In 2024, Medicaid providers in Aledo billed $1,121,769 for services in the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 4% higher than in 2023, when providers submitted $1,078,760 in claims for these services.
Medicaid, administered by states and funded through federal and state dollars, provides health insurance to low-income individuals and families, older adults, children, and people with disabilities, making it a major part of the U.S. health system.
Because Medicaid spending is funded by taxpayers, changes in local billing provide insight into how public health dollars are spent at the community level.
The “Temporary National Codes (Non-Medicare)” grouping includes Medicaid services defined by the type of care based on standard HCPCS and CPT coding structures. For this data analysis, each relevant billing code was categorized using code prefixes and numeric boundaries, allowing for group tracking over time without duplicate entries and providing consistent rankings.
Although Medicaid expenditures grew in several categories, Temporary National Codes (Non-Medicare) accounted for the highest Medicaid payment total in Aledo in 2024.
Statewide in Texas, the Temporary National Codes (Non-Medicare) category also led all others by total Medicaid payments for 2024.
During the five years before 2024, Medicaid payments linked to the Temporary National Codes (Non-Medicare) category in Aledo increased by $385,494, or 52.4%. Certain years saw accelerated growth, with substantial annual increases reported in 2021 and 2020.
Spending for Temporary National Codes (Non-Medicare) services was spread across Aledo, though most payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 76008 had the largest share, totaling $1,121,768. This top ZIP code represented 100% of Medicaid payments related to the category in Aledo for that year.
Payment distribution within the Temporary National Codes (Non-Medicare) category was also concentrated among a select group of billing codes.
When compared to all Medicaid claim categories in Aledo, payments related to the Temporary National Codes (Non-Medicare) category rose 4% from 2023 to 2024, while overall Medicaid growth in the city was 12% during the same period.
Data from the Centers for Medicare & Medicaid Services indicates combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023. This equated to about 18% of all U.S. health spending, growing sharply from roughly $613.5 billion in 2019—before the COVID-19 pandemic.
This marks a roughly 40% increase over several years, primarily driven by greater enrollment and higher service utilization during and after the pandemic.
Recent federal budget initiatives under the Trump administration have featured major proposals to cut federal Medicaid dollars and reorganize the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next decade. It adds policies like work requirements and increased cost-sharing that may reduce coverage and increase costs for some enrollees. States are projected to face increased financial responsibility and limited federal funding growth, as Medicaid continues serving millions of participants.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $736,275 | 22.9% |
| 2021 | $967,164 | 31.4% |
| 2022 | $1,098,394 | 13.6% |
| 2023 | $1,078,759 | -1.8% |
| 2024 | $1,121,768 | 4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $1,121,768 | 72.8% |
| 2 | Evaluation and Management | $214,259 | 13.9% |
| 3 | Pathology and Laboratory Procedures | $150,256 | 9.7% |
| 4 | National Codes Established for State Medicaid Agencies | $51,999 | 3.4% |
| 5 | Dental Services | $2,567 | 0.2% |
| 6 | Radiology Procedures | $761 | <0.1% |
| 7 | Drugs Administered Other than Oral Method | $7 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $1,121,768 | 12 |
Note: HCPCS codes are presented for informational context within the category. Totals and rankings are calculated by standardized service categories, not by individual billing codes.
This article is based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source dataset is available here.







