Poquoson Medicaid claims for Temporary National Codes (Non-Medicare) reach $2,228,500 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Poquoson submitted $2,228,500 in claims for services under the Temporary National Codes (Non-Medicare) classification in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 143.3% increase from 2023, when $916,000 in claims were reported for the same services.

Medicaid, a public health insurance program directed by states and funded jointly by federal and state governments, covers low-income residents, seniors, children, and people with disabilities. It ranks among the largest segments of the U.S. health care system.

Shifts in Medicaid billing levels at the local level reflect how publicly funded health care dollars are used within a community.

The “Temporary National Codes (Non-Medicare)” grouping includes Medicaid-billed services categorized by care type, following standard HCPCS and CPT code sets. For this analysis, each code was sorted into a single service group using uniform prefixes and numeric ranges to enable review of similar services together while ensuring accurate counts and rankings over time.

In 2024, the Temporary National Codes (Non-Medicare) was the leading Medicaid payment category in Poquoson by total payouts.

Statewide in Virginia, Temporary National Codes (Non-Medicare) ranked fifth for total Medicaid payments in 2024.

From five years before 2024 through the year, Medicaid payments linked to the Temporary National Codes (Non-Medicare) group in Poquoson rose by $2,228,500, or 0%. Periods of more rapid growth were observed at certain intervals, especially with notable increases noted in 2022 and 2022.

Payments for Temporary National Codes (Non-Medicare) services were distributed throughout Poquoson, but most were concentrated in a small number of ZIP codes. For 2024, ZIP code 23662 recorded $2,228,500 and accounted for 100% of all Medicaid payments in this category for the city.

Within this category, Medicaid spending was further focused on a few specific billing codes.

Compared to the 143.3% jump for Temporary National Codes (Non-Medicare) in Poquoson from 2023 to 2024, all Medicaid claim categories across the city rose by 74.5% in the same time frame.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up roughly 18% of national health care expenses. This is up sharply from around $613.5 billion in 2019, just before the COVID-19 pandemic.

This nearly 40% increase in a few years was fueled largely by higher enrollment and increased utilization during and after the pandemic era.

Recent federal budget acts signed under the Trump administration have included major proposals to reduce federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid outlays by over $1 trillion over 10 years and bring changes like work requirements and heightened cost-sharing. These policies are forecast to reduce coverage and funding for certain groups, shifting more expenses onto states and limiting the federal funding trajectory, even as Medicaid continues to cover millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2021 $245,424
2022 $1,172,061 377.6%
2023 $916,000 -21.8%
2024 $2,228,500 143.3%
Top Categories by Medicaid Payments in Poquoson, Virginia, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $2,228,500 50.7%
2 Alcohol and Drug Abuse Treatment $2,114,847 48.1%
3 Medicine Services and Procedures $49,687 1.1%
4 Ambulance and Other Transport Services and Supplies $2,719 0.1%
5 Dental Services $0 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Poquoson, Virginia, 2024

HCPCS Code Description Medicaid Payments Claims
S0201 Partial hospitalization serv $2,228,500 12

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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