Temporary National Codes (Non-Medicare) Medicaid payments surge to $91,546 in Fort Defiance for 2024

Fort Defiance Medicaid providers billed a total of $91,546 for services under the Temporary National Codes (Non-Medicare) category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represented an increase of 228.7% from 2023, when claims for the same services amounted to $27,851.

Medicaid is a public insurance initiative run by individual states with shared funding from federal and state governments. It delivers health coverage to low-income people and families, seniors, children, and people with disabilities, making it one of the largest health programs in the country.

Since Medicaid funding comes from the public, trends in local billing reflect how community health care resources are used.

The “Temporary National Codes (Non-Medicare)” group includes a range of Medicaid services defined by their care type, based on uniform HCPCS and CPT code ranges. For this report, each code was matched with one service category using consistent prefixes and number groupings to ensure accuracy by avoiding overlapping counts and maintaining true category rankings.

In 2024, spending in several Medicaid service groups rose, with Temporary National Codes (Non-Medicare) placing fourth overall in Fort Defiance for total Medicaid payments.

Across Arizona, Temporary National Codes (Non-Medicare) represented the second-largest Medicaid payment category statewide in 2024.

Looking over the five years before 2024, Medicaid payments in Fort Defiance linked to the Temporary National Codes (Non-Medicare) category rose by $91,546, or 0%. Periodic surges occurred, including significant percentage increases during 2023 and 2022.

Although these Medicaid payments were distributed throughout the city, the largest shares were concentrated in a few ZIP codes. The largest volume in 2024 was in 86504, totaling $91,546—meaning a single ZIP code accounted for 100% of the Temporary National Codes (Non-Medicare) Medicaid payments in Fort Defiance for that year.

A small number of billing codes within the Temporary National Codes (Non-Medicare) category made up most Medicaid payments.

When comparing categories, Medicaid payments for Temporary National Codes (Non-Medicare) in Fort Defiance rose by 228.7% from 2023 to 2024, while all Medicaid claim categories across the city saw an average change of 42.3% during that timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending in fiscal year 2023 reached about $871.7 billion, close to 18% of total national health outlays—up from around $613.5 billion in 2019 before the COVID-19 pandemic.

This growth reflects roughly a 40% increase in a short span, mainly due to additional enrollment and higher care utilization during and following the pandemic.

Recent federal budget measures implemented under the Trump administration have put forth significant proposals to reduce federal Medicaid allocations and alter its structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion in federal Medicaid costs over 10 years, adding new work requirements and increased cost-sharing, potentially narrowing eligibility and funding for certain groups. These policy changes are projected to include a greater cost burden for states while capping federal Medicaid growth, even as the program supports tens of millions of people.

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.