Bedford Medicaid payments for Temporary National Codes (Non-Medicare) reach $4,880,124 in 2024

Bedford Medicaid providers submitted $4,880,124 in claims for services under the Temporary National Codes (Non-Medicare) category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 6.9% increase over 2023, when claims for the same service type reached $4,563,492.

Medicaid, a public health insurance program coordinated by states and jointly funded by federal and state governments, covers low-income individuals and families, seniors, children, and those with disabilities. It remains a major element of the U.S. health system.

Since Medicaid expenditures are supported by taxpayers, shifts in billing levels demonstrate how public funding for health care is distributed throughout a community.

The “Temporary National Codes (Non-Medicare)” category encompasses various Medicaid-billed services defined by care type, organized through standardized HCPCS and CPT code groups. This analysis classifies each billing code into a specific service category using consistent code prefixes and numeric ranges to allow for a focused look at service trends, avoiding duplicate counting and ensuring accurate rankings over multiple years.

Temporary National Codes (Non-Medicare) held the top position in Bedford’s Medicaid payments by category in 2024, even as spending increased across multiple service types.

Statewide in New Hampshire, Temporary National Codes (Non-Medicare) was third for total Medicaid payments in 2024.

Over the five years ending in 2024, Bedford’s Medicaid payments for Temporary National Codes (Non-Medicare) grew by $4,766,338, or 4,188.9%. Notable jumps in payments appeared particularly during 2022 and 2023.

While these Medicaid payments extended across Bedford, the funds were concentrated within a small number of ZIP codes in 2024. The largest, 03110, accounted for $4,880,124. Combined, top ZIP codes represented 100% of the city’s Medicaid payments for this service category during the year.

Individual billing codes within the Temporary National Codes (Non-Medicare) category also received the majority of those Medicaid payments.

When looking at 2024 versus 2023, Bedford saw a 6.9% rise in Medicaid payments for the Temporary National Codes (Non-Medicare), compared to a 31.1% overall increase for all Medicaid claim categories citywide during this period.

According to the Centers for Medicare & Medicaid Services, combined state and federal spending on Medicaid was around $871.7 billion in fiscal 2023, making up about 18% of national health expenses. This was a sharp rise from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This increase reflects about 40% growth over a few years, mainly driven by higher enrollment and usage during and after the pandemic period.

Recent federal budget laws advanced during the Trump administration brought forward major proposals to reduce federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is on track to cut more than $1 trillion in federal Medicaid funds over 10 years and introduces new policies including work requirements and larger cost-sharing, which could impact coverage and financial support for beneficiaries. The resulting cost shifts are expected to place more responsibility on states and potentially limit the growth of federal Medicaid assistance, even as the program serves millions nationwide.

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.