Lifestyle mod 2 or 3 stage | $62,450 | 3 |
| S5175 | Laundry serv,ext,prof,/order | $51,447 | 19 |
| S5160 | Emer response sys instal&tst | $5,968 | 12 |
| S0209 | Wc van mileage per mi | $4,136 | 4 |
| S0302 | Completed epsdt | $467 | 3 |
| S9124 | Nursing care, in the home; b | $315 | 10 |
| S9123 | Nursing care in home rn | $0 | 9 |
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.
