Forney Medicaid payments for Temporary National Codes (Non-Medicare) climb to $4,164,971 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Forney Medicaid providers submitted $4,164,971 in claims under the Temporary National Codes (Non-Medicare) category, U.S. Department of Health and Human Services Medicaid Provider Spending data show. That represents an increase of 48.6% compared with 2023, when the same service category totaled $2,803,118 in claims.

Medicaid is a public health insurance program administered by states with joint federal and state funding through taxpayer contributions. The program covers low-income families, seniors, children and people with disabilities, making it a key component of the U.S. health care system.

Since Medicaid’s funding comes from the public, trends in local billing reflect how health care resources are utilized across communities.

The Temporary National Codes (Non-Medicare) category covers a specialized group of Medicaid-billed services classified by care type, using standardized HCPCS and CPT code groups. Each billing code in this analysis was assigned to a single service group based on consistent code prefixes and numeric ranges, facilitating analysis of related services without double counting and maintaining valid year-over-year comparisons.

Temporary National Codes (Non-Medicare) accounted for the largest share of Medicaid payments among all service categories in Forney in 2024.

Statewide, this category also led all others in total Medicaid payments in Texas in 2024.

Over the five-year period through 2024, Medicaid payments related to Temporary National Codes (Non-Medicare) in Forney rose by $4,164,971, maintaining a 0% rate of change over this span. Spending growth accelerated during select intervals, with significant annual increases seen in 2022 and 2023.

Although spending on Temporary National Codes (Non-Medicare) was distributed throughout Forney, a majority of payments concentrated within a small number of ZIP codes. In 2024, payments in ZIP code 75126 reached $4,164,971, with this area alone making up 100% of Medicaid spending under this category in Forney for the year.

Just a few individual billing codes accounted for most Medicaid payments within the Temporary National Codes (Non-Medicare) category.

In Forney, Medicaid payments for Temporary National Codes (Non-Medicare) increased by 48.6% from 2023 to 2024, while total citywide Medicaid claims across all categories rose by 30.6% in the same period.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, comprising roughly 18% of all national health spending, up sharply from an estimated $613.5 billion in 2019, prior to the COVID-19 pandemic.

That increase equates to approximately 40% growth within several years, mainly due to expanded enrollment and greater usage during and after the pandemic.

Recent federal budget measures enacted during the Trump administration have proposed reducing federal Medicaid funding and changing the program’s structure. The “One Big Beautiful Bill Act,” passed in 2025, is projected to cut federal Medicaid spending by more than $1 trillion over the next decade and includes elements such as work requirements and higher cost-sharing, which could limit coverage and funding for some individuals. These changes are likely to leave more financial responsibility with states and limit federal support growth, even as Medicaid remains vital for millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $0
2021 $875,241
2022 $1,876,352 114.4%
2023 $2,803,118 49.4%
2024 $4,164,971 48.6%
Top Categories by Medicaid Payments in Forney, Texas, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $4,164,971 75.8%
2 Evaluation and Management $488,330 8.9%
3 Dental Services $386,210 7%
4 National Codes Established for State Medicaid Agencies $172,796 3.1%
5 Ambulance and Other Transport Services and Supplies $161,181 2.9%
6 Medicine Services and Procedures $109,241 2%
7 Pathology and Laboratory Procedures $8,539 0.2%
8 Vision Services $3,659 0.1%
9 Procedures / Professional Services $900 <0.1%
10 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Forney, Texas, 2024

HCPCS Code Description Medicaid Payments Claims
S5125 Attendant care service /15m $4,164,304 25
S0620 Routine ophthalmological exa $588 1
S3620 Newborn metabolic screening $78 5

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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