Germantown Medicaid payments for Temporary National Codes (Non-Medicare) climb to $6.2 million in 2024

Providers in Germantown billed a total of $6,216,402 to Medicaid for services classified under the Temporary National Codes (Non-Medicare) category in 2024, using figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 15.8% jump over the prior year, when $5,370,389 was claimed for the same group of services.

Medicaid is a state-administered public health insurance offering coverage to low-income individuals and families, older adults, children, and people with disabilities, and is supported jointly by federal and state governments. It makes up a major component of the national health care system.

Since taxpayer dollars finance Medicaid, changes in local Medicaid billing reflect how public health resources are used within a community.

The Temporary National Codes (Non-Medicare) designation captures a set of Medicaid-billed services organized by type of care, based on uniform HCPCS and CPT coding categories. This analysis sorted each code into one service category using consistent code groupings, enabling the aggregation of related services while preventing duplicate counts and supporting consistent rankings over time.

Temporary National Codes (Non-Medicare) led all service groups by Medicaid payment amount in Germantown in 2024, among several categories that posted spending increases.

Across Maryland, this category ranked fifth by overall Medicaid payments for 2024.

In the five years ending in 2024, Germantown’s Medicaid payments in this service category rose by $5,679,374, marking a 1057.6% increase. Some of the largest year-over-year increases were observed during 2022 and 2021.

Though spending spanned Germantown, the majority of Medicaid payments within this category came from just a few ZIP codes. In 2024, ZIP code 20876 accounted for $3,968,458, and ZIP code 20874 for $2,247,944, comprising 100% of such Medicaid payments in Germantown that year.

A small subset of individual billing codes also made up most Medicaid payments in the Temporary National Codes (Non-Medicare) category.

Between 2024 and 2023, Germantown saw a 15.8% rise in Medicaid spending for this category, compared with a citywide increase of 1.6% across all Medicaid service categories during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, equating to about 18% of total national health care spending. This is a significant rise from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This amounts to an increase of nearly 40% over several years, a trend attributed mainly to greater enrollment and higher service use during and after the pandemic.

Legislation affecting the federal budget during the Trump administration introduced major proposals to lower federal Medicaid contributions and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by over $1 trillion through the next decade, implementing measures including work requirements and higher cost-sharing which could limit access and funding for select Medicaid groups. These actions are projected to shift greater financial responsibility to states and constrain growth in federal support, even as Medicaid remains vital for millions nationwide.

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.