Providers in San Angelo submitted Medicaid claims totaling $266,297 for Temporary National Codes (Non-Medicare) services in 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflected a 9% rise from 2023, when claims for this service category amounted to $244,335.
Medicaid is a public health insurance initiative that operates on a joint state and federal funding basis, as explained by the federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, positioning it among the nation’s largest components of the health care system.
Since Medicaid finances stem from taxpayer contributions, fluctuations in local billing signal shifts in how community health care funds are dispersed.
The “Temporary National Codes (Non-Medicare)” service category encompasses an array of Medicaid-billed services coded by care type, using standardized HCPCS and CPT groupings. In this report, billing codes were grouped by shared prefixes and numeric spans, permitting related services to be analyzed together and ensuring accuracy in rankings without duplication.
Though Medicaid spending rose across several areas, Temporary National Codes (Non-Medicare) finished eighth in San Angelo according to total Medicaid payments for 2024.
By comparison, the Temporary National Codes (Non-Medicare) category led all categories in Texas in overall payments for 2024.
From five years prior to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in San Angelo climbed by $70,982, or 36.3%. Significant annual increases surfaced in 2020 and 2021, indicating periods of accelerated growth.
Spending on care within this category was not evenly spread across San Angelo, as payments focused on only several ZIP codes. In 2024, the highest Medicaid payments for Temporary National Codes (Non-Medicare) originated from ZIP code 76901 with $252,038, followed by 76904 at $12,212, and 76903 with $2,045. Taken together, these 3 ZIP codes made up 100% of such Medicaid payments during the year.
Additionally, most Medicaid payments for the Temporary National Codes (Non-Medicare) category were tied to a small number of billing codes.
For comparison, payments for this category in San Angelo were up 9% from 2023 to 2024, while Medicaid payments across all claim types in the city grew by 38.3% in that period.
According to the Centers for Medicare & Medicaid Services, Medicaid’s combined state and federal expenditure reached about $871.7 billion in fiscal year 2023, making up around 18% of national health spending—an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This roughly 40% rise in spending was primarily due to increased enrollment and service use during and after the pandemic.
Recent federal legislation signed under the Trump administration has included major measures to curb federal Medicaid outlays and alter the program’s design. The “One Big Beautiful Bill Act,” for example, passed in 2025, is estimated to slash more than $1 trillion from federal Medicaid funds over the next 10 years and introduce changes such as work mandates and heighted cost-sharing that may impact eligibility and funding for specific beneficiaries. These adjustments are expected to place increased financial responsibility on states while limiting further growth in federal Medicaid contributions, even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $195,314 | 46.9% |
| 2021 | $236,492 | 21.1% |
| 2022 | $273,977 | 15.9% |
| 2023 | $244,334 | -10.8% |
| 2024 | $266,297 | 9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,842,699 | 31.9% |
| 2 | National Codes Established for State Medicaid Agencies | $2,940,881 | 24.4% |
| 3 | Alcohol and Drug Abuse Treatment | $1,510,618 | 12.5% |
| 4 | Medicine Services and Procedures | $1,199,287 | 1<0.1% |
| 5 | Dental Services | $597,367 | 5% |
| 6 | Ambulance and Other Transport Services and Supplies | $591,703 | 4.9% |
| 7 | Pathology and Laboratory Procedures | $460,790 | 3.8% |
| 8 | Temporary National Codes (Non-Medicare) | $266,297 | 2.2% |
| 9 | Radiology Procedures | $249,504 | 2.1% |
| 10 | Surgery | $131,862 | 1.1% |
| 11 | Durable Medical Equipment | $123,246 | 1% |
| 12 | Vision Services | $49,379 | 0.4% |
| 13 | Anesthesia | $47,505 | 0.4% |
| 14 | Medical And Surgical Supplies | $18,077 | 0.2% |
| 15 | Procedures / Professional Services | $10,445 | 0.1% |
| 16 | Enteral and Parenteral Therapy | $6,220 | 0.1% |
| 17 | Drugs Administered Other than Oral Method | $1,698 | <0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,001 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $248,102 | 12 |
| S0621 | Routine ophthalmological exa | $17,723 | 16 |
| S0620 | Routine ophthalmological exa | $470 | 1 |
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.
