Gilbert Medicaid providers submitted $15,301,915 in claims for Temporary National Codes (Non-Medicare) services in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented a 3.4% increase over 2023, when relevant claims totaled $14,796,628 for this service category.
Administered by states with joint federal and state funding, Medicaid insures low-income people, families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system. Learn more at the Commonwealth Fund.
Because Medicaid dollars come from public funds, local trends in billing illustrate how health care funding is distributed in the community.
The “Temporary National Codes (Non-Medicare)” category covers a range of Medicaid service billings defined by service type, drawing on consistent code groupings based on HCPCS and CPT prefixes and numeric spans. Codes were sorted according to this assignment to ensure accuracy, avoid overlap, and maintain valid category rankings over time.
While other Medicaid service categories also saw increases, Temporary National Codes (Non-Medicare) was the second-largest by payments in Gilbert in 2024.
At the state level in Arizona, Temporary National Codes (Non-Medicare) also ranked second by total Medicaid payments in 2024.
From five years before 2024, Medicaid payments for this category in Gilbert increased by $6,413,784, or 72.2%. There were significant increases year-to-year in both 2023 and 2022.
Though the funds for these services were distributed citywide, most payments were concentrated in several ZIP codes. In 2024, the highest amounts were found in 85234 (totaling $10,347,662), 85233 ($2,417,787), and 85296 ($1,273,323). Collectively, these 3 ZIP codes made up 91.7% of all Medicaid spending on Temporary National Codes (Non-Medicare) in Gilbert during 2024.
A small set of specific billing codes accounted for most Medicaid payments in the Temporary National Codes (Non-Medicare) category.
For context, the 3.4% increase for this category between 2024 and 2023 was much less than the 28.6% rise recorded across all Medicaid claim categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023. That accounted for approximately 18% of all U.S. health care spending, up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.
This change represents close to 40% growth in just a few years, largely attributable to higher enrollment and greater use during and following the pandemic.
Recent federal budget laws enacted under the Trump administration included significant changes to Medicaid’s structure and funding. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid support by over $1 trillion in the next decade, introduce work requirements, and raise cost-sharing obligations—changes that could pare down beneficiaries’ coverage or available funds. As a result, states are expected to take on increased costs as future federal Medicaid support grows at a slower rate, even as the program maintains large enrollment.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $8,888,130 | -34% |
| 2021 | $8,335,509 | -6.2% |
| 2022 | $10,546,197 | 26.5% |
| 2023 | $14,796,627 | 40.3% |
| 2024 | $15,301,914 | 3.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $30,546,449 | 35.1% |
| 2 | Temporary National Codes (Non-Medicare) | $15,301,914 | 17.6% |
| 3 | Medicine Services and Procedures | $14,653,563 | 16.8% |
| 4 | National Codes Established for State Medicaid Agencies | $6,222,092 | 7.1% |
| 5 | Alcohol and Drug Abuse Treatment | $5,664,738 | 6.5% |
| 6 | Radiology Procedures | $4,852,311 | 5.6% |
| 7 | Chemotherapy Drugs | $2,299,397 | 2.6% |
| 8 | Procedures / Professional Services | $1,926,298 | 2.2% |
| 9 | Surgery | $1,855,846 | 2.1% |
| 10 | Ambulance and Other Transport Services and Supplies | $1,424,435 | 1.6% |
| 11 | Pathology and Laboratory Procedures | $1,359,237 | 1.6% |
| 12 | Durable Medical Equipment | $339,924 | 0.4% |
| 13 | Drugs Administered Other than Oral Method | $233,026 | 0.3% |
| 14 | Dental Services | $165,930 | 0.2% |
| 15 | Temporary Codes | $78,031 | 0.1% |
| 16 | Orthotic Procedures and services | $54,347 | 0.1% |
| 17 | Medical And Surgical Supplies | $51,211 | 0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $26,833 | <0.1% |
| 19 | Outpatient PPS | $24,322 | <0.1% |
| 20 | Anesthesia | $22,259 | <0.1% |
| 21 | Administrative, Miscellaneous and Investigational | $10,954 | <0.1% |
| 22 | Pathology and Laboratory Services | $370 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $8,297,820 | 33 |
| S5150 | Unskilled respite care /15m | $3,633,891 | 64 |
| S9480 | Intensive outpatient psychia | $1,142,464 | 22 |
| S0215 | Nonemerg transp mileage | $1,002,771 | 56 |
| S5110 | Family homecare training 15m | $445,208 | 12 |
| S1040 | Cranial remolding orthosis | $383,047 | 12 |
| S9131 | Pt in the home per diem | $134,308 | 14 |
| S9123 | Nursing care in home rn | $130,717 | 12 |
| S5151 | Unskilled respitecare /diem | $85,605 | 12 |
| S9129 | Occupational therapy, in the | $38,364 | 7 |
| S0209 | Wc van mileage per mi | $7,714 | 8 |
| S0028 | Injection, famotidine, 20 mg | $0 | 11 |
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.
