In 2024, Medicaid providers in North Charleston billed $2,203,055 for services listed under the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 104% rise from 2023, when providers filed $1,079,850 in claims for these services.
Medicaid, operated at the state level and funded through a federal-state partnership, provides coverage for low-income families, seniors, children, and those with disabilities, making it a key aspect of the U.S. health care system.
Since Medicaid funding comes from public resources, local shifts in billing reveal how public health care funds are spent in each community.
The “Temporary National Codes (Non-Medicare)” category covers a mix of Medicaid services that are grouped by the type of care based on uniform HCPCS and CPT coding standards. For this report, every billing code was matched to one service category using regular code prefixes and numerical series, helping group related services while preventing double counting and ensuring consistent comparisons over time.
Temporary National Codes (Non-Medicare) ranked as the third largest category for Medicaid payments in North Charleston in 2024, even as spending rose in a number of categories.
Across South Carolina, this category stood fifth statewide for total Medicaid payments in 2024.
Over the five years until 2024, payments connected to Temporary National Codes (Non-Medicare) climbed by $476,106, or 27.6%, in North Charleston. Increases accelerated at times, with significant yearly jumps in 2020 and 2021.
Even though services were provided throughout the city, Medicaid payments in the Temporary National Codes (Non-Medicare) category concentrated within a handful of ZIP codes. For 2024, the largest totals were in 29405 with $2,183,074 and in 29406 with $19,980. Combined, these 2 ZIP codes made up 100% of Medicaid payments in this service group within North Charleston for the year.
Payments within the Temporary National Codes (Non-Medicare) group also clustered around a few primary billing codes.
Between 2024 and 2023, Medicaid payments for this category in North Charleston increased by 104%, while total Medicaid claim payments across all categories in the city grew by 10.3% during the same timeframe.
Centers for Medicare & Medicaid Services data shows that joint state and federal Medicaid spending was about $871.7 billion for fiscal year 2023, taking up approximately 18% of national health expenditures. That figure is up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase reflects about 40% growth in the span of a few years, attributed mainly to higher enrollment and usage rates during and after the pandemic.
Recent federal budget actions under the Trump administration have proposed major reductions in federal Medicaid funding and put forward structural program changes. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and brings new requirements such as work provisions and higher cost-sharing that could affect some Medicaid participants’ coverage and funding. States are expected to shoulder a larger share of costs, while the growth of federal funding will be limited, although the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,726,949 | 21.7% |
| 2021 | $1,840,734 | 6.6% |
| 2022 | $1,414,338 | -23.2% |
| 2023 | $1,079,850 | -23.6% |
| 2024 | $2,203,054 | 104% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $7,578,315 | 36% |
| 2 | National Codes Established for State Medicaid Agencies | $4,558,533 | 21.6% |
| 3 | Temporary National Codes (Non-Medicare) | $2,203,054 | 10.5% |
| 4 | Medicine Services and Procedures | $1,918,572 | 9.1% |
| 5 | Ambulance and Other Transport Services and Supplies | $1,125,594 | 5.3% |
| 6 | Procedures / Professional Services | $1,005,677 | 4.8% |
| 7 | Alcohol and Drug Abuse Treatment | $920,808 | 4.4% |
| 8 | Pathology and Laboratory Procedures | $647,579 | 3.1% |
| 9 | Dental Services | $362,239 | 1.7% |
| 10 | Orthotic Procedures and services | $256,873 | 1.2% |
| 11 | Durable Medical Equipment | $183,712 | 0.9% |
| 12 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $126,805 | 0.6% |
| 13 | Enteral and Parenteral Therapy | $110,775 | 0.5% |
| 14 | Surgery | $36,595 | 0.2% |
| 15 | Medical And Surgical Supplies | $25,329 | 0.1% |
| 16 | Radiology Procedures | $10,582 | 0.1% |
| 17 | Drugs Administered Other than Oral Method | $3,263 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9126 | Hospice care, in the home, p | $1,329,808 | 11 |
| S9129 | Occupational therapy, in the | $387,448 | 16 |
| S9128 | Speech therapy, in the home, | $348,556 | 10 |
| S9131 | Pt in the home per diem | $132,627 | 23 |
| S9500 | Hit antibiotic q24h diem | $4,613 | 1 |
| S9088 | Services provided in urgent | $0 | 3 |
| S9485 | Crisis intervention mental h | $0 | 1 |
Note: HCPCS codes are listed as examples in this group. Totals and rankings referenced in the article are drawn from standard service groupings, not from particular billing codes.
This report relies on information found in the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.
