Revere Medicaid payments for Temporary National Codes (Non-Medicare) rise 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 a total of $5,655,164 for services under 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 represented a 20.7% jump compared to 2023, when claims for this service type reached $4,684,719.

Medicaid, a public health insurance program administered by states and funded through federal and state contributions, covers low-income people, seniors, children, and individuals with disabilities. It is considered one of the largest components of the national health care system.

With Medicaid funded by taxpayers, local billing shifts highlight how public health funding is distributed in various communities.

The “Temporary National Codes (Non-Medicare)” category includes Medicaid services grouped by the care provided, organized by standardized HCPCS and CPT code sets. For this report, each billing code was assigned to one service class using established prefixes and numeric sequences, ensuring related service types were aggregated while avoiding duplicate counts and providing consistent rankings over time.

While Medicaid spending grew across several services, Temporary National Codes (Non-Medicare) led all categories by total Medicaid payments in Revere for 2024.

Statewide in Massachusetts, Temporary National Codes (Non-Medicare) placed second for Medicaid payment volume in 2024.

Between 2019 and 2024, Revere’s Medicaid payments tied to the Temporary National Codes (Non-Medicare) category climbed by $2,301,226, an increase of 68.6%. The pace of spending accelerated during segments of this period, particularly with notable year-over-year jumps reported in 2023 and 2022.

Although spending for Temporary National Codes (Non-Medicare) covered care throughout the city, it was concentrated within specific ZIP codes. In 2024, ZIP code 02151 accounted for $5,655,163 in Medicaid payments in this category, making up 100% of Revere’s total for these services that year.

Within this category, a small set of individual billing codes accounted for most of the Medicaid payments.

Comparatively, Medicaid payments for Temporary National Codes (Non-Medicare) in Revere increased 20.7% between 2024 and 2023, while payments across all Medicaid claim categories citywide grew by 11.9% for the same period.

According to the Centers for Medicare & Medicaid Services, combined federal-state Medicaid expenditures reached nearly $871.7 billion in fiscal 2023, representing roughly 18% of overall national health spending. This is a significant rise from about $613.5 billion in 2019, the year before the COVID-19 pandemic.

This jump reflects a roughly 40% increase over several years, driven in large part by higher enrollment and greater service use related to and following the pandemic.

Recent federal budget legislation enacted during the Trump administration brought forth substantial proposals to trim federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to cut federal Medicaid outlays by more than $1 trillion in the coming decade and introduces measures like work mandates and increased cost-sharing. These changes could narrow coverage and funding for certain beneficiaries, shifting more financial responsibility to states and slowing federal Medicaid support growth, even as the program remains essential for tens of millions of Americans.

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 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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