Sterling Medicaid providers billed $4,166,835 for services in the Temporary National Codes (Non-Medicare) category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 16% rise over 2023, when claims for the same category totaled $3,593,437.
Medicaid is a publicly funded health insurance program operated by states and supported by both federal and state governments. It offers coverage to low-income people and families, seniors, children, and individuals with disabilities, making it a major component of the U.S. health system.
As Medicaid relies on taxpayer support, local variations in billing levels indicate how health care resources are distributed within a community.
The “Temporary National Codes (Non-Medicare)” group includes a defined set of Medicaid services based on standardized HCPCS and CPT code families. In this analysis, billing codes were placed in single service categories using consistent prefixes and number ranges, helping to group related services for comparison, while avoiding overlap and maintaining accurate rankings over time.
Spending increased in several Medicaid service groups, with Temporary National Codes (Non-Medicare) coming in second by total Medicaid payments in Sterling for 2024.
Statewide, this category ranked fifth in Virginia based on total Medicaid payments for the year.
Between 2019 and 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) category in Sterling rose by $1,894,945, an 83.4% increase. The pace of growth was higher in specific years, with significant increases noted in 2023 and 2022.
Medicaid billing for these services in 2024 was not evenly spread, with the largest payments coming from just a few ZIP codes. ZIP code 20165 accounted for $2,624,992 and 20166 for $1,541,841, together making up 100% of the Medicaid payments in this category for Sterling.
The distribution of Medicaid payments was also concentrated among relatively few billing codes in the Temporary National Codes (Non-Medicare) group.
From 2023 to 2024, Sterling’s Medicaid payments in this category increased 16%, while all Medicaid claim categories in the city combined rose 38.4% over the same period.
Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid spending reached around $871.7 billion in fiscal 2023, representing about 18% of all U.S. health expenditures and up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents growth of approximately 40% over several years, largely driven by more enrollees and higher usage related to and following the pandemic.
Recent federal budget measures introduced under the Trump administration include notable proposals to cut federal Medicaid funding and change how the program works. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and add policies such as work requirements and increased cost-sharing that could impact coverage and funding for certain recipients. These changes are projected to shift additional costs to states and slow the federal program’s funding growth while it continues to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,271,889 | 3.4% |
| 2021 | $2,431,144 | 7% |
| 2022 | $2,888,263 | 18.8% |
| 2023 | $3,593,436 | 24.4% |
| 2024 | $4,166,834 | 16% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $30,325,166 | 77.1% |
| 2 | Temporary National Codes (Non-Medicare) | $4,166,834 | 10.6% |
| 3 | Alcohol and Drug Abuse Treatment | $2,831,128 | 7.2% |
| 4 | Medicine Services and Procedures | $1,101,818 | 2.8% |
| 5 | Evaluation and Management | $763,453 | 1.9% |
| 6 | Pathology and Laboratory Procedures | $126,944 | 0.3% |
| 7 | Vision Services | $10,776 | <0.1% |
| 8 | Ambulance and Other Transport Services and Supplies | $9,822 | <0.1% |
| 9 | Radiology Procedures | $4,251 | <0.1% |
| 10 | Procedures / Professional Services | $2,935 | <0.1% |
| 11 | Surgery | $18 | <0.1% |
| 12 | Dental Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9124 | Nursing care, in the home; b | $3,921,890 | 19 |
| S9123 | Nursing care in home rn | $225,714 | 1 |
| S9485 | Crisis intervention mental h | $19,229 | 2 |
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.
