Sweetwater Medicaid expenses for non-Medicare temporary codes climb to $8,492,395 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Sweetwater submitted $8,492,395 in claims for services categorized under Temporary National Codes (Non-Medicare), based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents a 5.6% rise from 2023, when $8,040,640 was billed for the same services.

Medicaid, which is overseen by each state and financed through both federal and state resources, provides insurance coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of U.S. health care.

As Medicaid funds come from taxpayers, changes in local claim activity reflect how public resources are distributed in each community.

The “Temporary National Codes (Non-Medicare)” label covers a variety of Medicaid-billed services, organized under HCPCS and CPT codes. For this analysis, every billing code was matched to only one service category using consistent code prefixes and numeric ranges. This approach allows for accurate tracking of related services, prevents duplicate reporting, and maintains reliable comparisons over time.

Temporary National Codes (Non-Medicare) was the second-largest Medicaid spending category in Sweetwater for 2024, even as overall Medicaid spending grew across multiple areas.

By total payments statewide in 2024, Florida’s leading Medicaid category was Temporary National Codes (Non-Medicare).

Between 2019 and 2024, Sweetwater saw Medicaid payments for Temporary National Codes (Non-Medicare) increase by $7,272,270—a 596% rise. There were periods of accelerated spending, with notable jumps occurring in both 2021 and 2023.

Although spending in this category was citywide, Medicaid payments concentrated in a few ZIP codes. In 2024, ZIP codes 33182 and 33172 reported the highest payments—$7,382,166 and $1,110,228 respectively. Combined, these 2 ZIP codes accounted for 100% of all Medicaid payments related to Temporary National Codes (Non-Medicare) in Sweetwater for the year.

A small subset of individual billing codes accounted for the bulk of Medicaid payments in the Temporary National Codes (Non-Medicare) category.

Comparing year over year, Medicaid payments for Temporary National Codes (Non-Medicare) in Sweetwater rose 5.6% between 2024 and 2023. Payments across all Medicaid claim categories in the city grew by 4.9% during that time.

The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023. This accounted for about 18% of all national health expenditures, a sharp increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.

This marks a roughly 40% increase in just a few years, primarily because of expanded enrollment and greater service use during and after the pandemic period.

Federal budget legislation passed during the Trump administration introduced major proposals to shrink federal Medicaid funding and shift program structure. One example is the “One Big Beautiful Bill Act,” signed in 2025. It’s projected to reduce federal Medicaid funding by $1 trillion over the next 10 years, adding work requirements and higher cost-sharing, which could limit coverage and funding for some recipients. These provisions are expected to assign more costs to states and slow the growth of federal Medicaid support, even as millions of Americans continue to use the program.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Sweetwater, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,220,125 26.1%
2021 $3,537,439 189.9%
2022 $4,512,420 27.6%
2023 $8,040,640 78.2%
2024 $8,492,394 5.6%
Top Categories by Medicaid Payments in Sweetwater, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $10,880,393 48.3%
2 Temporary National Codes (Non-Medicare) $8,492,394 37.7%
3 Alcohol and Drug Abuse Treatment $2,262,495 1<0.1%
4 Medicine Services and Procedures $859,537 3.8%
5 Evaluation and Management $33,794 0.2%
6 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Sweetwater, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
S5130 Homaker service nos per 15m $4,878,130 33
S5135 Adult companioncare per 15m $1,508,946 21
S9122 Home health aide or certifie $1,343,179 12
S5150 Unskilled respite care /15m $762,138 19

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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