Chalfont Medicaid payments for Temporary National Codes (Non-Medicare) up 80.7% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Chalfont submitted $293,405 in 2024 for services classified in the Temporary National Codes (Non-Medicare) group. This represented an 80.7% jump from 2023, when claims in this category totaled $162,403.

Medicaid, the nation’s public health insurance plan administered by the states and funded by both federal and state governments, serves low-income families and individuals, seniors, children and people with disabilities and forms a significant part of the U.S. health care structure.

Since Medicaid payments use taxpayer funding, changes in local billing volumes illustrate how public health funds are distributed throughout a community.

The “Temporary National Codes (Non-Medicare)” category comprises services billed through Medicaid according to HCPCS and CPT code groups and assigned to a specific service category using code prefixes and numbers. This methodology prevents duplicate counts and maintains accurate service rankings across different periods.

Temporary National Codes (Non-Medicare) accounted for the second-largest category of Medicaid spending in Chalfont for 2024, although Medicaid spending increased in multiple other categories as well.

At the state level, the Temporary National Codes (Non-Medicare) category was the seventh-largest in total Medicaid payments for Pennsylvania in 2024.

Looking at the five years before 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) group in Chalfont rose by $239,018, a 439.5% climb. The period included sharp annual growth, particularly in 2021 and 2020.

While services in the Temporary National Codes (Non-Medicare) group were billed citywide, payments were concentrated in a few ZIP codes. In 2024, ZIP code 18914 accounted for $293,404 of these payments, representing 100% of Chalfont’s Medicaid payments in this category for the year.

Only a handful of individual billing codes represented most of the Medicaid payments within this group.

For reference, while Chalfont saw an 80.7% increase in Medicaid payments for the Temporary National Codes (Non-Medicare) group between 2023 and 2024, total Medicaid claim payments across all service categories in the city rose by 2.8% during the same span.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures came to roughly $871.7 billion in fiscal 2023, about 18% of total U.S. health care spending, up from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

The increase marks a roughly 40% gain over a few years, fueled mainly by expanded Medicaid enrollment and greater care usage during and after the pandemic era.

Recent budget measures from the Trump administration have advanced major proposals to limit federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,”, enacted in 2025, is set to reduce federal Medicaid outlays by more than $1 trillion over 10 years and brings in requirements such as increased work conditions and cost-sharing, potentially reducing coverage and shifting more costs to states even as Medicaid continues to serve millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $54,386 276.3%
2021 $334,868 515.7%
2022 $235,838 -29.6%
2023 $162,403 -31.1%
2024 $293,404 80.7%
Top Categories by Medicaid Payments in Chalfont, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $7,274,111 91%
2 Temporary National Codes (Non-Medicare) $293,404 3.7%
3 Evaluation and Management $206,874 2.6%
4 Dental Services $192,188 2.4%
5 Ambulance and Other Transport Services and Supplies $14,347 0.2%
6 Medicine Services and Procedures $11,911 0.1%
7 Pathology and Laboratory Procedures $1,664 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Chalfont, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
S9083 Urgent care center global $293,404 84

Note: HCPCS codes are presented to give context within the category. Category totals and rankings in this article reflect standardized service groupings, not individual codes.

The data in this report originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Review the source dataset here.



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