Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Manchester Medicaid providers billed $15,143,954 for services under the Temporary National Codes (Non-Medicare) category in 2024. This represents a 46.2% jump from 2023, when claims for this category totaled $10,361,178.
Medicaid, a public insurance program operated by states with federal and state funding combined, covers individuals and families with low income, seniors, children, and people with disabilities, constituting a significant part of the U.S. health care structure.
Given that Medicaid payments come from taxpayers, shifts in billing trends help illustrate how public health resources are distributed in each community.
The “Temporary National Codes (Non-Medicare)” designation groups Medicaid-billed services by care type according to established HCPCS and CPT coding conventions. For this report, each code was matched to a single service group based on code prefixes and numeric sets, allowing for better tracking of category trends without double counting and preserving annual comparisons.
Temporary National Codes (Non-Medicare) was Manchester’s third highest Medicaid payment category in 2024, a pattern seen across several Medicaid service types in the city.
Statewide in New Hampshire, Temporary National Codes (Non-Medicare) also ranked third by total Medicaid payments for 2024.
In the five years before 2024, Manchester’s Medicaid payments for Temporary National Codes (Non-Medicare) increased $6,088,810, a 67.2% rise. The pace of growth varied, with sharp annual increases noted in both 2022 and 2023.
Payments for this care category were distributed across Manchester, but the largest sums came from a handful of ZIP codes. In 2024, the most significant ZIP codes were 03103 with $8,866,766, 03104 with $2,662,548, and 03101 with $1,800,426, making up 88% of Manchester’s Medicaid payments related to this category for the year.
Within the Temporary National Codes (Non-Medicare) category, most Medicaid payments were reported in a small set of individual billing codes.
While Medicaid payments for the Temporary National Codes (Non-Medicare) group in Manchester climbed 46.2% between 2024 and 2023, the overall increase across all Medicaid claim types in the city was 16.4% over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached nearly $871.7 billion in the 2023 fiscal year, accounting for 18% of U.S. health expenditures, up from $613.5 billion in 2019, before the COVID-19 pandemic.
This rise amounts to an increase of roughly 40% over several years, largely due to greater enrollment and higher service utilization during and after the pandemic.
Recent federal budget measures backed by the Trump administration have featured major plans to cut federal Medicaid assistance and alter the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to slash federal Medicaid support by more than $1 trillion over ten years and brings in new policies, such as work mandates and higher costs for beneficiaries, which may reduce benefits and shift larger portions of costs onto states as overall federal support moderates, even as coverage continues for millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $9,055,143 | -12.9% |
| 2021 | $8,176,022 | -9.7% |
| 2022 | $9,506,429 | 16.3% |
| 2023 | $10,361,178 | 9% |
| 2024 | $15,143,954 | 46.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $137,355,670 | 66.3% |
| 2 | Alcohol and Drug Abuse Treatment | $27,049,253 | 13.1% |
| 3 | Temporary National Codes (Non-Medicare) | $15,143,954 | 7.3% |
| 4 | Procedures / Professional Services | $9,587,075 | 4.6% |
| 5 | Medicine Services and Procedures | $6,093,697 | 2.9% |
| 6 | Evaluation and Management | $5,881,988 | 2.8% |
| 7 | Enteral and Parenteral Therapy | $1,428,705 | 0.7% |
| 8 | Pathology and Laboratory Procedures | $1,291,932 | 0.6% |
| 9 | Dental Services | $964,416 | 0.5% |
| 10 | Durable Medical Equipment | $762,004 | 0.4% |
| 11 | Radiology Procedures | $410,299 | 0.2% |
| 12 | Medical And Surgical Supplies | $351,492 | 0.2% |
| 13 | Orthotic Procedures and services | $344,136 | 0.2% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $216,185 | 0.1% |
| 15 | Vision Services | $116,641 | 0.1% |
| 16 | Surgery | $81,156 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $20,854 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $20,494 | <0.1% |
| 19 | Temporary Codes | $4,173 | <0.1% |
| 20 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9123 | Nursing care in home rn | $5,691,090 | 34 |
| S5140 | Adult foster care per diem | $3,495,484 | 22 |
| S9124 | Nursing care, in the home; b | $3,418,931 | 33 |
| S9485 | Crisis intervention mental h | $1,635,667 | 11 |
| S5130 | Homaker service nos per 15m | $486,712 | 12 |
| S5102 | Adult day care per diem | $188,190 | 11 |
| S5165 | Home modifications per serv | $119,154 | 1 |
| S9484 | Crisis intervention per hour | $104,898 | 12 |
| S9451 | Exercise class | $3,823 | 1 |
Note: HCPCS codes are included to illustrate the category context. Totals and category rankings are based on grouped services, not on individual codes.
Data for this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.
