Portsmouth Medicaid providers billed $122,497,484 for services classified under the Temporary National Codes (Non-Medicare) category in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 271.7% rise from 2023, when providers billed $32,958,366 for similar services.
Medicaid, funded jointly by federal and state governments and managed at the state level, insures low-income people, families, older adults, children, and individuals with disabilities. It stands as one of the largest components of the U.S. health care system. More information about Medicaid funding can be found here.
Because taxpayer contributions support Medicaid, shifts in local billing patterns highlight how community health care funding is distributed.
The Temporary National Codes (Non-Medicare) category encompasses a range of Medicaid-billed service types identified by HCPCS and CPT code groupings. Each billing code was assigned to a single category for this analysis, using unified code prefixes and ranges to ensure related services were grouped and double counting avoided for consistent rankings over time.
Although Medicaid spending grew in several categories, Temporary National Codes (Non-Medicare) represented the leading category in Portsmouth by total Medicaid payments for 2024.
Statewide, the Temporary National Codes (Non-Medicare) category placed fifth in total Medicaid payments across Virginia for 2024.
Between 2019 and 2024, Medicaid payments for this category in Portsmouth grew by $122,367,466, or 94,115.6%. Spending surged particularly in certain years, including notable increases in both 2023 and 2022.
Payments tied to care in this category were spread across Portsmouth, yet primarily focused in a small number of ZIP codes. In 2024, ZIP code 23707 accounted for $120,473,483, with ZIP code 23704 following at $1,546,647, and 23701 at $477,353. Combined, these 3 ZIP codes made up 100% of Medicaid payments tied to Temporary National Codes (Non-Medicare) in Portsmouth for the year.
Within this category, Medicaid reimbursements were concentrated around a select few billing codes.
For reference, while Medicaid payments for Temporary National Codes (Non-Medicare) in Portsmouth increased 271.7% from 2023 to 2024, overall Medicaid claim categories in the city climbed by 105.1% over the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays reached nearly $871.7 billion in fiscal year 2023, representing around 18% of all U.S. health expenditures. This was a significant rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This marks roughly a 40% increase over a few years, primarily attributed to greater enrollment and higher utilization during and after the pandemic period.
Recent federal budget laws under the Trump administration have featured proposals to reduce federal Medicaid funds and overhaul the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut federal Medicaid spending by more than $1 trillion over 10 years and introduces requirements such as work mandates and higher cost-sharing, which may decrease coverage and funds for certain enrollees. These shifts are expected to move additional cost responsibility to the states and slow federal Medicaid support growth, though the program continues to aid tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $130,018 | -12.3% |
| 2021 | $98,636 | -24.1% |
| 2022 | $310,388 | 214.7% |
| 2023 | $32,958,365 | 10518.4% |
| 2024 | $122,497,484 | 271.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $122,497,484 | 59.6% |
| 2 | National Codes Established for State Medicaid Agencies | $25,687,029 | 12.5% |
| 3 | Alcohol and Drug Abuse Treatment | $17,512,832 | 8.5% |
| 4 | Medicine Services and Procedures | $16,620,201 | 8.1% |
| 5 | Temporary Codes | $9,763,461 | 4.8% |
| 6 | Evaluation and Management | $7,844,491 | 3.8% |
| 7 | Radiology Procedures | $2,019,487 | 1% |
| 8 | Pathology and Laboratory Procedures | $1,652,567 | 0.8% |
| 9 | Ambulance and Other Transport Services and Supplies | $468,776 | 0.2% |
| 10 | Vision Services | $429,536 | 0.2% |
| 11 | Procedures / Professional Services | $424,098 | 0.2% |
| 12 | Surgery | $402,338 | 0.2% |
| 13 | Drugs Administered Other than Oral Method | $24,420 | <0.1% |
| 14 | Dental Services | $7,518 | <0.1% |
| 15 | Medical And Surgical Supplies | $6,115 | <0.1% |
| 16 | Pathology and Laboratory Services | $3,140 | <0.1% |
| 17 | Durable Medical Equipment | $2,054 | <0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $642 | <0.1% |
| 19 | Outpatient PPS | $84 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5121 | Chore services per diem | $120,473,483 | 10 |
| S9482 | Family stabilization 15 min | $1,918,515 | 19 |
| S0109 | Methadone oral 5mg | $105,485 | 24 |
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.
