In 2024, Medicaid providers in Roundup submitted $4,225 in claims for Temporary National Codes (Non-Medicare) services, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 13.7% increase compared to 2023, when $3,715 in claims were filed for these services.
Medicaid, a public health insurance program overseen by the states with joint federal and state funding, serves low-income individuals and families, seniors, children, and those with disabilities. It is one of the largest segments of the U.S. health care system. More information about Medicaid’s funding is available from the Commonwealth Fund.
Because taxpayer funds support Medicaid payments, shifts in local billing levels indicate how health care dollars are distributed in Roundup’s community.
The “Temporary National Codes (Non-Medicare)” designation includes various Medicaid-billed services grouped according to the type of care and identified by standardized HCPCS and CPT codes. For this analysis, each billing code was assigned to a single service category based on code prefixes and numeric patterns, which allowed related services to be grouped together without duplication and ensured accurate category rankings.
Temporary National Codes (Non-Medicare) placed fifth among Medicaid service categories in Roundup in 2024, based on total payment amounts.
Across Montana, Temporary National Codes (Non-Medicare) ranked first by total Medicaid payments for 2024.
Between 2020 and 2024, Medicaid payments for Temporary National Codes (Non-Medicare) services in Roundup climbed by $4,225, showing 0% growth overall. Periods of accelerated growth were observed, especially with notable increases in both 2023 and 2022.
While these Medicaid payments for Temporary National Codes (Non-Medicare) services were dispersed throughout Roundup, they were primarily concentrated within a small set of ZIP codes. In 2024, ZIP code 59072 accounted for all $4,225 in Medicaid spending in this service category, representing 100% of local payments during the year.
Most Medicaid payments for Temporary National Codes (Non-Medicare) were allocated to a small group of specific billing codes.
Comparing categories, Medicaid payments for Temporary National Codes (Non-Medicare) in Roundup grew by 13.7% between 2024 and 2023, while all Medicaid claim categories in the area saw a 42.6% change in the same period.
Centers for Medicare & Medicaid Services data show that total Medicaid spending by federal and state governments reached about $871.7 billion in fiscal year 2023, making up an estimated 18% of all U.S. health expenditures. This marks a considerable increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth represents roughly a 40% jump over several years, largely due to expanded Medicaid enrollment and increased service utilization during and after the pandemic period.
Recent federal budget laws under the Trump administration have contained major proposals aimed at reducing Medicaid funding and modifying program operations. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and brings new policies such as work requirements and higher cost-sharing. These measures could limit Medicaid coverage and funding for some participants and would likely transfer more of the financial responsibility to the states, even as the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $3,715 | – |
| 2024 | $4,225 | 13.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $285,639 | 9<0.1% |
| 2 | Ambulance and Other Transport Services and Supplies | $14,587 | 4.6% |
| 3 | Evaluation and Management | $6,308 | 2% |
| 4 | Dental Services | $4,492 | 1.4% |
| 5 | Temporary National Codes (Non-Medicare) | $4,225 | 1.3% |
| 6 | Pathology and Laboratory Procedures | $1,793 | 0.6% |
| 7 | Surgery | $159 | 0.1% |
| 8 | Drugs Administered Other than Oral Method | $90 | <0.1% |
| 9 | Medicine Services and Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5126 | Attendant care service /diem | $4,225 | 2 |
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.
