Medicaid payments for Temporary National Codes (Non-Medicare) nearly double in Los Lunas for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers billing Medicaid in Los Lunas submitted $2,867,660 in claims for services grouped under 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 represented a 98.7% gain over the previous year, when $1,442,875 was filed for these services in 2023.

Medicaid, a public health insurance initiative, is managed by states and receives funding from both federal and state governments. The program provides coverage for low-income individuals and families, children, seniors, and those with disabilities, forming a significant part of the overall U.S. health care landscape.

Given that taxpayer dollars cover Medicaid payments, shifts in local billing volumes reveal how public health spending is distributed across a community.

The “Temporary National Codes (Non-Medicare)” category encompasses a range of Medicaid-billed services determined by the nature of care delivered, structured under standardized HCPCS and CPT code groups. For analysis, each billing code is linked to only one service group through shared prefixes and assigned number segments, which permits clear trend measurement over time and addresses duplicate claims.

While several Medicaid service groupings saw increases in spending, Temporary National Codes (Non-Medicare) came in third for total Medicaid payments in Los Lunas in 2024.

On a statewide basis, Temporary National Codes (Non-Medicare) secured ninth position for overall Medicaid expenditure in New Mexico for the same year.

In the five-year span ending in 2024, Los Lunas showed a $2,382,406 or 491% surge in Medicaid payments tied to Temporary National Codes (Non-Medicare). Particular periods, including 2020 and 2023, featured sharp annual growth rates in expenditures.

Medicaid payment flows for Temporary National Codes (Non-Medicare) services in 2024 were distributed throughout the city, yet most were processed within a small set of ZIP codes. Specifically, ZIP code 87031 saw all $2,867,660 in payments, representing 100% of citywide value attributed to these services.

Within this category, just a few billing codes represented the majority of Medicaid payments.

Comparatively, the 98.7% rise for Temporary National Codes (Non-Medicare) between 2024 and the previous year far exceeded the overall 3.9% change posted across all Medicaid claim categories citywide for the same timeframe.

Data from the Centers for Medicare & Medicaid Services indicate that with combined federal and state contributions, Medicaid spending nationwide rose to approximately $871.7 billion in fiscal 2023. This amount represented about 18% of total health outlays and notably increased from around $613.5 billion in 2019, before COVID-19.

This roughly 40% increase in spending over the span is attributed to wider enrollment and greater service utilization during and in the aftermath of the pandemic.

Recent federal appropriations measures enacted under the Trump administration introduced substantial proposals aimed at lowering federal Medicaid funding and reforming the program. For instance, the “One Big Beautiful Bill Act,” became law in 2025 and is projected to slash more than $1 trillion from federal Medicaid budgets over 10 years. The policy brings added work requirements and higher cost-sharing, changes that may lower coverage or reduce federal resources for some groups. As a result, states are expected to bear more financial responsibility as federal support restrictions increase, though the system continues to cover millions nationwide.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Los Lunas, New Mexico Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $485,253 1394.1%
2021 $707,940 45.9%
2022 $942,869 33.2%
2023 $1,442,874 53%
2024 $2,867,660 98.7%
Top Categories by Medicaid Payments in Los Lunas, New Mexico, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $12,249,741 53.9%
2 National Codes Established for State Medicaid Agencies $3,579,192 15.7%
3 Temporary National Codes (Non-Medicare) $2,867,660 12.6%
4 Dental Services $1,448,181 6.4%
5 Evaluation and Management $1,163,959 5.1%
6 Procedures / Professional Services $958,512 4.2%
7 Radiology Procedures $140,343 0.6%
8 Vision Services $129,341 0.6%
9 Alcohol and Drug Abuse Treatment $99,764 0.4%
10 Pathology and Laboratory Procedures $56,316 0.2%
11 Drugs Administered Other than Oral Method $28,232 0.1%
12 Surgery $12,993 0.1%
13 Diagnostic Radiology Services $2,039 <0.1%
14 Medical And Surgical Supplies $1,617 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Los Lunas, New Mexico, 2024

HCPCS Code Description Medicaid Payments Claims
S5125 Attendant care service /15m $2,835,896 12
S5110 Family homecare training 15m $31,763 6

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.



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