In Rural Hall, Medicaid providers reported $19,870 in claims for services listed 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 amount represents a 167.2% increase over 2023, when claims for the same category totaled $7,437.
Medicaid, a public health insurance program administered by states and funded by both federal and state governments, serves low-income Americans, older adults, children and people with disabilities. It remains a core element of the U.S. health care structure.
Since Medicaid is supported by taxpayers, fluctuations in billing at the local level offer insight into how health care resources are apportioned within a community.
The Temporary National Codes (Non-Medicare) group includes a set of Medicaid-billed services defined using national HCPCS and CPT code sets. This analysis assigned each code to one service category using unified code prefixes and ranges. This approach makes it possible to track related services together for comparison without recounting or distorting yearly rankings.
Multiple categories saw a rise in Medicaid expenditures. Temporary National Codes (Non-Medicare) was third-highest by total Medicaid payout in Rural Hall for 2024.
Across North Carolina, this category ranked fifth for total Medicaid spending in 2024.
Looking back over the last five years, Medicaid claims for Temporary National Codes (Non-Medicare) in Rural Hall climbed by $18,611, or 48.4%. Periods of faster growth were noted in 2023 and 2020, reflecting erratic annual changes.
Most Medicaid spending for care under Temporary National Codes (Non-Medicare) was concentrated in a few city ZIP codes. In 2024, claims from ZIP code 27045 accounted for $19,870, making up 100% of all Temporary National Codes (Non-Medicare) payments in Rural Hall for the year.
A small selection of individual billing codes made up the bulk of Medicaid payments within the Temporary National Codes (Non-Medicare) category.
When compared against all Medicaid categories, payments associated with Temporary National Codes (Non-Medicare) in Rural Hall increased 167.2% from 2023 to 2024, compared with a 38.2% change across all claim types in the same period.
Based on figures from the Centers for Medicare & Medicaid Services, Medicaid funding from both state and federal sources reached nearly $871.7 billion in fiscal year 2023, accounting for about 18% of all national health spending, up significantly from approximately $613.5 billion in 2019 ahead of the COVID-19 pandemic.
This jump marks an increase of around 40% in just a few years, mainly driven by higher enrollment and greater use of services during and after the public health crisis.
Recent federal budget actions under the Trump administration included major efforts to decrease funding for Medicaid and revise its structure. One example, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years. The law also implements work and cost-sharing requirements likely to lower eligibility and financial support for certain groups, shifting more fiscal responsibilities onto states and constraining federal Medicaid growth, though the program still covers tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $38,481 | 1.5% |
| 2021 | $21,769 | -43.4% |
| 2022 | $2,769 | -87.3% |
| 2023 | $7,437 | 168.5% |
| 2024 | $19,870 | 167.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $27,528 | 34.2% |
| 2 | Alcohol and Drug Abuse Treatment | $26,875 | 33.4% |
| 3 | Temporary National Codes (Non-Medicare) | $19,870 | 24.7% |
| 4 | Medicine Services and Procedures | $6,262 | 7.8% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S0620 | Routine ophthalmological exa | $13,570 | 8 |
| S0621 | Routine ophthalmological exa | $6,299 | 5 |
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.


