Twin Falls Medicaid claims for Temporary National Codes (Non-Medicare) reach $18,457,217 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Twin Falls billed a total of $18,457,217 for services under the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This tracked a 26.2% year-over-year increase from the $14,626,928 claimed for similar services in 2023.

Medicaid is a government-administered health insurance program funded through both federal and state resources. The program supports low-income families and individuals, seniors, children and people with disabilities, and represents one of the largest components of health care delivery in the United States.

Given that Medicaid spending derives from taxpayer funding, shifts in how much is billed locally indicate how health care dollars are allocated within communities.

The “Temporary National Codes (Non-Medicare)” group includes Medicaid-reimbursed services categorized by specific care types, using standardized HCPCS and CPT codes. This analysis assigned each billing code to just one service area based on prefixes and numerical ranges to group related care, reduce duplicate counts, and enable consistent comparison over time.

Temporary National Codes (Non-Medicare) represented the top-ranked category in Twin Falls by Medicaid payment volume in 2024, even as increases were seen across other categories.

Statewide, this category stood as the third-largest in Idaho by overall Medicaid payments for the year.

Between the five years prior to 2024, Twin Falls saw Medicaid payments connected to Temporary National Codes (Non-Medicare) rise by $8,574,063, or 86.8%. Certain years, like 2023 and 2020, saw increased spending momentum in this area.

While services in this category were billed throughout Twin Falls, most Medicaid payments were concentrated within a small number of ZIP codes. Specifically, in 2024, payments in ZIP code 83301 totaled $18,457,216. Collectively, this top ZIP code made up 100% of Medicaid payments for Temporary National Codes (Non-Medicare) services in the city that year.

Within this category, a few individual billing codes accounted for the majority of Medicaid-related payments.

From 2023 to 2024, Medicaid spending for Temporary National Codes (Non-Medicare) in Twin Falls increased by 26.2%. For comparison, total Medicaid payments across all claim categories in Twin Falls changed by only 0.7% during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled roughly $871.7 billion in fiscal year 2023, representing about 18% of the nation’s health spending, up substantially from $613.5 billion in 2019 before the COVID-19 pandemic.

This equates to an approximately 40% rise in just a few years, driven largely by larger enrollment numbers and higher use following the pandemic.

Federal budget moves under the Trump administration brought forward substantial efforts to limit Medicaid funding and overhaul the program. One example, the “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to achieve more than $1 trillion in federal Medicaid reductions over 10 years and introduces measures such as work requirements and higher cost sharing. Those policy changes may mean some beneficiaries lose coverage or experience reduced support, and are expected to lead states to bear increased costs even as Medicaid continues to serve tens of millions nationwide.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Twin Falls, Idaho Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $9,883,154 36.4%
2021 $10,312,195 4.3%
2022 $10,549,101 2.3%
2023 $14,626,928 38.7%
2024 $18,457,216 26.2%
Top Categories by Medicaid Payments in Twin Falls, Idaho, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $18,457,216 44.6%
2 Evaluation and Management $5,899,953 14.3%
3 Medicine Services and Procedures $5,238,232 12.7%
4 Alcohol and Drug Abuse Treatment $4,431,624 10.7%
5 National Codes Established for State Medicaid Agencies $3,774,994 9.1%
6 Ambulance and Other Transport Services and Supplies $659,768 1.6%
7 Durable Medical Equipment $624,866 1.5%
8 Medical And Surgical Supplies $475,986 1.2%
9 Pathology and Laboratory Procedures $372,985 0.9%
10 Procedures / Professional Services $351,530 0.8%
11 Drugs Administered Other than Oral Method $341,932 0.8%
12 Surgery $275,016 0.7%
13 Dental Services $207,212 0.5%
14 Radiology Procedures $137,584 0.3%
15 Anesthesia $68,868 0.2%
16 Orthotic Procedures and services $34,020 0.1%
17 Enteral and Parenteral Therapy $26,292 0.1%
18 Durable medical equipment (DME) Medicare administrative contractors (MACs) $8,140 <0.1%
19 Diagnostic Radiology Services $2,828 <0.1%
20 Temporary Codes $68 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Twin Falls, Idaho, 2024

HCPCS Code Description Medicaid Payments Claims
S5170 Homedelivered prepared meal $16,185,210 23
S5140 Adult foster care per diem $1,713,336 22
S5130 Homaker service nos per 15m $346,731 41
S9485 Crisis intervention mental h $130,200 6
S5110 Family homecare training 15m $26,769 11
S5125 Attendant care service /15m $20,200 4
S9470 Nutritional counseling, diet $15,171 18
S5111 Family homecare train/sessio $9,811 2
S5150 Unskilled respite care /15m $9,786 3

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.



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