In 2024, Medicaid providers in Charlottesville submitted $3,732,057 in claims for Temporary National Codes (Non-Medicare) services, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 13.9% rise compared with 2023, when providers billed $3,277,754 for the same services.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. The program covers seniors, low-income individuals and families, children, and people with disabilities, making it one of the nation’s largest health care payers.
Shifts in local Medicaid billing reflect how taxpayer-funded health care dollars are distributed within communities.
The “Temporary National Codes (Non-Medicare)” group includes Medicaid-billed services classified by specific care types, as identified by standard HCPCS and CPT code groupings. This reporting approach assigned each code to a single service category using standardized prefixes and numerical ranges to evaluate related services together and avoid double counting, maintaining precise year-over-year rankings.
While Medicaid spending grew across several service categories, Temporary National Codes (Non-Medicare) was the ninth-highest Medicaid payment category in Charlottesville for 2024.
Statewide in Virginia, Temporary National Codes (Non-Medicare) placed fifth among Medicaid payment categories for 2024.
Between 2020 and 2024, Charlottesville’s Medicaid payments for Temporary National Codes (Non-Medicare) increased by $2,136,971, an uptick of 134%. Spending growth accelerated at certain points, notably in 2023 and 2022, with significant annual increases.
Spending for Temporary National Codes (Non-Medicare) care was spread across Charlottesville, but payments were mainly concentrated in a few ZIP codes. The ZIP codes with the largest amounts in 2024 were 22901 with $2,153,263, 22903 with $956,503, and 22911 with $622,289. The top 3 ZIP codes together represented 100% of the Medicaid payments in this category for the city that year.
Payments in the Temporary National Codes (Non-Medicare) category were also focused on a small number of individual billing codes.
For perspective, Medicaid payments for Temporary National Codes (Non-Medicare) in Charlottesville increased 13.9% from 2023 to 2024, while total Medicaid payments across all categories in the city grew by 15.2% during that time frame.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023, accounting for about 18% of overall U.S. health care expenditures. This was a significant jump from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
The change equates to about 40% growth over several years, primarily due to increases in enrollment and higher usage during and after the pandemic.
Recent federal budget actions under the Trump administration have introduced major proposals to decrease federal Medicaid support and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid funding over the next decade and introduces measures like work requirements and greater cost-sharing, which could limit coverage and funding for some recipients. These changes are expected to shift additional costs to states and curb federal Medicaid growth, even as millions of Americans continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,595,085 | -25.7% |
| 2021 | $1,599,125 | 0.3% |
| 2022 | $2,204,428 | 37.9% |
| 2023 | $3,277,754 | 48.7% |
| 2024 | $3,732,056 | 13.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $58,324,110 | 33.7% |
| 2 | Medicine Services and Procedures | $43,553,096 | 25.1% |
| 3 | Alcohol and Drug Abuse Treatment | $16,772,951 | 9.7% |
| 4 | National Codes Established for State Medicaid Agencies | $14,250,393 | 8.2% |
| 5 | Radiology Procedures | $8,237,211 | 4.8% |
| 6 | Surgery | $7,654,538 | 4.4% |
| 7 | Drugs Administered Other than Oral Method | $5,188,314 | 3% |
| 8 | Procedures / Professional Services | $3,991,482 | 2.3% |
| 9 | Temporary National Codes (Non-Medicare) | $3,732,056 | 2.2% |
| 10 | Chemotherapy Drugs | $3,078,747 | 1.8% |
| 11 | Pathology and Laboratory Procedures | $2,829,778 | 1.6% |
| 12 | Temporary Codes | $1,623,703 | 0.9% |
| 13 | Enteral and Parenteral Therapy | $1,257,771 | 0.7% |
| 14 | Ambulance and Other Transport Services and Supplies | $1,217,088 | 0.7% |
| 15 | Durable Medical Equipment | $563,305 | 0.3% |
| 16 | Outpatient PPS | $425,848 | 0.2% |
| 17 | Medical And Surgical Supplies | $269,975 | 0.2% |
| 18 | Vision Services | $127,732 | 0.1% |
| 19 | Pathology and Laboratory Services | $59,660 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $30,074 | <0.1% |
| 21 | Anesthesia | $26,297 | <0.1% |
| 22 | Orthotic Procedures and services | $15,659 | <0.1% |
| 23 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $11,199 | <0.1% |
| 24 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S0201 | Partial hospitalization serv | $2,065,486 | 12 |
| S9342 | Hit enteral pump diem | $864,839 | 12 |
| S0109 | Methadone oral 5mg | $622,289 | 12 |
| S5102 | Adult day care per diem | $87,776 | 10 |
| S9500 | Hit antibiotic q24h diem | $51,053 | 6 |
| S9343 | Hit enteral bolus nurs | $34,753 | 10 |
| S9330 | Hit cont chem diem | $4,183 | 2 |
| S5501 | Hit complex cath care | $1,673 | 1 |
| S8096 | Portable peak flow meter | $0 | 1 |
| S8101 | Spacer with mask | $0 | 4 |
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.
