Largo Medicaid providers submitted $5,622,187 in claims for services identified under the Temporary National Codes (Non-Medicare) category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 0.4% increase from 2023, when $5,601,396 in claims were filed for this service group.
Medicaid, operated by states with joint federal and state funding, provides health insurance for low-income individuals, families, seniors, children, and those with disabilities, making it a significant piece of the U.S. health care system. For more details, see this explainer.
Because taxpayer dollars fund Medicaid, fluctuations in local billing reflect how resources are distributed across communities.
The “Temporary National Codes (Non-Medicare)” category comprises Medicaid-billed services grouped by type of care using consistent HCPCS and CPT code prefixes and numeric patterns. For the purposes of this analysis, each billing code was mapped to one service class so that comparisons and rankings are accurate without duplication.
Temporary National Codes (Non-Medicare) was the second-largest Medicaid-funded service category in Largo in 2024, amid overall increases seen in multiple service types.
Statewide, the Temporary National Codes (Non-Medicare) group ranked first by Medicaid spending in Florida in 2024.
Over the five years preceding 2024, Medicaid payments in this category for the city rose by $3,689,845, a 191% jump. More rapid annual increases were recorded in 2020 and 2021.
While these payments were made throughout Largo, a small group of ZIP codes saw most of the spending. In 2024, Medicaid payments for the category were led by ZIP code 33771 at $4,929,124, followed by 33770 at $680,053, and 33774 with $13,008. These three ZIP codes collectively captured 100% of the Medicaid spending for this service category in the city for the year.
Payment volume within the Temporary National Codes (Non-Medicare) group was also mostly focused on a few billing codes.
Comparing 2024 and 2023, Medicaid payments for this group in Largo rose 0.4%, while all Medicaid claim categories combined increased 20.9% for the city over the same interval.
Figures from the Centers for Medicare & Medicaid Services show total Medicaid expenditures, federal and state, reached about $871.7 billion for fiscal year 2023, roughly 18% of all national health spending, up substantially from $613.5 billion in 2019, before COVID-19.
This amounts to an almost 40% gain within a few years, largely attributed to expanded enrollment and use of benefits during and after the pandemic.
Recent federal budget changes under the Trump administration featured broad proposals to reduce the federal share of Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to slash federal Medicaid spending by over $1 trillion over 10 years. The law brings measures such as work requirements and higher cost-sharing for some, potentially narrowing eligibility and support. These policy adjustments are projected to shift additional costs to state budgets and constrain Medicaid growth even as the program remains a vital safety net.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,932,341 | 147.4% |
| 2021 | $3,535,062 | 82.9% |
| 2022 | $3,741,828 | 5.8% |
| 2023 | $5,601,395 | 49.7% |
| 2024 | $5,622,186 | 0.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $6,863,893 | 24.6% |
| 2 | Temporary National Codes (Non-Medicare) | $5,622,186 | 20.2% |
| 3 | Durable Medical Equipment | $4,385,375 | 15.7% |
| 4 | Alcohol and Drug Abuse Treatment | $4,124,781 | 14.8% |
| 5 | Ambulance and Other Transport Services and Supplies | $4,065,972 | 14.6% |
| 6 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,166,683 | 4.2% |
| 7 | Evaluation and Management | $1,066,058 | 3.8% |
| 8 | Medicine Services and Procedures | $367,296 | 1.3% |
| 9 | Pathology and Laboratory Procedures | $91,706 | 0.3% |
| 10 | Enteral and Parenteral Therapy | $63,267 | 0.2% |
| 11 | Surgery | $29,326 | 0.1% |
| 12 | Medical And Surgical Supplies | $22,893 | 0.1% |
| 13 | Dental Services | $5,342 | <0.1% |
| 14 | Radiology Procedures | $2,811 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $2,747 | <0.1% |
| 16 | Anesthesia | $1,135 | <0.1% |
| 17 | Procedures / Professional Services | $1,085 | <0.1% |
| 18 | Coronavirus Diagnostic Panel | $593 | <0.1% |
| 19 | Pathology and Laboratory Services | $513 | <0.1% |
| 20 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9123 | Nursing care in home rn | $2,423,272 | 12 |
| S9124 | Nursing care, in the home; b | $2,310,601 | 12 |
| S5130 | Homaker service nos per 15m | $472,897 | 12 |
| S5135 | Adult companioncare per 15m | $338,162 | 13 |
| S5102 | Adult day care per diem | $64,244 | 6 |
| S9083 | Urgent care center global | $13,008 | 3 |
| S9451 | Exercise class | $0 | 8 |
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.
