In Lake Mary, Medicaid providers billed $1,618,139 in 2024 for services included within the Temporary National Codes (Non-Medicare) category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 3.8% increase from 2023, when providers billed $1,558,805 for these services.
Medicaid operates as a state-administered public health insurance program, jointly financed by federal and state governments. The program offers coverage to low-income people, families, seniors, children, and those with disabilities, and remains a key component of the U.S. health care system.
Since Medicaid is funded by taxpayers, changes in local billing reflect the way public health dollars are dispersed in area communities.
The “Temporary National Codes (Non-Medicare)” classification groups together Medicaid-billed services identified by the type of care delivered, following consistent HCPCS and CPT code grouping standards. For this report, each billing code matched a single service category through uniform code prefixes and numeric designations, permitting the grouping of related services, mitigating double counting, and enabling accurate comparisons over time.
Temporary National Codes (Non-Medicare) was the third highest Medicaid service category by total payments in Lake Mary for 2024, despite overall Medicaid spending increases in several other categories.
Statewide, the Temporary National Codes (Non-Medicare) category held the top spot in total Medicaid payments in Florida for 2024.
Over the five years preceding 2024, Medicaid spending associated with Temporary National Codes (Non-Medicare) in Lake Mary grew by $470,108, or 40.9%. There were periods of accelerated growth, including notable single-year increases in both 2021 and 2023.
Although these services were offered throughout Lake Mary, the majority of payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 32746 accounted for $1,618,139 in Medicaid claims under this category, representing 100% of relevant payments for the city in that year.
Within the Temporary National Codes (Non-Medicare) category, most Medicaid funds were attributed to a relatively small group of individual billing codes.
Comparing Lake Mary’s numbers with overall trends, Medicaid claims for Temporary National Codes (Non-Medicare) rose 3.8% from 2023 to 2024, outpacing the 3.4% increase observed across all claim categories in the city during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached around $871.7 billion in fiscal 2023, making up approximately 18% of national health spending—up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
The increase marks about 40% growth in a few years, primarily due to greater program enrollment and heightened utilization during and after the pandemic.
Recent federal budget measures under the Trump administration have presented notable efforts to decrease Medicaid funding at the federal level and alter program structures. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years and bring in provisions such as mandatory work requirements and higher cost-sharing, potentially reducing both funding and coverage for certain groups. These changes could mean increased responsibility for states and constrain the expansion of federal Medicaid funding while the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,148,031 | -42.3% |
| 2021 | $1,567,793 | 36.6% |
| 2022 | $1,330,850 | -15.1% |
| 2023 | $1,558,805 | 17.1% |
| 2024 | $1,618,139 | 3.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $3,835,544 | 33.9% |
| 2 | National Codes Established for State Medicaid Agencies | $2,232,984 | 19.7% |
| 3 | Temporary National Codes (Non-Medicare) | $1,618,139 | 14.3% |
| 4 | Evaluation and Management | $1,596,077 | 14.1% |
| 5 | Medical And Surgical Supplies | $1,008,955 | 8.9% |
| 6 | Pathology and Laboratory Procedures | $393,244 | 3.5% |
| 7 | Alcohol and Drug Abuse Treatment | $315,010 | 2.8% |
| 8 | Enteral and Parenteral Therapy | $262,877 | 2.3% |
| 9 | Ambulance and Other Transport Services and Supplies | $27,770 | 0.2% |
| 10 | Radiology Procedures | $26,310 | 0.2% |
| 11 | Surgery | $2,172 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $986 | <0.1% |
| 13 | Procedures / Professional Services | $845 | <0.1% |
| 14 | Temporary Codes | $25 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5199 | Personal care item nos each | $1,151,334 | 12 |
| S5130 | Homaker service nos per 15m | $389,830 | 24 |
| S9122 | Home health aide or certifie | $64,584 | 3 |
| S5102 | Adult day care per diem | $12,390 | 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.
