In 2024, Medicaid providers in Olney charged $259,200 for services under the Temporary National Codes (Non-Medicare) category, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. That represented a 3.4% increase from the $250,601 providers billed for the same services in 2023.
Medicaid operates as a public health insurance program, managed by states and funded jointly by the federal and state governments. It serves low-income individuals and families, seniors, children, and those with disabilities, making it one of the largest elements of the U.S. health care system.
Because Medicaid is funded through taxpayer dollars, shifts in local claims reflect how communities distribute public health expenses.
The “Temporary National Codes (Non-Medicare)” class includes Medicaid-billed services grouped by the care provided, using standard HCPCS and CPT code groupings. Codes in this review are classified into one service category each, using established codes and numeric ranges to examine comparable services without duplication and to track precise trends across years.
Spending for Medicaid grew over numerous service types, but Temporary National Codes (Non-Medicare) placed fourth by total Medicaid payments in Olney for 2024.
Statewide in Maryland, Temporary National Codes (Non-Medicare) ranked fifth in Medicaid payments for 2024.
Medicaid payments for this category in Olney climbed by $206,073, or 387.9%, over five years leading up to 2024. Periods of accelerated growth in spending occurred in 2022 and 2023.
The distribution of spending within the Temporary National Codes (Non-Medicare) category spanned the city, but most payments were clustered in a small set of ZIP codes. The highest total, $259,200, was reported in ZIP code 20832 in 2024, capturing 100% of these Medicaid payments in Olney for that year.
A limited pool of specific billing codes accounted for the bulk of Medicaid payments under the Temporary National Codes (Non-Medicare) category.
Between 2023 and 2024, Medicaid payments for this category in Olney rose 3.4%. During the same timeframe, all Medicaid categories in the city saw a combined growth of 10.2%.
Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid payments were around $871.7 billion for fiscal 2023, comprising about 18% of nationwide health expenditures, a significant jump from approximately $613.5 billion in 2019 before the pandemic.
This increase is about 40% in only a few years, with much of the growth attributed to higher enrollment and greater utilization following the pandemic.
Recent federal budget actions under the Trump administration brought forward notable changes affecting Medicaid funding and structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and sets out new measures such as work requirements and higher cost-sharing, potentially impacting coverage and funding for certain beneficiaries. These adjustments may result in increased costs for states and may restrict federal support, even as Medicaid coverage continues for tens of millions of people nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $53,127 | -83.4% |
| 2021 | $219 | -99.6% |
| 2022 | $37,638 | 17086.7% |
| 2023 | $250,600 | 565.8% |
| 2024 | $259,200 | 3.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,829,455 | 64.1% |
| 2 | Evaluation and Management | $814,354 | 18.4% |
| 3 | Surgery | $282,461 | 6.4% |
| 4 | Temporary National Codes (Non-Medicare) | $259,200 | 5.9% |
| 5 | Alcohol and Drug Abuse Treatment | $118,825 | 2.7% |
| 6 | Procedures / Professional Services | $38,177 | 0.9% |
| 7 | Dental Services | $36,966 | 0.8% |
| 8 | Pathology and Laboratory Procedures | $12,872 | 0.3% |
| 9 | Vision Services | $11,935 | 0.3% |
| 10 | Drugs Administered Other than Oral Method | $7,800 | 0.2% |
| 11 | Radiology Procedures | $4,321 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5102 | Adult day care per diem | $259,200 | 11 |
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.

