Peabody Medicaid claims for Temporary National Codes rise to $9,428,110 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Peabody billed a total of $9,428,110 for Temporary National Codes (Non-Medicare) services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount is up 29.3% over 2023, when providers submitted $7,290,518 in claims for the same classification of service.

Medicaid is a public health insurance initiative administered by states and funded by both federal and state governments. The program serves low-income people, seniors, children, and individuals with disabilities, representing a significant segment of the U.S. health care system.

Because Medicaid funding comes from taxpayers, shifts in billing levels locally reveal how a community allocates its public health spending.

The “Temporary National Codes (Non-Medicare)” designation covers Medicaid services classified by care type using established HCPCS and CPT code groupings. For this report, each billing code was mapped to one service category based on standardized prefixes and code ranges, ensuring comparable services are grouped together without duplicating counts or distorting category rankings over time.

Temporary National Codes (Non-Medicare) generated the largest Medicaid payment total among all service categories in Peabody in 2024.

Statewide in Massachusetts, the Temporary National Codes (Non-Medicare) service category ranked second in overall Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments connected to the Temporary National Codes (Non-Medicare) service in Peabody increased by $6,376,292, which is a rise of 208.9%. Notable spending jumps occurred in select years, such as 2023 and 2022, suggesting periods of accelerated growth.

Although these services were utilized throughout Peabody, Medicaid payments were primarily concentrated in a small number of ZIP codes. For 2024, the 01960 ZIP code stood out, totaling $9,428,110 in claims. Altogether, the top 1 ZIP code comprised 100% of all Medicaid payments for Temporary National Codes (Non-Medicare) services in Peabody for this timeframe.

Within this service category, the majority of Medicaid claims were linked to a small number of billing codes.

To compare, Medicaid payments in this category in Peabody increased 29.3% from 2023 to 2024, while total payments across all Medicaid service groups in the city rose by 4.3% for the same span.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion for fiscal 2023, accounting for close to 18% of all U.S. health care expenditures—a substantial jump from $613.5 billion in 2019, before the COVID-19 pandemic.

The growth equals approximately 40% over the period, mainly due to expanded Medicaid rolls and greater service usage during and after the pandemic years.

Recently enacted federal budget law under the Trump administration included major plans to decrease federal Medicaid funds and redesign the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to cut federal Medicaid spending by more than $1 trillion over 10 years and adds requirements such as work mandates and higher out-of-pocket costs, which could reduce coverage and financing for certain enrollees. These measures are expected to shift larger financial responsibilities to states and restrain federal Medicaid growth, even as the program continues serving tens of millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $3,051,817 -7.4%
2021 $3,828,886 25.5%
2022 $5,109,598 33.4%
2023 $7,290,517 42.7%
2024 $9,428,110 29.3%
Top Categories by Medicaid Payments in Peabody, Massachusetts, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $9,428,110 36%
2 National Codes Established for State Medicaid Agencies $7,784,718 29.7%
3 Alcohol and Drug Abuse Treatment $2,386,840 9.1%
4 Procedures / Professional Services $1,852,820 7.1%
5 Medicine Services and Procedures $1,663,695 6.3%
6 Evaluation and Management $1,514,718 5.8%
7 Pathology and Laboratory Procedures $687,368 2.6%
8 Dental Services $599,075 2.3%
9 Orthotic Procedures and services $136,845 0.5%
10 Surgery $56,595 0.2%
11 Radiology Procedures $47,312 0.2%
12 Ambulance and Other Transport Services and Supplies $37,841 0.1%
13 Durable Medical Equipment $7,221 <0.1%
14 Drugs Administered Other than Oral Method $2,884 <0.1%
15 Chemotherapy Drugs $1,009 <0.1%
16 Medical And Surgical Supplies $0 <0.1%
16 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Peabody, Massachusetts, 2024

HCPCS Code Description Medicaid Payments Claims
S5102 Adult day care per diem $5,418,783 44
S5140 Adult foster care per diem $1,788,502 12
S9485 Crisis intervention mental h $1,208,407 19
S0340 Lifestyle mod 1st stage $460,668 17
S5101 Adult day care per half day $149,169 19
S5130 Homaker service nos per 15m $128,855 9
S5135 Adult companioncare per 15m $92,860 9
S0302 Completed epsdt $76,497 276
S0341 Lifestyle mod 2 or 3 stage $55,950 3
S5100 Adult daycare services 15min $32,947 11
S0209 Wc van mileage per mi $15,468 10

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.



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