Medicaid payments for Temporary National Codes (Non-Medicare) rise 19.5% in Manchester in 2024

In 2024, Medicaid providers in Manchester submitted $151,689 in claims under the Temporary National Codes (Non-Medicare) category, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 19.5% rise from 2023, when providers billed $126,955 for the same service category.

Medicaid, a public health insurance initiative administered by the states and jointly funded by federal and state governments, serves low-income individuals and families, children, seniors, and people with disabilities. It remains one of the largest U.S. health care programs, according to policy explainers.

Because taxpayer dollars finance Medicaid, fluctuations in local billing demonstrate how communities allocate funding for public health care services.

The Temporary National Codes (Non-Medicare) category represents a range of Medicaid-billed services defined using standard HCPCS and CPT code groups. For this report, each billing code was categorized once using consistent prefixes and numeric ranges so related services could be tracked together, preventing double counting and allowing for accurate year-to-year comparisons.

Among all Medicaid service categories, Temporary National Codes (Non-Medicare) generated the highest total payments in Manchester in 2024.

Statewide, this service category ranked seventh in Pennsylvania for total Medicaid payments in 2024.

In the five-year period ending in 2024, Manchester’s Medicaid payments for Temporary National Codes (Non-Medicare) rose by $134,040, an increase of 759.5%. The pace of spending accelerated at various points, with significant annual gains in 2021 and 2023.

Though care in the Temporary National Codes (Non-Medicare) category was billed across multiple areas of Manchester, the majority of 2024 Medicaid payments were concentrated in a few ZIP codes. ZIP code 17345 accounted for all $151,689 in payments, representing 100% of local spending tied to this category that year.

Medicaid payments within this category also clustered around a small set of specific billing codes.

Compared to the overall change in citywide Medicaid claims, the 19.5% year-over-year increase for Temporary National Codes (Non-Medicare) payments outpaced the 5.7% growth seen across all categories in Manchester between 2024 and 2023.

The Centers for Medicare & Medicaid Services reports that total state and federal Medicaid expenditures reached around $871.7 billion in fiscal 2023, making up roughly 18% of all national health spending. This figure rose sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth reflects about a 40% jump over just a few years, fueled in large part by increases in enrollment and utilization during and after the pandemic.

Major federal budget legislation during the Trump administration included proposals to cut federal Medicaid spending and change its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid expenditures by more than $1 trillion over the next decade. It adds measures such as work requirements and higher cost-sharing, which could decrease coverage and funding for some recipients. Such policies are likely to shift greater costs to states and slow growth in federal Medicaid assistance, despite the program’s ongoing role in serving millions of Americans.

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.