In 2024, Medicaid providers in Panama City billed $3,164,515 for Temporary National Codes (Non-Medicare) services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represented a 1.7% increase compared to 2023, during which providers billed $3,111,009 for the same service category.
Medicaid is a state-run public health insurance program funded jointly by federal and state governments. The program provides coverage for low-income families and individuals, seniors, children, and people with disabilities, and remains one of the largest segments of the U.S. health care system.
Shifts in local billing reflect changes in how taxpayer-funded Medicaid resources are spent in a community.
The “Temporary National Codes (Non-Medicare)” designation covers a group of Medicaid-billed services organized by the type of care, using standardized HCPCS and CPT code criteria. For this analysis, service categories were assigned based on code prefixes and ranges, grouping similar services for review while ensuring no double counting and maintaining consistent rankings over time.
Temporary National Codes (Non-Medicare) was the third highest Medicaid payment category in Panama City in 2024 despite broader increases among multiple service types.
Statewide in Florida, Temporary National Codes (Non-Medicare) ranked first among Medicaid payment categories in 2024.
From 2019 through 2024, Medicaid spending on Temporary National Codes (Non-Medicare) in Panama City rose by $2,862,333, or 947.2%. Periods of rapid growth were recorded, including significant year-over-year increases in both 2023 and 2022.
Within Panama City, Medicaid payments for Temporary National Codes (Non-Medicare) were mainly concentrated in a few ZIP codes. In 2024, ZIP code 32401 accounted for $2,953,507, and 32405 totaled $211,007. Together, these ZIP codes constituted 100% of Medicaid payments in this category for the city that year.
Medicaid reimbursement in this service group was also limited to a small selection of billing codes.
Between 2023 and 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Panama City increased by 1.7%, while payments across all city Medicaid categories changed by 36.3% during the same span.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending was about $871.7 billion nationwide in fiscal year 2023, making up roughly 18% of all health expenditures in the U.S., a notable increase from about $613.5 billion in 2019, before the COVID-19 pandemic.
This 40% growth over several years was primarily driven by higher enrollment and increased use following the pandemic period.
Recent federal policy passed during the Trump administration includes large-scale efforts to reduce federal Medicaid spending and modify the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, calls for more than $1 trillion in federal Medicaid cuts over the next decade and enacts requirements like work and higher cost-sharing that could reduce coverage for some recipients. Such measures are expected to shift additional responsibility to states and slow the growth of federal Medicaid support, even as coverage extends to many Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $302,182 | -42.4% |
| 2021 | $271,489 | -10.2% |
| 2022 | $894,389 | 229.4% |
| 2023 | $3,111,009 | 247.8% |
| 2024 | $3,164,514 | 1.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $7,391,225 | 39% |
| 2 | Alcohol and Drug Abuse Treatment | $3,318,112 | 17.5% |
| 3 | Temporary National Codes (Non-Medicare) | $3,164,514 | 16.7% |
| 4 | National Codes Established for State Medicaid Agencies | $1,693,400 | 8.9% |
| 5 | Medicine Services and Procedures | $1,370,855 | 7.2% |
| 6 | Anesthesia | $636,716 | 3.4% |
| 7 | Dental Services | $604,575 | 3.2% |
| 8 | Pathology and Laboratory Procedures | $359,735 | 1.9% |
| 9 | Surgery | $203,234 | 1.1% |
| 10 | Durable Medical Equipment | $120,225 | 0.6% |
| 11 | Radiology Procedures | $59,847 | 0.3% |
| 12 | Medical And Surgical Supplies | $18,822 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $13,052 | 0.1% |
| 14 | Enteral and Parenteral Therapy | $8,118 | <0.1% |
| 15 | Procedures / Professional Services | $6,313 | <0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,421 | <0.1% |
| 17 | Coronavirus Diagnostic Panel | $1,661 | <0.1% |
| 18 | Vision Services | $353 | <0.1% |
| 19 | Ambulance and Other Transport Services and Supplies | $107 | <0.1% |
| 20 | Temporary Codes | $71 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9124 | Nursing care, in the home; b | $2,933,731 | 12 |
| S5130 | Homaker service nos per 15m | $207,508 | 21 |
| S9480 | Intensive outpatient psychia | $23,275 | 4 |
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.



