Providers in Gaithersburg received $25,843,315 in Medicaid payments for services categorized under Temporary National Codes (Non-Medicare) in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 10.4% rise from the $23,399,059 paid in 2023 for the same category of services.
Medicaid, a joint state and federal health insurance program, covers low-income individuals and families, seniors, children, and people with disabilities. It remains a significant component of the U.S. health care system, funded through contributions from both federal and state governments.
Because taxpayer dollars underwrite Medicaid, variations in local billing levels provide insight into how public health spending is distributed within communities.
The “Temporary National Codes (Non-Medicare)” grouping includes Medicaid-billed services identified by specific types of care, organized by standardized HCPCS and CPT code prefixes and numeric ranges. Each billing code was assigned to a unique service category to prevent double counting and enable consistent year-over-year comparisons in this analysis.
Although Medicaid expenditures increased among several service categories, Temporary National Codes (Non-Medicare) ranked as the second-largest Medicaid spending category in Gaithersburg in 2024.
Statewide in Maryland, the Temporary National Codes (Non-Medicare) category was the fifth largest by total Medicaid payments in 2024.
In the five years before 2024, Medicaid spending for the Temporary National Codes (Non-Medicare) category in Gaithersburg rose by $20,980,958, or 431.5%. Growth was especially strong in certain years, with substantial year-over-year increases in both 2022 and 2021.
Even though services in this category were provided throughout Gaithersburg, most payments were concentrated in a few ZIP codes. In 2024, ZIP code 20877 saw $15,945,624 in Medicaid payments, followed by 20879 with $6,229,268 and 20878 with $3,668,421. Collectively, these top 3 ZIP codes made up 100% of payments for this service category in the city during 2024.
Only a small subset of billing codes accounted for the bulk of Medicaid payments within the Temporary National Codes (Non-Medicare) category.
Comparing spending increases, payments tied to the Temporary National Codes (Non-Medicare) in Gaithersburg grew 10.4% between 2024 and 2023, while total Medicaid payments across all claim categories in the city changed by 13.4% during that time.
The Centers for Medicare & Medicaid Services report that federal and state Medicaid spending together totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of overall national health spending. This is a significant rise from approximately $613.5 billion in 2019 before the COVID-19 pandemic.
That growth amounts to about 40% over a few years, largely attributed to rising enrollment and greater utilization during and after the pandemic.
Recent federal budget measures passed under the Trump administration have introduced major proposals to decrease federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid support by more than $1 trillion over 10 years. The law includes work requirements and higher cost-sharing, policies that may reduce benefits or coverage for some recipients. As a result, states are expected to shoulder more costs, with a slowed pace of federal funding growth, even though Medicaid continues to provide coverage for tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,862,356 | -80.4% |
| 2021 | $7,732,573 | 59% |
| 2022 | $18,641,707 | 141.1% |
| 2023 | $23,399,058 | 25.5% |
| 2024 | $25,843,314 | 10.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Pathology and Laboratory Procedures | $78,478,000 | 58.5% |
| 2 | Temporary National Codes (Non-Medicare) | $25,843,314 | 19.3% |
| 3 | Medicine Services and Procedures | $12,389,106 | 9.2% |
| 4 | Evaluation and Management | $6,477,272 | 4.8% |
| 5 | Alcohol and Drug Abuse Treatment | $4,957,613 | 3.7% |
| 6 | National Codes Established for State Medicaid Agencies | $1,830,402 | 1.4% |
| 7 | Ambulance and Other Transport Services and Supplies | $1,718,656 | 1.3% |
| 8 | Dental Services | $1,228,702 | 0.9% |
| 9 | Medical And Surgical Supplies | $713,202 | 0.5% |
| 10 | Surgery | $178,664 | 0.1% |
| 11 | Enteral and Parenteral Therapy | $128,468 | 0.1% |
| 12 | Vision Services | $114,748 | 0.1% |
| 13 | Procedures / Professional Services | $77,641 | 0.1% |
| 14 | Radiology Procedures | $34,697 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $18,336 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $5,255 | <0.1% |
| 17 | Temporary Codes | $1,139 | <0.1% |
| 18 | Durable Medical Equipment | $395 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5102 | Adult day care per diem | $25,843,314 | 83 |
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.
