Alvin Medicaid spending for Temporary National Codes (Non-Medicare) tops $4 million in 2024

In 2024, Medicaid providers in Alvin billed $4,011,836 for services categorized as Temporary National Codes (Non-Medicare), based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 4.6% from the prior year, when providers submitted $3,834,161 in claims for the same set of services.

Medicaid, which is jointly administered by state and federal governments, provides health coverage to low-income individuals and families, children, seniors, and people with disabilities, making it a major component of the U.S. health care system. More information on Medicaid funding is available here.

Because Medicaid is funded through taxpayer dollars, fluctuations in local billing highlight the ways public health care resources are distributed within the community.

The “Temporary National Codes (Non-Medicare)” label covers a set of Medicaid-billed services grouped by care type, identified by standard HCPCS and CPT code ranges. For this report, each billing code was matched to a single service category using code prefixes and numeric ranges, enabling grouped analysis without duplication and ensuring consistent year-to-year comparisons.

While Medicaid expenditures increased in several service categories, Temporary National Codes (Non-Medicare) was the third largest category by Medicaid payments in Alvin for 2024.

Across Texas, the Temporary National Codes (Non-Medicare) category recorded the highest total Medicaid payments statewide for 2024.

During the five years before 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Alvin rose by $2,396,096, amounting to a 148.3% jump. Certain years, including 2021 and 2020, saw especially strong growth.

Payments for services in the Temporary National Codes (Non-Medicare) category were spread throughout Alvin, yet mostly concentrated in a few ZIP codes. In 2024, ZIP code 77511 accounted for $4,011,835 in Medicaid payments under this category, making up 100% of the total for Alvin that year.

Within the category, Medicaid payments focused on a small group of individual billing codes.

For context, Medicaid payments connected to Temporary National Codes (Non-Medicare) services in Alvin increased by 4.6% from 2023 to 2024, while all Medicaid claim categories in the city grew by 6.5% in the same timeframe.

The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid spending hit roughly $871.7 billion in fiscal year 2023, accounting for about 18% of overall national health costs, up substantially from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The roughly 40% increase over a few years was driven primarily by greater enrollment and increased utilization during and following the pandemic.

Major federal budget measures during the Trump administration have included proposals to scale back federal Medicaid funding and make structural changes to the program. The “One Big Beautiful Bill Act,”, enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next ten years and introduces policy measures such as work requirements and higher cost-sharing that could limit coverage and federal funding for certain beneficiaries. These policies are likely to increase states’ financial responsibilities and cap the growth of federal Medicaid allocations, even as the program remains vital to millions of Americans.

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.