Richardson Medicaid providers billed $44,105,668 for services under the Temporary National Codes (Non-Medicare) category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents a 22% rise from 2023, when $36,152,299 in claims were filed for services in this category.
Medicaid is run by the states with joint funding from federal and state governments and covers low-income individuals and families, seniors, children, and people with disabilities, making it a significant part of the U.S. health care system.
Since taxpayer money funds Medicaid payments, shifts in local billing indicate where public health care funds are spent in a community.
The “Temporary National Codes (Non-Medicare)” category includes a collection of Medicaid services grouped according to the specific care provided, based on standard HCPCS and CPT code sets. For this report, each code was mapped to a single service group using uniform prefixes and number ranges, helping to analyze services collectively and prevent repeated counting while maintaining precise rankings over time.
Although overall Medicaid spending went up across several categories, Temporary National Codes (Non-Medicare) placed second by total Medicaid payments in Richardson for 2024.
Statewide in Texas, Temporary National Codes (Non-Medicare) led all categories in total Medicaid payments in 2024.
From five years prior to 2024, Medicaid payments in Richardson for Temporary National Codes (Non-Medicare) rose by $28,213,506, or 177.5%. Growth quickened during some years, especially in 2021 and 2020, which saw notable year-over-year jumps.
Spending in the Temporary National Codes (Non-Medicare) category was spread throughout Richardson, but most payments came from a handful of ZIP codes. In 2024, the ZIP codes with the highest Medicaid payments in this category were 75080, at $31,785,550; 75081, which saw $12,280,678; and 75082, with $39,439. These 3 ZIP codes together made up 100% of all Richardson Medicaid payments for this category during the year.
For Temporary National Codes (Non-Medicare), a small number of individual billing codes drew the majority of Medicaid payments.
Looking at all Medicaid claim categories in Richardson, payments tied to Temporary National Codes (Non-Medicare) grew by 22% between 2024 and 2023, whereas the change across all categories during the same period was 1.2%.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures rose to about $871.7 billion in fiscal year 2023, accounting for around 18% of all U.S. health spending. That’s a sharp increase from about $613.5 billion in 2019, before the COVID-19 pandemic.
This means Medicaid expenditures have grown by about 40% in only a few years, primarily propelled by broader enrollment and increased use during and after the pandemic.
Federal budget legislation during the Trump administration introduced substantial proposals to shrink federal Medicaid funding and alter the program, such as the “One Big Beautiful Bill Act,” enacted in 2025. It is expected to decrease federal Medicaid spending by more than $1 trillion over the next 10 years and introduces measures like work requirements and higher cost-sharing, which could mean reduced funding and coverage for some recipients. These adjustments are projected to increase states’ share of costs and slow the growth of federal Medicaid monies, despite the program continuing to assist tens of millions of people nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $15,892,162 | 48.1% |
| 2021 | $32,744,465 | 106% |
| 2022 | $36,600,827 | 11.8% |
| 2023 | $36,152,299 | -1.2% |
| 2024 | $44,105,668 | 22% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $82,689,053 | 43.2% |
| 2 | Temporary National Codes (Non-Medicare) | $44,105,668 | 23% |
| 3 | Enteral and Parenteral Therapy | $14,817,947 | 7.7% |
| 4 | Medicine Services and Procedures | $10,187,828 | 5.3% |
| 5 | Medical And Surgical Supplies | $7,909,820 | 4.1% |
| 6 | Durable Medical Equipment | $7,813,483 | 4.1% |
| 7 | Alcohol and Drug Abuse Treatment | $6,953,256 | 3.6% |
| 8 | Procedures / Professional Services | $5,695,343 | 3% |
| 9 | Radiology Procedures | $5,077,453 | 2.7% |
| 10 | Evaluation and Management | $3,296,136 | 1.7% |
| 11 | Dental Services | $2,073,662 | 1.1% |
| 12 | Ambulance and Other Transport Services and Supplies | $404,413 | 0.2% |
| 13 | Anesthesia | $187,383 | 0.1% |
| 14 | Pathology and Laboratory Procedures | $138,777 | 0.1% |
| 15 | Surgery | $18,333 | <0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $16,722 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $4,750 | <0.1% |
| 18 | Temporary Codes | $2,630 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $1,601 | <0.1% |
| 20 | Chemotherapy Drugs | $1,520 | <0.1% |
| 21 | Diagnostic Radiology Services | $1,418 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $40,124,162 | 286 |
| S9125 | Respite care, in the home, p | $1,916,805 | 12 |
| S9110 | Telemonitoring/home per mnth | $1,546,748 | 47 |
| S5151 | Unskilled respitecare /diem | $222,316 | 8 |
| S8940 | Hippotherapy per session | $212,190 | 12 |
| S9152 | Speech therapy, re-eval | $76,503 | 27 |
| S5161 | Emer rspns sys serv permonth | $6,940 | 10 |
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.
