In 2024, Medicaid providers in Arlington submitted $138,664,202 in claims for services grouped under Temporary National Codes (Non-Medicare), the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This is a 5.3% increase from 2023, when the total billed for the same service category was $131,738,247.
Medicaid operates as a public insurance initiative managed by states with funding shared between federal and state governments. The program offers health coverage to individuals and families with low incomes, seniors, children, and those with disabilities, ranking as one of the most significant components of the U.S. health care system.
Because Medicaid is taxpayer-funded, local spending patterns highlight how community health care resources are distributed.
The “Temporary National Codes (Non-Medicare)” category includes Medicaid services grouped by type of care, standardized by HCPCS and CPT code ranges. For this report, each code was assigned to a service group using uniform code prefixes and numerical designations. This method keeps related services together to avoid duplicate counting and maintain historically accurate rankings.
Temporary National Codes (Non-Medicare) represented the highest Medicaid spending among all service groups in Arlington during 2024, outpacing other categories.
Statewide, the Temporary National Codes (Non-Medicare) category also placed first for total Medicaid payments in Texas for 2024.
Between 2019 and 2024, Arlington saw payments linked to Temporary National Codes (Non-Medicare) climb by $98,504,525, marking a 245.3% jump. Notably, the most significant year-over-year growth rates were recorded in 2020 and 2021.
Spending for Temporary National Codes (Non-Medicare) services was dispersed throughout Arlington, but three ZIP codes accounted for the bulk of payments. In 2024, ZIP code 76006 recorded $63,327,380, ZIP code 76015 reached $17,634,576, and ZIP code 76010 had $17,144,571. These 3 areas made up 70.8% of all Medicaid payments for the category in Arlington that year.
Within this service group, most Medicaid dollars were focused on a handful of individual HCPCS codes.
From 2023 to 2024, Arlington’s Medicaid payments for Temporary National Codes (Non-Medicare) rose by 5.3%, while spending for all claim types in the city increased by 2.6% during the same time.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, accounting for about 18% of total U.S. health costs, up substantially from around $613.5 billion in 2019 before the COVID-19 pandemic.
This amounts to about 40% growth in just a few years, pushed by higher enrollment and increased service use during and after the COVID-19 period.
Major federal budget measures under the Trump administration have brought forward large-scale changes to Medicaid funding and structure. The “One Big Beautiful Bill Act,” which became law in 2025, is estimated to reduce federal Medicaid outlays by over $1 trillion in the next 10 years and introduces policies such as work requirements and higher cost-sharing, changes that could impact coverage and funding for certain recipients. More costs could shift to states, with federal funding growth limited, as Medicaid remains central to millions of Americans’ health coverage.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $40,159,677 | 223.1% |
| 2021 | $117,490,134 | 192.6% |
| 2022 | $130,800,348 | 11.3% |
| 2023 | $131,738,246 | 0.7% |
| 2024 | $138,664,202 | 5.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $138,664,202 | 63.9% |
| 2 | National Codes Established for State Medicaid Agencies | $26,526,574 | 12.2% |
| 3 | Alcohol and Drug Abuse Treatment | $20,970,788 | 9.7% |
| 4 | Evaluation and Management | $12,440,778 | 5.7% |
| 5 | Medicine Services and Procedures | $7,185,946 | 3.3% |
| 6 | Ambulance and Other Transport Services and Supplies | $4,084,013 | 1.9% |
| 7 | Dental Services | $2,525,706 | 1.2% |
| 8 | Pathology and Laboratory Procedures | $1,416,395 | 0.7% |
| 9 | Durable Medical Equipment | $891,952 | 0.4% |
| 10 | Radiology Procedures | $786,053 | 0.4% |
| 11 | Surgery | $428,905 | 0.2% |
| 12 | Procedures / Professional Services | $376,449 | 0.2% |
| 13 | Miscellaneous Medical Services | $331,716 | 0.2% |
| 14 | Medical And Surgical Supplies | $170,687 | 0.1% |
| 15 | Anesthesia | $141,430 | 0.1% |
| 16 | Vision Services | $91,286 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $9,779 | <0.1% |
| 18 | Temporary Codes | $6,420 | <0.1% |
| 19 | Coronavirus Diagnostic Panel | $1,525 | <0.1% |
| 20 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 20 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $137,263,960 | 433 |
| S9125 | Respite care, in the home, p | $738,168 | 12 |
| S9123 | Nursing care in home rn | $323,735 | 12 |
| S5101 | Adult day care per half day | $136,720 | 9 |
| S9480 | Intensive outpatient psychia | $122,741 | 9 |
| S9083 | Urgent care center global | $49,680 | 11 |
| S9152 | Speech therapy, re-eval | $28,224 | 13 |
| S9441 | Asthma education | $971 | 4 |
| S9088 | Services provided in urgent | $0 | 1 |
| S3620 | Newborn metabolic screening | $0 | 4 |
| S9451 | Exercise class | $0 | 6 |
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.
