Lynchburg Medicaid providers billed $991,124 for services in the Temporary National Codes (Non-Medicare) category during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That figure represents a 36.2% jump compared with 2023, when providers’ claims for this service type totaled $727,844.
Medicaid, a public health insurance initiative administered by states and funded through a federal-state partnership, provides coverage to individuals and families with low incomes, along with seniors, children, and those with disabilities. It accounts for a significant share of the U.S. health care system.
Since Medicaid funds derive from taxpayers, local fluctuations in billing provide insight into the distribution of public health care financing within a community.
The “Temporary National Codes (Non-Medicare)” category encompasses a specified group of Medicaid-billed services, categorized by the type of care based on standard HCPCS and CPT code groupings. For this report, codes were attributed to a single service category according to standardized code prefixes and number ranges, which allowed analysis of related services together while preventing double counting and accurately tracking rankings over time.
Even as Medicaid outlays increased in several service categories, Temporary National Codes (Non-Medicare) ranked ninth by total Medicaid payments in Lynchburg for 2024.
Statewide in Virginia, the Temporary National Codes (Non-Medicare) services category ranked fifth by payment totals during 2024.
Between 2019 and 2024, Lynchburg’s Medicaid payments related to Temporary National Codes (Non-Medicare) grew by $602,912—a 155.3% increase. There were pronounced spending surges in certain years, particularly evident in 2022 and 2021.
Although use of Temporary National Codes (Non-Medicare) services occurred throughout Lynchburg, most of the payments were limited to a few ZIP codes. In 2024, ZIP code 24501 accounted for $840,234, 24502 for $145,750, and 24504 for $5,139. These 3 ZIP codes combined made up all Medicaid payments related to the Temporary National Codes (Non-Medicare) category in the city for the year.
Medicaid reimbursement in the Temporary National Codes (Non-Medicare) group further centered around a small selection of individual billing codes.
In comparison, Medicaid payments linked to Temporary National Codes (Non-Medicare) in Lynchburg were up 36.2% from 2023 to 2024, while overall Medicaid claims in the city grew by 8.4% in the same timeframe.
Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, representing about 18% of national health care spending. This marked a significant rise from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This growth reflects an estimated 40% increase over a few years, primarily attributed to higher enrollment and greater utilization during and following the pandemic years.
Recent federal budget legislation enacted in the Trump administration brought major proposals to limit federal Medicaid funding and alter the program’s structure. Notably, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid funding by more than $1 trillion over ten years, and introduces policies like work requirements and greater cost-sharing. These are projected to reduce coverage and funding for some beneficiaries and may shift more costs onto states, curbing the overall growth of federal Medicaid support while the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $388,211 | 6.6% |
| 2021 | $477,931 | 23.1% |
| 2022 | $657,950 | 37.7% |
| 2023 | $727,844 | 10.6% |
| 2024 | $991,123 | 36.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $51,716,531 | 37.9% |
| 2 | Alcohol and Drug Abuse Treatment | $26,484,963 | 19.4% |
| 3 | Evaluation and Management | $22,811,801 | 16.7% |
| 4 | Medicine Services and Procedures | $16,113,317 | 11.8% |
| 5 | Procedures / Professional Services | $8,503,170 | 6.2% |
| 6 | Pathology and Laboratory Procedures | $2,650,972 | 1.9% |
| 7 | Radiology Procedures | $2,520,019 | 1.8% |
| 8 | Drugs Administered Other than Oral Method | $1,553,099 | 1.1% |
| 9 | Temporary National Codes (Non-Medicare) | $991,123 | 0.7% |
| 10 | Surgery | $801,821 | 0.6% |
| 11 | Ambulance and Other Transport Services and Supplies | $606,419 | 0.4% |
| 12 | Chemotherapy Drugs | $439,549 | 0.3% |
| 13 | Vision Services | $358,002 | 0.3% |
| 14 | Durable Medical Equipment | $297,473 | 0.2% |
| 15 | Medical And Surgical Supplies | $247,233 | 0.2% |
| 16 | Anesthesia | $60,105 | <0.1% |
| 17 | Temporary Codes | $56,125 | <0.1% |
| 18 | Outpatient PPS | $43,010 | <0.1% |
| 19 | Enteral and Parenteral Therapy | $33,034 | <0.1% |
| 20 | Orthotic Procedures and services | $15,242 | <0.1% |
| 21 | Pathology and Laboratory Services | $9,296 | <0.1% |
| 22 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $7,983 | <0.1% |
| 23 | Administrative, Miscellaneous and Investigational | $377 | <0.1% |
| 24 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S0109 | Methadone oral 5mg | $810,703 | 24 |
| S9480 | Intensive outpatient psychia | $145,750 | 6 |
| S9124 | Nursing care, in the home; b | $21,563 | 11 |
| S9123 | Nursing care in home rn | $7,967 | 7 |
| S9129 | Occupational therapy, in the | $5,139 | 9 |
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.
