In 2024, Medicaid providers in Rockville submitted $18,168,121 in claims for services within the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total represents a 13.1% uptick from 2023, when providers claimed $16,057,325 for these services.
Medicaid is a state-operated health insurance program jointly funded by state and federal governments, as noted by the Commonwealth Fund. It serves low-income people, families, older adults, children, and those with disabilities, making up a substantial portion of the U.S. health care infrastructure.
Since Medicaid funds come from public tax dollars, fluctuations in local spending reveal how community health care resources are allocated.
The “Temporary National Codes (Non-Medicare)” category includes a set of Medicaid-reimbursable services classified by the type of care, based on established HCPCS and CPT coding rules. Each billing code in this review was grouped into a single service category through consistent code prefixes and numerical ranges, ensuring related services could be analyzed together and accurate yearly rankings were maintained.
Temporary National Codes (Non-Medicare) held the fourth-highest spot among all Medicaid service categories in Rockville by total payment in 2024, amid broad increases in Medicaid spending citywide.
Across Maryland, this category ranked fifth among Medicaid service types by total payment in 2024.
Over the five years up to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Rockville rose by $13,001,840, a jump of 251.7%. Growth rates were especially strong in selected years, particularly in 2022 and 2021, showing sharp annual increases.
Service payments in the Temporary National Codes (Non-Medicare) category were made throughout Rockville but were largely focused in a handful of ZIP codes. The highest-concentration ZIP codes in 2024 for these Medicaid payments were 20850 with $11,423,070, 20853 at $3,842,441, and 20852 with $2,902,608; these three ZIP codes combined made up 100% of category-related Medicaid payments in Rockville that year.
Within this Medicaid category, payments tended to be associated with a relatively small set of billing codes.
To compare, the 13.1% year-over-year rise in Medicaid claims tied to Temporary National Codes (Non-Medicare) in Rockville between 2024 and 2023 outpaced the 6.2% rate recorded for all Medicaid claim types in the city during the same stretch.
The Centers for Medicare & Medicaid Services reported that combined state and federal Medicaid outlays stood at about $871.7 billion in fiscal year 2023, making up around 18% of all health expenditures nationally—up from roughly $613.5 billion in 2019, prior to COVID-19.
This reflects an increase of about 40% over a few years, with spending primarily boosted by greater enrollment and service usage during and after the pandemic period.
Recent congressional budget acts signed into law under the Trump administration feature major cuts to federal Medicaid support and propose a restructuring of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to slash federal Medicaid spending by over $1 trillion in the coming decade, introducing work requirement policies and greater cost-sharing. This is expected to reduce federal funding and coverage for some, shifting more costs to the states while Medicaid continues to support tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,166,281 | -54.4% |
| 2021 | $8,028,575 | 55.4% |
| 2022 | $13,608,578 | 69.5% |
| 2023 | $16,057,324 | 18% |
| 2024 | $18,168,120 | 13.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $58,867,946 | 36.6% |
| 2 | Medicine Services and Procedures | $28,503,475 | 17.7% |
| 3 | Pathology and Laboratory Procedures | $25,957,025 | 16.1% |
| 4 | Temporary National Codes (Non-Medicare) | $18,168,120 | 11.3% |
| 5 | Radiology Procedures | $9,162,283 | 5.7% |
| 6 | National Codes Established for State Medicaid Agencies | $8,440,745 | 5.2% |
| 7 | Alcohol and Drug Abuse Treatment | $6,048,999 | 3.8% |
| 8 | Surgery | $1,530,697 | 1% |
| 9 | Dental Services | $1,207,296 | 0.8% |
| 10 | Vision Services | $1,205,594 | 0.7% |
| 11 | Temporary Codes | $634,659 | 0.4% |
| 12 | Procedures / Professional Services | $448,920 | 0.3% |
| 13 | Medical And Surgical Supplies | $249,304 | 0.2% |
| 14 | Drugs Administered Other than Oral Method | $195,197 | 0.1% |
| 15 | Anesthesia | $147,588 | 0.1% |
| 16 | Durable Medical Equipment | $77,920 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $32,833 | <0.1% |
| 18 | Orthotic Procedures and services | $4,859 | <0.1% |
| 19 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5102 | Adult day care per diem | $17,766,844 | 60 |
| S9083 | Urgent care center global | $239,003 | 15 |
| S9088 | Services provided in urgent | $123,886 | 19 |
| S5105 | Centerbased day care perdiem | $24,000 | 1 |
| S5111 | Family homecare train/sessio | $13,831 | 5 |
| S9460 | Diabetic management program, | $555 | 2 |
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 sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the full data set here.
