Palm Coast Medicaid providers recorded $317,806 in billings under the Temporary National Codes (Non-Medicare) category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was an 11% rise from 2023, when providers submitted $286,234 for the same category of services.
Medicaid is a public insurance program funded jointly by federal and state governments and administered by the states. It provides health coverage for low-income individuals and families, seniors, children, and people with disabilities, making it one of the main parts of the U.S. health care system.
Because Medicaid payments rely on public funding, shifts in local billing reflect how health care dollars from taxpayers are distributed within a community.
The “Temporary National Codes (Non-Medicare)” group consists of Medicaid-billed services classified by care type, using standardized HCPCS and CPT code groupings. For this summary, each code was assigned to one service group by applying consistent prefixes and number ranges, letting similar services be evaluated as a whole for trend analysis and to avoid double counting.
Despite rising Medicaid expenditures in various categories, Temporary National Codes (Non-Medicare) stood fourth in total payments in Palm Coast for 2024.
Across Florida, Temporary National Codes (Non-Medicare) held the top spot for Medicaid payment categories in 2024.
From five years prior to 2024, Medicaid reimbursements linked to Temporary National Codes (Non-Medicare) in Palm Coast rose by $317,806, reflecting no net percentage change. There were periods of faster growth, with year-to-year jumps seen in 2022 and 2023.
Payment distribution for these services covered the whole city, but was mainly focused in a few ZIP codes. In 2024, ZIP code 32164 had the largest share, totaling $317,805. The leading 1 ZIP codes accounted for all Medicaid payments in Palm Coast under this category for the year.
Medicaid spending in this category was also centered on a small selection of billing codes.
Comparatively, Medicaid billings in Palm Coast grew 11% for Temporary National Codes (Non-Medicare) between 2024 and 2023, while overall Medicaid claims saw a 29% change across all categories in the city during the same span.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures rose to around $871.7 billion during fiscal year 2023, representing about 18% of all health spending in the country. This figure increased substantially from about $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
The uptick signifies nearly 40% growth in several years, mainly caused by greater program enrollment and increased use during and following the pandemic.
Federal budget changes signed during the Trump administration enacted major moves to decrease federal Medicaid contributions and revise the program. The “One Big Beautiful Bill Act,” approved in 2025, is projected to cut more than $1 trillion from federal Medicaid outlays over the next 10 years and includes measures like work requirements and higher cost-sharing. These modifications could lower coverage and funding for some enrollees, and are anticipated to transfer greater costs to states while slowing the expansion of federal support, though the program remains vital to tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $0 | – |
| 2021 | $129,236 | – |
| 2022 | $275,571 | 113.2% |
| 2023 | $286,234 | 3.9% |
| 2024 | $317,805 | 11% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,822,460 | 37.5% |
| 2 | Evaluation and Management | $1,425,703 | 29.3% |
| 3 | National Codes Established for State Medicaid Agencies | $1,095,707 | 22.5% |
| 4 | Temporary National Codes (Non-Medicare) | $317,805 | 6.5% |
| 5 | Alcohol and Drug Abuse Treatment | $79,835 | 1.6% |
| 6 | Vision Services | $78,368 | 1.6% |
| 7 | Pathology and Laboratory Procedures | $24,552 | 0.5% |
| 8 | Orthotic Procedures and services | $8,098 | 0.2% |
| 9 | Radiology Procedures | $4,134 | 0.1% |
| 10 | Surgery | $3,631 | 0.1% |
| 11 | Drugs Administered Other than Oral Method | $96 | <0.1% |
| 12 | Procedures / Professional Services | $79 | <0.1% |
| 13 | Temporary Codes | $77 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5102 | Adult day care per diem | $317,805 | 11 |
Note: HCPCS codes appear for category context. Totals and category rankings in this article reflect standardized groupings as opposed to single billing codes.
Information for this analysis was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.
