Livingston sees $3,364,869 in Medicaid spending for Temporary National Codes (Non-Medicare) in 2024

Livingston Medicaid providers submitted $3,364,869 in 2024 for services falling within the Temporary National Codes (Non-Medicare) category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total marks an 80.5% increase from 2023, when claims for the same category reached $1,863,998.

Medicaid is a state-operated health insurance program jointly financed by the federal and state governments, as described by the Commonwealth Fund. It offers coverage for low-income people and families, seniors, children, and those with disabilities, accounting for a significant segment of the nation’s health care system.

Changing Medicaid billing volumes offer insight into how a community’s public health care resources are assigned, since taxpayer support funds these payments.

The “Temporary National Codes (Non-Medicare)” classification includes Medicaid-billed services described by standardized HCPCS and CPT code groupings according to the type of care delivered. In this analysis, each billing code is placed within a specific service category based on uniform code prefixes and ranges, ensuring closely related services are counted together, ranked accurately year-over-year, and preventing duplication in category totals.

Among service types, Temporary National Codes (Non-Medicare) represented the largest share of Medicaid payments in Livingston during 2024.

At the statewide level, Temporary National Codes (Non-Medicare) stood as the fourth largest Medicaid payment category in Tennessee for 2024.

Over the five years preceding 2024, Medicaid spending attributed to the Temporary National Codes (Non-Medicare) group in Livingston increased by $2,133,165, or 173.2%. This category experienced periods of faster spending growth, with substantial year-on-year rises in 2022 and 2023.

Although spending under the Temporary National Codes (Non-Medicare) designation took place throughout the area, payments in 2024 were concentrated in a few ZIP codes. ZIP code 38570 accounted for $3,364,868 of Medicaid payments for this group, and the top 1 ZIP code made up 100% of Livingston’s Medicaid expenditures in this segment for the year.

Within Temporary National Codes (Non-Medicare), Medicaid payments were concentrated among a small subset of billing codes.

Comparatively, Medicaid payments for Temporary National Codes (Non-Medicare) in Livingston increased by 80.5% between 2024 and 2023, while all Medicaid claim types citywide rose by 18.2% over that span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid costs were approximately $871.7 billion in fiscal 2023. This represented around 18% of total U.S. health spending, rising significantly from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This growth—about 40% in just a few years—was fueled mostly by surging enrollment and increased patient needs during and after the pandemic.

Recent federal budget measures during the Trump administration have proposed major reductions in federal Medicaid funding. The “One Big Beautiful Bill Act,” approved in 2025, is expected to decrease federal Medicaid support by over $1 trillion through the next decade and institute new requirements like work mandates and higher cost-sharing, potentially lowering funding and eligibility for certain groups. States would likely bear increased expenses due to these policies, which could slow federal Medicaid funding growth, though the program would still cover 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.