Culpeper Medicaid providers billed $148,872 in 2024 for services in the Temporary National Codes (Non-Medicare) category, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 7.4% increase compared to 2023, when $138,604 was billed for similar services.
Medicaid is a state-administered public insurance program funded through both federal and state resources. It provides coverage to people with low incomes, seniors, children, and individuals with disabilities, making it a vital component of the U.S. health system.
Since Medicaid uses taxpayer funding, variations in local billing help show how public health care funds are directed within each community.
The Temporary National Codes (Non-Medicare) group encompasses Medicaid-billed services identified by care type, categorized through corresponding HCPCS and CPT code classifications. In this analysis, each billing code was attributed to a specific service category using standardized code prefixes and ranges, which keeps similar services grouped while preventing duplication and supports accurate long-term rankings.
While increases appeared across several Medicaid categories, Temporary National Codes (Non-Medicare) ranked ninth among Culpeper’s Medicaid payment categories for 2024.
At the state level, the Temporary National Codes (Non-Medicare) category was fifth in Medicaid payments in Virginia for the year 2024.
Looking at the five-year period leading up to 2024, Medicaid payments in this category in Culpeper grew by $148,872, or 0%. Some years, including 2022 and 2023, saw periods of heightened spending growth.
Though spending on Temporary National Codes (Non-Medicare) spanned across Culpeper, claim payments were focused primarily within a small set of ZIP codes. Of these, ZIP code 22701 posted $148,871 in Medicaid claims for this group in 2024. Altogether, the leading ZIP code contributed 100% of Culpeper’s Medicaid payments tied to this category that year.
Payments within the Temporary National Codes (Non-Medicare) category also largely concentrated within a select group of billing codes.
To compare, payments for this category in Culpeper rose 7.4% from 2023 to 2024, while all Medicaid claim categories combined saw an increase of 32.1% over the same period locally.
Centers for Medicare & Medicaid Services report that combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, equaling about 18% of U.S. health expenditures. This is a notable increase from $613.5 billion in 2019, just ahead of the COVID-19 crisis.
This jump means total outlays rose about 40% over several years, fueled by higher enrollment and greater use during and following the pandemic.
Recent federal budget changes introduced by the Trump administration include several major proposals that would reduce federal Medicaid funding and reshape the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid funding by over $1 trillion through the next decade, imposing requirements such as work demands and greater cost-sharing. These measures could affect both eligibility and funding for some Medicaid recipients, likely shifting a larger part of program costs to state governments while still serving tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $0 | -100% |
| 2021 | $11,830 | – |
| 2022 | $87,986 | 643.7% |
| 2023 | $138,603 | 57.5% |
| 2024 | $148,871 | 7.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $7,426,281 | 48.4% |
| 2 | Medicine Services and Procedures | $2,893,268 | 18.9% |
| 3 | Alcohol and Drug Abuse Treatment | $1,711,783 | 11.2% |
| 4 | Radiology Procedures | $1,327,022 | 8.6% |
| 5 | National Codes Established for State Medicaid Agencies | $841,905 | 5.5% |
| 6 | Pathology and Laboratory Procedures | $354,758 | 2.3% |
| 7 | Procedures / Professional Services | $315,555 | 2.1% |
| 8 | Surgery | $232,745 | 1.5% |
| 9 | Temporary National Codes (Non-Medicare) | $148,871 | 1% |
| 10 | Vision Services | $58,352 | 0.4% |
| 11 | Ambulance and Other Transport Services and Supplies | $27,265 | 0.2% |
| 12 | Drugs Administered Other than Oral Method | $5,527 | <0.1% |
| 13 | Durable Medical Equipment | $1,399 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $1,271 | <0.1% |
| 15 | Temporary Codes | $1,067 | <0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $480 | <0.1% |
| 17 | Dental Services | $0 | <0.1% |
| 17 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S0109 | Methadone oral 5mg | $148,871 | 12 |
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.


