Swansea Medicaid payments for Temporary National Codes (Non-Medicare) climb 20.8% to $255,607 in 2024

Providers in Swansea submitted $255,607 in Medicaid claims 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 figure reflects a 20.8% rise compared with 2023, when $211,615 was billed for the same services.

Medicaid, a public health insurance program administered by states with joint federal and state funding, covers low-income people and families, seniors, children and those with disabilities. It is among the largest components of the U.S. health care system.

Because taxpayer funds support Medicaid payments, shifts in local billing offer insights into how public funds for health services are distributed within a community.

The “Temporary National Codes (Non-Medicare)” section covers a set of Medicaid service claims identified by standardized HCPCS and CPT code groupings. For this analysis, each billing code was classified by type of care using consistent coding prefixes and numbers, so related services could be grouped together without double counting or distorting year-to-year rankings.

While Medicaid spending increased in a number of service categories, Temporary National Codes (Non-Medicare) ranked as the second-largest category in Swansea by payments for 2024.

Statewide in Massachusetts, the Temporary National Codes (Non-Medicare) category also ranked second in total Medicaid payments in 2024.

Over the five-year period through 2024, Medicaid payments linked with the Temporary National Codes (Non-Medicare) category in Swansea rose $203,194, or 387.7%. Certain periods saw faster growth, including years 2023 and 2022 with notable annual increases.

Although Temporary National Codes (Non-Medicare) payments were made in several Swansea neighborhoods, most payments came from a few ZIP codes. In 2024, ZIP code 02777 accounted for $255,607, representing 100% of Medicaid payments in this category for Swansea that year.

For this category, just a handful of HCPCS billing codes received the majority of Medicaid payments.

To compare, Medicaid spending on Temporary National Codes (Non-Medicare) in Swansea went up 20.8% between 2024 and 2023, while spending for all Medicaid categories citywide increased 7.2% in the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, equal to roughly 18% of overall U.S. health spending. That is a sharp rise from the roughly $613.5 billion reported in 2019, before the COVID-19 pandemic.

The gain marks an increase of about 40% in just a few years, largely driven by increased enrollment and higher usage during and after the pandemic.

Federal budget measures passed under the Trump administration included substantial proposals for cuts to federal Medicaid support and structural changes to the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next decade and add requirements such as work mandates and higher cost-sharing, which could decrease coverage and funding for some recipients. These changes are projected to increase state responsibility for Medicaid costs and curb the rate of federal spending growth, although the program still serves tens of millions nationwide.

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.