Dalton Medicaid invoiced $1,512,920 for Temporary National Codes (Non-Medicare) services in 2024

Dalton’s Medicaid providers invoiced $1,512,920 in 2024 for services categorized under Temporary National Codes (Non-Medicare), as reported by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 29.1% increase over 2023, when providers submitted $1,171,712 in claims for the same category.

Medicaid, a public health insurance program managed by the states and funded through both federal and state contributions, serves low-income individuals and families, seniors, children, and people with disabilities. It remains a major component of the U.S. health care system due to its broad eligibility and coverage.

Since Medicaid payments originate from taxpayer funds, fluctuations in local billing amounts indicate how public health care budgets are distributed at the community level.

The “Temporary National Codes (Non-Medicare)” grouping encompasses Medicaid-billed services delineated by the nature of delivered care, using standardized HCPCS and CPT codes. Billing codes for this analysis were grouped by consistent prefixes and number ranges, ensuring that comparable services were tracked without duplication and rankings remained accurate year-to-year.

While Medicaid spending climbed in various service areas, Temporary National Codes (Non-Medicare) was the largest payment category by total value in Dalton for 2024.

Statewide in Massachusetts, this category placed second in overall Medicaid payments in 2024.

Between 2019 and 2024, Dalton saw Medicaid payments related to Temporary National Codes (Non-Medicare) rise by $1,336,876, or 759.4%. Notable acceleration in growth happened during certain years, particularly 2021 and 2023, which saw large year-over-year increases.

Spending for Temporary National Codes (Non-Medicare) services was seen throughout Dalton, yet it was primarily concentrated in a few ZIP codes. The highest Medicaid payment total in 2024 for this category was reported in ZIP code 01226, accounting for $1,512,919. This single ZIP code made up 100% of expenditures in this category for the city that year.

Within the broader service category, the majority of payments were associated with a small number of individual billing codes.

Comparing 2024 with 2023, Medicaid payments for Temporary National Codes (Non-Medicare) in Dalton increased by 29.1%. Across all Medicaid categories for the city, the overall growth during this period was 16%.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined to around $871.7 billion in fiscal year 2023. This figure represented about 18% of national health expenditures, up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This reflects growth of around 40% over several years, a trend fueled largely by expanded eligibility and greater utilization in the pandemic’s wake.

Recent federal laws enacted under the Trump administration have outlined major plans to reduce federal Medicaid funding and alter program structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and add policies like work requirements and increased cost-sharing. Such measures may lower both coverage and funding for some beneficiaries, shifting more financial responsibility to states and reducing the rate at which federal support grows—even as Medicaid continues to provide coverage for 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.