Pella Medicaid claims for Temporary National Codes (Non-Medicare) reach $4,274,949 in 2024

In 2024, Medicaid providers in Pella submitted claims totaling $4,274,949 for services within the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflected a 5.7% rise over 2023, when total claims for this category amounted to $4,044,715.

Medicaid operates as a state-run health insurance program with joint federal and state funding, covering low-income individuals and families, seniors, children, and people with disabilities. This makes it one of the largest segments of the U.S. health care system.

Because Medicaid payments are sourced from public funds, shifts in billing levels locally reflect how a community utilizes taxpayer dollars for health care.

The “Temporary National Codes (Non-Medicare)” group consists of Medicaid-billed services organized by the type of care, relying on standard HCPCS and CPT codes. Each billing code used in this analysis was classified under a single service group based on consistent prefixes and numeric intervals, ensuring related services were analyzed together without duplication and with accurate rankings across periods.

While Medicaid spending increased across several service groups, Temporary National Codes (Non-Medicare) were the second largest by total Medicaid payments in Pella during 2024.

Statewide in Iowa, this category also ranked second for Medicaid payment totals in 2024.

Between 2019 and 2024, Medicaid payments connected to the Temporary National Codes (Non-Medicare) category in Pella rose by $1,309,920, or 44.2%. Growth accelerated during certain intervals, especially in 2021 and 2022 when year-over-year increases were notable.

Although care-related spending in this category was spread across the city, Medicaid payments were concentrated in select ZIP codes. In 2024, ZIP code 50219 accounted for all $4,274,949 of Medicaid payments for the category in Pella—meaning the top 1 ZIP code contributed 100% of the category’s local Medicaid total.

A limited selection of individual billing codes represented the majority of Medicaid payments in the Temporary National Codes (Non-Medicare) category.

Comparing this with overall Medicaid claim activity in Pella, payments tied to the Temporary National Codes (Non-Medicare) rose 5.7% from 2023 to 2024, compared to a 3.5% rise across all Medicaid claim categories in the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures climbed to about $871.7 billion in fiscal year 2023, which made up roughly 18% of total national health spending. This marks a substantial increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This equates to nearly 40% growth in just several years, primarily attributed to enhanced enrollment and increased usage both during and after the pandemic.

Recent federal budget measures during the Trump administration included major proposals to reduce federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to cut federal Medicaid outlays by more than $1 trillion over the next decade. The law adds policies such as work requirements and higher cost-sharing, which could lower coverage and public funding for some recipients. These adjustments are anticipated to shift more costs to states and curb the expansion of federal Medicaid aid, even as the program continues 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.