Medicaid spending for Temporary National Codes (Non-Medicare) in Sachse rises to $1,430,086 in 2024

In 2024, Medicaid providers in Sachse billed $1,430,086 for services under the Temporary National Codes (Non-Medicare) category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 56% rise compared with the prior year, when $916,635 was billed for the same category of services.

Medicaid is a public health coverage initiative administered by the states with funding from both federal and state governments. The program covers low-income individuals and families, older adults, children, and those with disabilities, representing a key segment of the U.S. health care system.

Because Medicaid payments are taxpayer-funded, variations in local billing reflect how public health resources are allocated within a community.

The “Temporary National Codes (Non-Medicare)” category consists of Medicaid-billed services identified by specific care types, organized by standardized HCPCS and CPT codes. For this report, each billing code was classified into a distinct service group based on code prefixes and numeric ranges, grouping similar services while avoiding overlap and ensuring reliable year-to-year rankings.

While Medicaid spending increased in several service areas, Temporary National Codes (Non-Medicare) led all categories in Sachse by total Medicaid payments in 2024.

Across Texas, Temporary National Codes (Non-Medicare) also ranked first by total Medicaid payments in 2024.

Over the five-year span ending in 2024, Medicaid payments linked to the Temporary National Codes (Non-Medicare) category in Sachse rose by $1,171,182, or 452.4%. The most significant gains occurred during periods such as 2020 and 2021.

Spending for Temporary National Codes (Non-Medicare) services was observed citywide, but payments were centered in a small number of ZIP codes. In 2024, ZIP code 75048 accounted for $1,430,086 in Medicaid spending under this category, representing 100% of the local total for the year.

Within this service category, Medicaid payments were mostly driven by a handful of individual billing codes.

For perspective, Sachse’s Medicaid payments tied to Temporary National Codes (Non-Medicare) rose 56% from 2023 to 2024, compared with a 48.8% overall increase across all Medicaid claim categories during the same time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in the 2023 fiscal year, or around 18% of all national health expenditures, up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This total marks a jump of about 40% within a few years, with most of the growth attributed to expanded enrollment and increased use of services during and after the pandemic.

Recent federal budget measures under the Trump administration have featured major proposals to curtail federal Medicaid funding and change the program’s structure. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which is projected to reduce federal Medicaid spending by more than $1 trillion in the coming decade and create new work requirements and cost-sharing provisions that could limit coverage and funding for certain enrollees. These actions are expected to transfer more costs to states and restrict federal Medicaid growth, even as coverage remains vital to tens of millions nationwide.

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.