In 2024, Medicaid providers in North Providence billed a total of $9,291,510 for services under the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 48.4% increase from 2023, when billing for the same category reached $6,260,300.
Medicaid, which is administered by states and funded jointly by federal and state governments, insures low-income individuals, seniors, children, and people with disabilities, making it one of the largest health coverage programs in the United States.
Fluctuations in local Medicaid billing reflect how community health care expenditures, funded by taxpayers, are directed.
The “Temporary National Codes (Non-Medicare)” group includes a range of Medicaid-billed services, each identified by specific HCPCS and CPT code groupings. For this analysis, billing codes were grouped by service type using standardized prefixes and numerical sequences, ensuring related services are tallied together and results are not double-counted, which preserves ranking accuracy over time.
While Medicaid spending rose in several service categories, Temporary National Codes (Non-Medicare) accounted for the largest share of Medicaid payments in North Providence for 2024.
Across Rhode Island, Temporary National Codes (Non-Medicare) placed second in total Medicaid payments for the year.
From 2019 to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in North Providence climbed by $7,096,607 (323.3%). Growth was particularly sharp in certain years, most notably during 2023 and 2021.
Although these payments were disbursed throughout North Providence, the majority was concentrated in a small number of ZIP codes. In 2024, ZIP code 02904 saw the highest total at $9,291,509, comprising 100% of Medicaid payments in this category within the city for the year.
Within this category, Medicaid spending was also highly concentrated among a few billing codes.
To illustrate, Medicaid payments associated with Temporary National Codes (Non-Medicare) in North Providence went up 48.4% from 2023 to 2024, compared to just a 0.3% change across all Medicaid categories in the area during the same timeframe.
The Centers for Medicare & Medicaid Services report combined federal and state Medicaid spending hit approximately $871.7 billion in fiscal year 2023, making up an estimated 18% of total national health costs, a notable increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This surge amounts to around 40% growth in only a few years and is attributed largely to expanded enrollment and increased service use during and after the pandemic.
Recent federal budget measures under the Trump administration included proposals to cut federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over ten years, adding requirements such as work mandates and greater cost-sharing, which may reduce coverage and federal funding for some recipients. These changes could shift additional costs to states and may slow the expansion of federal Medicaid funding, even as the program continues to cover millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,194,902 | -43% |
| 2021 | $3,342,081 | 52.3% |
| 2022 | $3,973,336 | 18.9% |
| 2023 | $6,260,300 | 57.6% |
| 2024 | $9,291,509 | 48.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $9,291,509 | 54% |
| 2 | National Codes Established for State Medicaid Agencies | $4,759,237 | 27.7% |
| 3 | Evaluation and Management | $1,173,811 | 6.8% |
| 4 | Medicine Services and Procedures | $564,000 | 3.3% |
| 5 | Alcohol and Drug Abuse Treatment | $550,077 | 3.2% |
| 6 | Procedures / Professional Services | $321,389 | 1.9% |
| 7 | Pathology and Laboratory Procedures | $229,226 | 1.3% |
| 8 | Ambulance and Other Transport Services and Supplies | $181,186 | 1.1% |
| 9 | Dental Services | $97,784 | 0.6% |
| 10 | Vision Services | $12,540 | 0.1% |
| 11 | Surgery | $11,986 | 0.1% |
| 12 | Coronavirus Diagnostic Panel | $4,134 | <0.1% |
| 13 | Radiology Procedures | $1,627 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $5,701,668 | 24 |
| S5102 | Adult day care per diem | $2,960,589 | 12 |
| S5130 | Homaker service nos per 15m | $598,648 | 12 |
| S5101 | Adult day care per half day | $30,602 | 12 |
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.






