Prestonsburg’s Medicaid providers submitted $17,545,957 in claims for services identified 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 shows. That amount represents a 48.2% increase from 2023, when $11,842,682 in claims for these services were recorded.
Medicaid, one of the nation’s largest health care programs, is administered by states with joint federal and state funding and provides coverage to low-income residents, families, seniors, children and individuals with disabilities. More information is available from the Commonwealth Fund.
Because taxpayer dollars fund Medicaid, shifts in local billing activity offer insight into how health care funds are being spent within each community.
The “Temporary National Codes (Non-Medicare)” category includes a set of Medicaid-billed services arranged by type of care using standardized HCPCS and CPT code ranges. For reporting purposes, each billing code was grouped into a single service category based on consistent prefixes and numbers, allowing for combined service analysis and accurate tracking over time.
While Medicaid spending climbed in several categories, Temporary National Codes (Non-Medicare) was the third-largest category in Prestonsburg by total Medicaid payments in 2024.
Statewide, Temporary National Codes (Non-Medicare) ranked as the fifth-largest Medicaid payment category in Kentucky for 2024.
In the five years before 2024, Prestonsburg saw Medicaid payments for Temporary National Codes (Non-Medicare) services grow by $14,012,337, a 396.5% increase. Some years, particularly 2022 and 2023, saw steeper year-over-year rises.
Although these Medicaid payments were made citywide, most were concentrated in a small number of ZIP codes. In 2024, ZIP code 41653 accounted for $17,545,956 in Medicaid payments related to Temporary National Codes (Non-Medicare), representing 100% of such payments in Prestonsburg that year.
Within this category, Medicaid billing was focused on a small number of individual HCPCS codes.
Comparing categories, Prestonsburg’s Medicaid payments for Temporary National Codes (Non-Medicare) rose 48.2% between 2024 and 2023, while overall Medicaid claims across categories in the city grew by 7.9% in the same timeframe.
The Centers for Medicare & Medicaid Services reports that federal and state Medicaid spending combined reached about $871.7 billion in fiscal 2023, nearly 18% of the nation’s health expenditures and substantially higher than the roughly $613.5 billion spent in 2019, before the COVID-19 pandemic.
This increase amounts to about 40% over a short span, attributed to both higher enrollment and increased health care utilization during and after the pandemic period.
Federal budget legislation during the Trump administration included significant proposals reshaping Medicaid funding. The “One Big Beautiful Bill Act,” signed in 2025, is set to reduce federal Medicaid funding by more than $1 trillion over 10 years and implement new requirements, including work mandates and increased cost-sharing, which could affect coverage and funding for some enrollees. These policy changes are expected to shift costs to states and limit federal Medicaid growth, even as tens of millions of Americans rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,533,620 | 2.8% |
| 2021 | $3,984,456 | 12.8% |
| 2022 | $9,094,633 | 128.3% |
| 2023 | $11,842,682 | 30.2% |
| 2024 | $17,545,956 | 48.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $23,629,023 | 27.3% |
| 2 | Medicine Services and Procedures | $19,417,103 | 22.4% |
| 3 | Temporary National Codes (Non-Medicare) | $17,545,956 | 20.3% |
| 4 | National Codes Established for State Medicaid Agencies | $15,105,017 | 17.5% |
| 5 | Evaluation and Management | $5,906,886 | 6.8% |
| 6 | Radiology Procedures | $1,866,493 | 2.2% |
| 7 | Pathology and Laboratory Procedures | $974,856 | 1.1% |
| 8 | Surgery | $900,915 | 1% |
| 9 | Ambulance and Other Transport Services and Supplies | $503,251 | 0.6% |
| 10 | Durable Medical Equipment | $285,675 | 0.3% |
| 11 | Procedures / Professional Services | $220,680 | 0.3% |
| 12 | Temporary Codes | $54,303 | 0.1% |
| 13 | Medical And Surgical Supplies | $37,335 | <0.1% |
| 14 | Coronavirus Diagnostic Panel | $24,807 | <0.1% |
| 15 | Orthotic Procedures and services | $19,769 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $19,229 | <0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $13,189 | <0.1% |
| 18 | Outpatient PPS | $7,773 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $5,866 | <0.1% |
| 20 | Vision Services | $958 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5108 | Homecare train pt 15 min | $16,962,038 | 12 |
| S9485 | Crisis intervention mental h | $583,918 | 24 |
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.