Coventry Medicaid providers report $152,266 in Temporary National Codes (Non-Medicare) spending for 2024

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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Coventry Medicaid providers reported $152,266 in billed services under the Temporary National Codes (Non-Medicare) category in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This amount was 44.7% higher than the $105,253 in claims submitted in 2023 for the same service grouping.

Medicaid is a government-supported health insurance program managed by states and funded through both federal and state resources. It serves low-income groups, seniors, children and people with disabilities, playing a significant role in the U.S. health care landscape.

Since Medicaid uses public funding, shifts in community-level billing reflect how local health care dollars are distributed and spent.

The “Temporary National Codes (Non-Medicare)” group includes Medicaid billings tied to specific types of care, designated by HCPCS and CPT code standards. In this study, each billing code was consistently assigned to a service category by code prefixes and range, allowing for aggregate analysis, accurate comparisons, and to avoid duplicated counts.

Spending on Medicaid increased in various service types; Temporary National Codes (Non-Medicare) was the third-largest Medicaid payment category in Coventry for 2024.

Statewide, Temporary National Codes (Non-Medicare) held the rank of second by total Medicaid payments in Rhode Island in 2024.

Analyzing the five years ending with 2024, Coventry saw Medicaid payments connected to Temporary National Codes (Non-Medicare) grow by $154,181, or 50.3%. Some periods saw sharper increases than others, with 2023 and 2022 having notable annual growth.

The majority of spending on Temporary National Codes (Non-Medicare) services was distributed in certain Coventry ZIP codes. In 2024, ZIP code 02816 accounted for $152,265 of these Medicaid payments. Collectively, the top ZIP code comprised 100% of such Medicaid spending in the city that year.

Within this category, most Medicaid payments went to a select group of individual billing codes.

Comparing changes, Medicaid spending for Temporary National Codes (Non-Medicare) in Coventry was up 44.7% from 2023 to 2024, while all Medicaid billing categories collectively saw a 13.1% shift in the city during that time.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses totaled approximately $871.7 billion in fiscal 2023, claiming about 18% of total U.S. health spending, and rising sharply from around $613.5 billion in 2019 before the COVID-19 pandemic.

This increase marks a roughly 40% rise in just a few years, largely attributed to greater enrollment and use of services during and after the pandemic.

Recent legislative action at the federal level under the Trump administration brought forward major proposals that reduce funding and introduce Medicaid program changes. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by over $1 trillion within the decade and includes measures like work requirements and higher cost-sharing, potentially diminishing both coverage and dollars available to some recipients. These changes are set to push more expenses onto states and may restrict federal Medicaid funding growth despite the increasing number of Americans relying on the program.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Coventry, Rhode Island Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $306,447 -51%
2021 $165,470 -46%
2022 $152,232 -8%
2023 $105,252 -30.9%
2024 $152,265 44.7%
Top Categories by Medicaid Payments in Coventry, Rhode Island, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,741,482 73.4%
2 Evaluation and Management $202,417 8.5%
3 Temporary National Codes (Non-Medicare) $152,265 6.4%
4 Medicine Services and Procedures $145,243 6.1%
5 Ambulance and Other Transport Services and Supplies $53,647 2.3%
6 Pathology and Laboratory Procedures $30,779 1.3%
7 Dental Services $26,059 1.1%
8 Alcohol and Drug Abuse Treatment $19,172 0.8%
9 Surgery $1,023 <0.1%
10 Radiology Procedures $659 <0.1%
11 Vision Services $450 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Coventry, Rhode Island, 2024

HCPCS Code Description Medicaid Payments Claims
S5125 Attendant care service /15m $152,265 11

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.



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