Central Falls Medicaid spending for Temporary National Codes (Non-Medicare) services climbs 13.4% in 2024

Central Falls providers billed $1,123,530 to Medicaid for services in the Temporary National Codes (Non-Medicare) category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 13.4% increase versus 2023, when $990,499 in claims were filed for the same category.

Medicaid is a public health insurance program funded by both federal and state governments and operated by the states. It mainly assists low-income individuals and families, children, seniors, and people with disabilities, making Medicaid a major component of the U.S. health care system.

Because taxpayer funding supports Medicaid payments, changes in billing at the local level illustrate how public health care funds are spent within a community.

The “Temporary National Codes (Non-Medicare)” grouping contains Medicaid-billed services identified by HCPCS and CPT service codes. Each billing code for this report was matched to a single category using consistent prefixes and numeric series, so analysts can review related services together without double-counting and keep accurate rankings year to year.

Temporary National Codes (Non-Medicare) was Central Falls’ top Medicaid payment category in 2024, outpacing all others in spending for the year.

At the state level, this group placed second in Rhode Island for overall Medicaid spending in 2024.

From 2019 through 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) category in Central Falls rose by $589,188, an increase of 110.3%. Certain years showed higher growth, with significant year-over-year increases seen in 2021 and 2022.

While payments for care in this category were issued throughout the city, most of the funds went to a small number of ZIP codes. For 2024, ZIP code 02863 saw $1,123,530 in payments, representing 100% of Medicaid dollars for this category in Central Falls for the year.

Within this category, payments were also concentrated among a few select billing codes.

To compare, Medicaid payments in Central Falls for this service grouping rose 13.4% from 2023 to 2024, while overall Medicaid claims in the city grew by 18.5% during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays were about $871.7 billion in fiscal year 2023, making up approximately 18% of total U.S. health spending. That’s up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This 40% growth occurred over just a few years, largely due to expanded program enrollment and increased utilization during and after the pandemic.

Recent federal budget actions under the Trump administration have included major plans to reduce Medicaid’s federal funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by over $1 trillion across the next decade. It also brings changes such as work requirements and higher cost sharing that may reduce coverage and federal support for some enrollees. As a result, states may bear more costs and find it harder to match federal Medicaid support, even as the program continues serving millions.

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.