Salem Medicaid payments for Temporary National Codes (Non-Medicare) services hit $2,570,788 in 2024

In 2024, Medicaid providers in Salem received $2,570,788 in payments for services under the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 16.8% increase over 2023, when payments for these services totaled $2,200,094.

Medicaid is operated by individual states and is jointly funded by federal and state governments. The program provides health coverage for low-income people and families, children, seniors, and individuals with disabilities, making it a major component of the U.S. health care system.

Because Medicaid is publicly funded, fluctuations in billing totals indicate how taxpayer money is distributed within a community’s health care system.

The Temporary National Codes (Non-Medicare) group includes services billed through Medicaid that are defined by the care type, categorized by standardized HCPCS and CPT codes. This analysis assigned each billing code to a specific service group using uniform prefixes and numerical ranges, so similar services could be tracked together. This method also avoids double-counting and maintains accurate trends over time.

Although there was growth across multiple categories, Temporary National Codes (Non-Medicare) ranked as the third-highest Medicaid payment category in Salem in 2024.

Statewide in New Hampshire, Temporary National Codes (Non-Medicare) also held third place for Medicaid payments in 2024.

Between 2019 and 2024, Salem saw Medicaid payments in the Temporary National Codes (Non-Medicare) category increase by $2,570,788, remaining essentially unchanged at 0%. Still, certain periods experienced faster spending growth, with notable rises in both 2023 and 2022.

Spending within this category, while city-wide, was heavily concentrated in a few ZIP codes. For 2024, ZIP code 03079 accounted for $2,570,787—essentially all Medicaid payments in this category for Salem that year.

A small group of billing codes made up the majority of Medicaid payments in the Temporary National Codes (Non-Medicare) category.

Comparatively, Medicaid payments for Temporary National Codes (Non-Medicare) in Salem rose 16.8% from 2023 to 2024, while overall Medicaid claims for all service categories in the city increased by 11.4% during the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up around 18% of total national health care spending, which grew sharply from roughly $613.5 billion in 2019 before the COVID-19 pandemic.

This rise marks about 40% growth in just a few years, much of it due to greater enrollment and use of services during and following the pandemic.

Recent federal budget changes under the Trump administration have featured significant efforts to reduce Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion from federal Medicaid funding in the coming decade, introducing requirements such as work mandates and higher cost-sharing that may reduce coverage or funding for some enrollees. These policy shifts are likely to place greater financial responsibility on states and limit future federal Medicaid support, while the program continues to cover 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.