Medicaid providers in Prescott Valley submitted $8,667,243 in claims for Temporary National Codes (Non-Medicare) services in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 26.5% increase over 2023, when $6,851,673 was billed in the same service category.
Medicaid operates as a public health insurance program managed by state governments and financed by both federal and state funds. The program serves low-income people, seniors, children and those with disabilities, forming a significant part of the U.S. health system.
With Medicaid funded by taxpayers, local changes in billing levels demonstrate how public health care resources are used within the community.
The Temporary National Codes (Non-Medicare) category consists of a set of Medicaid-billed services distinguished by standardized HCPCS and CPT code classifications. Each billing code was assigned to a single service group for this report, using defined code prefixes and ranges, to allow for accurate category tracking and to prevent duplication in calculations.
Among various Medicaid service types, Temporary National Codes (Non-Medicare) placed second in Prescott Valley for total Medicaid payments in 2024.
Statewide in Arizona, Temporary National Codes (Non-Medicare) also ranked as the second highest Medicaid payment category in 2024.
Over the five years through 2024, Medicaid payments associated with Temporary National Codes (Non-Medicare) in Prescott Valley grew by $3,719,786, or 30%. Periods of especially rapid growth were seen in 2020 and 2021, with marked annual spending increases.
Spending for care in the Temporary National Codes (Non-Medicare) category was seen across Prescott Valley, though payment amounts were heavily concentrated within a small group of ZIP codes. In 2024, ZIP code 86314 accounted for $8,667,242 in Medicaid payments for these services—making up 100% of the city’s total for the category that year.
Most Medicaid payments within the Temporary National Codes (Non-Medicare) category were concentrated in a select group of individual billing codes.
To compare, Medicaid payments linked to the Temporary National Codes (Non-Medicare) category in Prescott Valley increased by 26.5% between 2024 and 2023, whereas citywide Medicaid claims across all categories rose by 4.9% during the same timeframe.
The Centers for Medicare & Medicaid Services report that combined state and federal Medicaid outlays reached about $871.7 billion in fiscal 2023, representing around 18% of all U.S. health care spending—a jump from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth equates to an approximate 40% increase over just a few years, largely attributed to expanded enrollment and greater utilization in and after the pandemic.
Legislation passed under the Trump administration has introduced significant moves to decrease federal Medicaid contributions and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is slated to cut federal Medicaid funding by more than $1 trillion over 10 years and includes rules such as work requirements and higher cost-sharing—policies that could reduce coverage for certain recipients. These adjustments are expected to transfer greater Medicaid costs to states and restrict the increase of federal Medicaid funding, even as enrollment remains high.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $12,387,028 | 10.1% |
| 2021 | $12,933,948 | 4.4% |
| 2022 | $7,518,905 | -41.9% |
| 2023 | $6,851,672 | -8.9% |
| 2024 | $8,667,242 | 26.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $15,915,037 | 40.7% |
| 2 | Temporary National Codes (Non-Medicare) | $8,667,242 | 22.1% |
| 3 | National Codes Established for State Medicaid Agencies | $6,108,013 | 15.6% |
| 4 | Ambulance and Other Transport Services and Supplies | $3,834,118 | 9.8% |
| 5 | Evaluation and Management | $1,988,548 | 5.1% |
| 6 | Medicine Services and Procedures | $1,458,409 | 3.7% |
| 7 | Dental Services | $604,526 | 1.5% |
| 8 | Drugs Administered Other than Oral Method | $380,848 | 1% |
| 9 | Pathology and Laboratory Procedures | $109,992 | 0.3% |
| 10 | Durable Medical Equipment | $47,763 | 0.1% |
| 11 | Medical And Surgical Supplies | $23,402 | 0.1% |
| 12 | Surgery | $737 | <0.1% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $428 | <0.1% |
| 14 | Enteral and Parenteral Therapy | $222 | <0.1% |
| 15 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $3,445,772 | 25 |
| S9480 | Intensive outpatient psychia | $2,170,164 | 13 |
| S9485 | Crisis intervention mental h | $775,095 | 12 |
| S5150 | Unskilled respite care /15m | $661,145 | 24 |
| S5110 | Family homecare training 15m | $631,120 | 24 |
| S0215 | Nonemerg transp mileage | $499,549 | 46 |
| S5151 | Unskilled respitecare /diem | $255,885 | 12 |
| S5135 | Adult companioncare per 15m | $84,392 | 12 |
| S9484 | Crisis intervention per hour | $74,931 | 10 |
| S5102 | Adult day care per diem | $69,186 | 9 |
| S0209 | Wc van mileage per mi | $0 | 3 |
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.
