Henderson Medicaid payments for Temporary National Codes (Non-Medicare) services up 32.4% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Henderson submitted $3,942,607 in claims for Temporary National Codes (Non-Medicare) services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amounted to a 32.4% increase in payments over 2023, when providers billed $2,976,906 for these service categories.

Medicaid, a statewide public health insurance initiative supported jointly by federal and state governments, assists low-income individuals, families, seniors, children, and people with disabilities, making it a core element of the U.S. health care system.

Local differences in Medicaid billing reflect how taxpayer-funded health care resources are allocated throughout the community.

The “Temporary National Codes (Non-Medicare)” designation represents a set of Medicaid services that are categorized by care type, using established HCPCS and CPT code series. Each billing code was classified into a single service grouping for this summary by following standardized prefix and range conventions, allowing for accurate service comparisons over time without double counting.

Although Medicaid expenditures grew for multiple categories in Henderson, the Temporary National Codes (Non-Medicare) group recorded the highest total Medicaid payments in 2024.

Statewide, Texas also saw Temporary National Codes (Non-Medicare) lead all service categories in Medicaid payments in 2024.

Between 2019 and 2024, Henderson’s Medicaid payments for the Temporary National Codes (Non-Medicare) group climbed by $2,474,423, or 168.5%. Certain periods, such as 2021 and 2020, posted marked year-over-year spending spikes within this time span.

Within the city, while spending affected several areas, most Medicaid payments for Temporary National Codes (Non-Medicare) in 2024 went to a handful of ZIP codes. Specifically, ZIP code 75652 accounted for $3,616,046, and ZIP code 75654 for $326,560. Together, these two ZIP codes represented all Medicaid payments tied to the category in Henderson during this year.

A limited set of billing codes within the Temporary National Codes (Non-Medicare) group captured a significant share of Medicaid payments.

Comparatively, while Medicaid payments linked to Temporary National Codes (Non-Medicare) increased by 32.4% from 2023 to 2024 in Henderson, claims for all Medicaid service categories combined saw a citywide increase of 20.4% in the same interval.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses reached approximately $871.7 billion in fiscal year 2023, accounting for about 18% of overall U.S. health expenditures—a significant jump from $613.5 billion in 2019 before the COVID-19 pandemic.

This rise represents nearly 40% growth within just a few years, largely because of increased enrollment and greater use of services during and after the pandemic phase.

Recent federal budget measures implemented during the Trump administration brought proposals to lower federal Medicaid contributions and change the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next decade and enacts policies such as work mandates and higher cost-sharing, which could decrease funding and lower coverage rates for certain participants. These adjustments may shift a greater financial burden to states and potentially slow the expansion of federal Medicaid aid, even as the program continues serving tens of millions of Americans.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Henderson, Texas Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,468,183 44.8%
2021 $2,835,518 93.1%
2022 $2,377,085 -16.2%
2023 $2,976,906 25.2%
2024 $3,942,607 32.4%
Top Categories by Medicaid Payments in Henderson, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $3,942,607 61.9%
2 National Codes Established for State Medicaid Agencies $1,236,032 19.4%
3 Evaluation and Management $934,605 14.7%
4 Pathology and Laboratory Procedures $79,251 1.2%
5 Dental Services $75,985 1.2%
6 Medicine Services and Procedures $64,371 1%
7 Radiology Procedures $32,904 0.5%
8 Vision Services $7,257 0.1%
9 Surgery $45 <0.1%
10 Procedures / Professional Services $0 <0.1%
10 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Henderson, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
S5125 Attendant care service /15m $3,930,982 48
S0621 Routine ophthalmological exa $11,625 10

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.



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