Rockwall’s Medicaid spending on Temporary National Codes (Non-Medicare) services climbs to $1,661,428 in 2024

Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Rockwall submitted $1,661,428 in claims for services categorized under Temporary National Codes (Non-Medicare) in 2024. This represents a 63.8% increase from 2023, when $1,014,310 was reported for the same category.

Medicaid, the public health insurance program managed by states and jointly funded by federal and state governments, covers low-income residents, seniors, children, and individuals with disabilities. It is one of the largest segments of the U.S. health care system. Learn more about Medicaid funding from this explainer.

Because funding comes from taxpayers, fluctuations in local Medicaid billing indicate how public health dollars are distributed within a community.

The “Temporary National Codes (Non-Medicare)” group includes Medicaid-billed services identified by specific types of care, with standardized HCPCS and CPT code groupings forming the basis. In this report, each billing code is mapped to a unique service category through systematic code prefixes and numeric intervals. This approach helps review related services together, avoids duplicate counting, and maintains correct rankings over time.

Even as Medicaid expenditures expanded for several service types, Temporary National Codes (Non-Medicare) was the third-largest Medicaid payment category in Rockwall in 2024.

Across Texas, Temporary National Codes (Non-Medicare) received the highest total Medicaid payments statewide for 2024.

From 2019 to 2024, Medicaid spending linked to Temporary National Codes (Non-Medicare) in Rockwall grew by $1,538,679, which is a 1253.5% increase. There were periods of especially rapid growth, particularly during 2020 and 2021.

Spending for Temporary National Codes (Non-Medicare) services was tracked throughout Rockwall, but payment totals were especially concentrated in just a few ZIP codes. In 2024, ZIP code 75032 recorded $1,042,480, and ZIP code 75087 logged $618,947. Together, these two ZIP codes made up all Medicaid payments reported for this service category in Rockwall that year.

Payments within the Temporary National Codes (Non-Medicare) category were also focused on a select group of billing codes.

To compare, while Medicaid payments for Temporary National Codes (Non-Medicare) in Rockwall rose by 63.8% from 2023 to 2024, total payments for all categories in the city increased by 9.6% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined spending by federal and state governments for Medicaid totaled around $871.7 billion in fiscal 2023. This equaled about 18% of all U.S. health spending, a substantial increase from the approximately $613.5 billion reported in 2019 before the COVID-19 pandemic.

This nearly 40% jump over several years was largely influenced by greater enrollment and usage stemming from the pandemic and its aftermath.

Recent federal budget initiatives during the Trump administration have contained major measures to reduce federal Medicaid spending and overhaul the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years. It also brings new provisions such as mandatory work requirements and increased cost-sharing—changes that could limit coverage and shift additional expenses to the states while Medicaid still insures millions of Americans.

Note: HCPCS codes are provided to illustrate contents within the category. Rankings and totals here reflect standardized groupings of services, not individual billing codes.

This analysis is based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original data sets here.