In 2024, Medicaid providers in Newport News billed a total of $19,275,303 for care under the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That figure is 109.2% higher than in 2023, when the total amounted to $9,215,464 for the same set of services.
Medicaid, the public health insurance program administered at the state level with funding from both state and federal governments, provides coverage to low-income individuals, families, older adults, children, and people with disabilities. As such, it represents a substantial component of the U.S. health care infrastructure according to policy analysts.
Since Medicaid funding is supported by taxpayers, local trends in billing patterns help illustrate the community’s use of health care dollars.
The “Temporary National Codes (Non-Medicare)” grouping encompasses Medicaid services sorted according to standardized HCPCS and CPT code definitions. In this review, each billing code was assigned to a single service classification based on consistent code prefixes and numeric sequences, ensuring that related services could be grouped for analyzing overall trends without duplication or misleading comparisons.
Temporary National Codes (Non-Medicare) ranked fourth among service groupings in Newport News for total Medicaid outlays in 2024, even as multiple categories posted heightened expenditures.
On a statewide level in Virginia, Temporary National Codes (Non-Medicare) was the fifth largest recipient of Medicaid payments during 2024.
During the five years preceding 2024, Medicaid payments linked to Temporary National Codes (Non-Medicare) in Newport News rose by $16,383,611, reflecting an overall growth of 566.6%. Certain years, notably 2022 and 2023, experienced significant increases compared to prior reporting periods.
While Medicaid reimbursements for Temporary National Codes (Non-Medicare) covered providers throughout Newport News, the vast majority of related payments were attributed to just a few ZIP codes. In 2024, the highest Medicaid amounts in this group were seen in ZIP code 23606 at $11,507,143; ZIP code 23602 at $4,204,553; and ZIP code 23607 with $1,933,526. These top three ZIP codes jointly made up 91.5% of all such Medicaid disbursements citywide in 2024.
Spending under the Temporary National Codes (Non-Medicare) umbrella also tended to concentrate within a small subset of medical billing codes.
Between 2024 and 2023, payments in Newport News for Temporary National Codes (Non-Medicare) climbed by 109.2%, while overall Medicaid claims in the city grew by a comparatively modest 5.5% across all service types.
Data from the Centers for Medicare & Medicaid Services show that and state Medicaid spending combined reached approximately $871.7 billion in fiscal year 2023. This accounted for around 18% of all health expenditures nationally and was up from about $613.5 billion in 2019, preceding the COVID-19 crisis.
This roughly 40% escalation has been fueled in part by enlarging enrollment numbers and increased care utilization during and subsequent to the pandemic time frame.
Recent federal budget actions under the Trump administration have incorporated major proposals for reduced federal Medicaid support and changes to program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to diminish federal Medicaid investment by over $1 trillion in the coming decade by instituting changes like work requirements and higher cost-sharing, potentially narrowing coverage options and available funding for particular groups. Such developments are expected to shift a greater financial load to states and could slow future growth in federal contributions, even as demand for Medicaid persists.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,891,692 | 11% |
| 2021 | $3,303,570 | 14.2% |
| 2022 | $7,622,078 | 130.7% |
| 2023 | $9,215,464 | 20.9% |
| 2024 | $19,275,302 | 109.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $35,406,395 | 23.9% |
| 2 | National Codes Established for State Medicaid Agencies | $34,838,432 | 23.5% |
| 3 | Evaluation and Management | $19,714,851 | 13.3% |
| 4 | Temporary National Codes (Non-Medicare) | $19,275,302 | 13% |
| 5 | Medicine Services and Procedures | $16,548,171 | 11.2% |
| 6 | Procedures / Professional Services | $7,025,456 | 4.7% |
| 7 | Radiology Procedures | $5,415,704 | 3.7% |
| 8 | Surgery | $3,810,026 | 2.6% |
| 9 | Chemotherapy Drugs | $1,890,297 | 1.3% |
| 10 | Pathology and Laboratory Procedures | $1,289,990 | 0.9% |
| 11 | Ambulance and Other Transport Services and Supplies | $920,061 | 0.6% |
| 12 | Drugs Administered Other than Oral Method | $638,270 | 0.4% |
| 13 | Durable Medical Equipment | $515,476 | 0.3% |
| 14 | Medical And Surgical Supplies | $239,397 | 0.2% |
| 15 | Temporary Codes | $236,718 | 0.2% |
| 16 | Vision Services | $192,006 | 0.1% |
| 17 | Orthotic Procedures and services | $121,935 | 0.1% |
| 18 | Outpatient PPS | $108,423 | 0.1% |
| 19 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $31,807 | <0.1% |
| 20 | Pathology and Laboratory Services | $17,483 | <0.1% |
| 21 | Prosthetic Procedures | $12,302 | <0.1% |
| 22 | Administrative, Miscellaneous and Investigational | $5,245 | <0.1% |
| 23 | Anesthesia | $314 | <0.1% |
| 24 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9482 | Family stabilization 15 min | $9,560,366 | 49 |
| S9124 | Nursing care, in the home; b | $4,233,241 | 12 |
| S9123 | Nursing care in home rn | $2,288,804 | 12 |
| S0201 | Partial hospitalization serv | $1,275,343 | 11 |
| S0109 | Methadone oral 5mg | $712,858 | 27 |
| S9485 | Crisis intervention mental h | $660,976 | 17 |
| S5102 | Adult day care per diem | $262,793 | 11 |
| S5135 | Adult companioncare per 15m | $237,485 | 6 |
| S5111 | Family homecare train/sessio | $31,109 | 11 |
| S5116 | Nonfamily hc train/session | $8,519 | 6 |
| S0612 | Annual gynecological examina | $3,803 | 7 |
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.
