Oceanside Medicaid reimbursement for Temporary National Codes (Non-Medicare) increases 1.2% in 2024

Oceanside Medicaid providers billed $8,762,364 for services classified under the Temporary National Codes (Non-Medicare) category during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. The total reflects a 1.2% increase over 2023, when providers billed $8,658,894 for the same category of service.

Medicaid, a publicly funded health insurance program operated by individual states and financed collaboratively by state and federal governments, serves low-income individuals and families, seniors, children, and those with disabilities, making it a significant component of the U.S. health care system.

Because Medicaid financing is sourced from taxpayers, shifts in local billing provide insight into how public health care funds are distributed within the community.

The “Temporary National Codes (Non-Medicare)” category is composed of Medicaid-billed services tracked by care type, organized by standardized HCPCS and CPT code groupings. Each billing code was assigned to a sole service category for this review by applying consistent prefix and number range assignments. This approach groups related services for analysis, prevents duplication, and maintains accuracy in tracking trends over time.

Temporary National Codes (Non-Medicare) was the leading Medicaid payment category in Oceanside in 2024, amid overall growth in several service areas.

Across New York, the Temporary National Codes (Non-Medicare) category finished fourth among all Medicaid payment categories in 2024 by total billing.

Between 2019 and 2024, Oceanside Medicaid payments for the Temporary National Codes (Non-Medicare) category climbed by $1,939,947, a 28.4% increase. Some years saw sharper spikes, with especially high year-over-year growth in 2020 and 2021.

Although claims for Temporary National Codes (Non-Medicare) services came from across Oceanside, payments were concentrated in just a handful of ZIP codes. In 2024, ZIP code 11572 accounted for $8,762,364—the entire total billed under the Temporary National Codes (Non-Medicare) category for the city that year.

Most Medicaid payments within the Temporary National Codes (Non-Medicare) group in Oceanside were concentrated in a select subset of billing codes.

Oceanside’s 1.2% annual growth in Temporary National Codes (Non-Medicare) Medicaid payments from 2023 to 2024 contrasted with a 17.9% increase spanning all Medicaid claim categories in the city over the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, or roughly 18% of nationwide health spending. This amount grew significantly from about $613.5 billion reported in 2019, prior to the COVID-19 pandemic.

This jump represents a roughly 40% increase over a few years, largely attributable to higher enrollment rates and increased service usage following the pandemic onset.

Federal budget measures signed during the Trump administration have included major proposals to reduce Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to trim federal Medicaid expenditures by over $1 trillion over a decade, introducing work requirements and greater cost-sharing that could reduce coverage and support for some recipients. These changes are projected to increase the financial responsibility shifted to states and restrict growth in federal Medicaid aid, even as the program covers many millions of Americans.

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.