In 2024, Medicaid providers in Providence billed a total of $83,494,815 for services listed under the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That figure represents a 23.4% gain from 2023, when $67,670,711 was billed for these services.
Medicaid, which delivers public health insurance across the U.S., is administered by states and funded through a partnership of federal and state governments. The program serves low-income populations, seniors, children, and people with disabilities, making it a major facet of the nation’s health care system.
With Medicaid spending derived from taxpayer funds, fluctuations in local billing reflect shifts in how public health care dollars are distributed within communities.
The “Temporary National Codes (Non-Medicare)” designation pertains to a set of Medicaid-billed services, identified by the nature of the care, using standardized groupings for HCPCS and CPT codes. In this analysis, each billing code is mapped to one service category according to consistent code prefixes and ranges, which allows for thorough tracking without duplication and preserves the accuracy of rankings over time.
While Medicaid spending increased in multiple categories, Temporary National Codes (Non-Medicare) topped all other service groups in Providence for total Medicaid payments in 2024.
Across Rhode Island, Temporary National Codes (Non-Medicare) held the second-highest statewide total for Medicaid payments that year.
During the five-year period ending in 2024, Providence saw a $35,905,040 rise (75.4%) in Medicaid payments for Temporary National Codes (Non-Medicare). Notable surges in spending occurred during certain years, especially in 2023 and 2022.
Though these payments were distributed throughout Providence, a significant portion was concentrated within a small number of ZIP codes. In 2024, ZIP codes 02910, 02907, and 02908 reported $25,689,118, $24,822,146, and $16,970,606 in Medicaid payments, respectively. Combined, these three accounted for 80.8% of the city’s total Medicaid payments tied to this category for the year.
Within the Temporary National Codes (Non-Medicare) group, Medicaid disbursements were also focused among relatively few specific billing codes.
To compare, Medicaid payments for the Temporary National Codes (Non-Medicare) category in Providence rose 23.4% from 2023 to 2024, while the total across all Medicaid claim categories in the city increased by just 0.9% in the same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state spending for Medicaid was estimated at $871.7 billion in fiscal year 2023. This made up about 18% of national health expenditures and was a sharp rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents around 40% growth in just a few years, largely due to greater enrollment and increased usage during and after the pandemic era.
Recent federal budget measures under the Trump administration proposed major reductions to federal Medicaid funding and structural changes. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to reduce federal Medicaid outlays by more than $1 trillion over the next 10 years and implement work requirements and higher cost-sharing. Such changes are expected to shift more costs to states and constrain the growth of federal Medicaid funding, even as the program continues to provide coverage for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $47,589,774 | 7% |
| 2021 | $49,279,123 | 3.5% |
| 2022 | $57,281,936 | 16.2% |
| 2023 | $67,670,710 | 18.1% |
| 2024 | $83,494,814 | 23.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $83,494,814 | 30.1% |
| 2 | National Codes Established for State Medicaid Agencies | $58,725,622 | 21.2% |
| 3 | Pathology and Laboratory Procedures | $31,277,927 | 11.3% |
| 4 | Alcohol and Drug Abuse Treatment | $30,474,014 | 11% |
| 5 | Evaluation and Management | $23,955,586 | 8.6% |
| 6 | Medicine Services and Procedures | $22,293,868 | 8% |
| 7 | Drugs Administered Other than Oral Method | $7,622,216 | 2.7% |
| 8 | Radiology Procedures | $6,041,181 | 2.2% |
| 9 | Procedures / Professional Services | $4,972,150 | 1.8% |
| 10 | Surgery | $3,095,719 | 1.1% |
| 11 | Ambulance and Other Transport Services and Supplies | $1,666,243 | 0.6% |
| 12 | Temporary Codes | $1,111,563 | 0.4% |
| 13 | Vision Services | $888,813 | 0.3% |
| 14 | Chemotherapy Drugs | $667,204 | 0.2% |
| 15 | Anesthesia | $618,350 | 0.2% |
| 16 | Durable Medical Equipment | $94,701 | <0.1% |
| 17 | Medical And Surgical Supplies | $88,590 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $64,635 | <0.1% |
| 19 | Enteral and Parenteral Therapy | $34,325 | <0.1% |
| 20 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $24,571 | <0.1% |
| 21 | Outpatient PPS | $22,055 | <0.1% |
| 22 | Orthotic Procedures and services | $16,448 | <0.1% |
| 23 | Pathology and Laboratory Services | $12,448 | <0.1% |
| 24 | Dental Services | $3,520 | <0.1% |
| 25 | Diagnostic Radiology Services | $1,012 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $67,739,371 | 150 |
| S5136 | Adult companioncare per diem | $5,652,976 | 12 |
| S5102 | Adult day care per diem | $4,118,833 | 35 |
| S5130 | Homaker service nos per 15m | $3,254,813 | 101 |
| S5170 | Homedelivered prepared meal | $1,335,030 | 11 |
| S9131 | Pt in the home per diem | $604,647 | 26 |
| S9129 | Occupational therapy, in the | $351,010 | 19 |
| S9485 | Crisis intervention mental h | $110,550 | 9 |
| S9097 | Home visit wound care | $91,770 | 9 |
| S5161 | Emer rspns sys serv permonth | $72,240 | 11 |
| S9446 | Pt education noc group | $62,069 | 11 |
| S0580 | Polycarb lens | $54,064 | 87 |
| S0028 | Injection, famotidine, 20 mg | $33,599 | 5 |
| S5101 | Adult day care per half day | $10,023 | 11 |
| S9128 | Speech therapy, in the home, | $2,375 | 1 |
| S9127 | Social work visit, in the ho | $1,440 | 2 |
| S9986 | Not medically necessary svc | $0 | 4 |
Note: HCPCS codes are provided as context within the category. The totals and rankings in this article are based on standardized service groupings, not individual billing codes.
This article’s information was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can view the source data here.
