San Angelo Medicaid providers received $266,297 in payments for services grouped 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. That figure represents a 9% gain compared to 2023, when claims reached $244,335 for these services.
Medicaid, a public health insurance initiative coordinated by the states and financed through both federal and state government funding, extends coverage to people with low incomes, older adults, children, and those with disabilities. This makes it a primary component of the U.S. health system.
Since Medicaid is funded by taxpayers, fluctuations in local billing amounts illustrate how community health care resources are distributed.
The “Temporary National Codes (Non-Medicare)” grouping consists of Medicaid service claims identified by type of care, assigned using standardized HCPCS and CPT code sets. For this report, each claim was sorted into a single service group according to its code prefix and range. This method enables the analysis of related services without overlaps and preserves accurate year-to-year comparisons.
Medicaid spending increased in various categories, with Temporary National Codes (Non-Medicare) placing eighth among all categories by total claim payments in San Angelo in 2024.
Statewide in Texas, Temporary National Codes (Non-Medicare) was the top-ranked category by Medicaid payment amount in 2024.
From 2019 through 2024, Medicaid spending for Temporary National Codes (Non-Medicare) services in San Angelo rose by $70,982, or 36.3%. The pace of growth varied during this period, with notable increases reported for both 2020 and 2021.
Although spending for Temporary National Codes (Non-Medicare) services occurred throughout San Angelo, the majority of payments were focused in specific ZIP codes. In 2024, ZIP code 76901 accounted for $252,038, 76904 saw $12,212, and 76903 registered $2,045. Collectively, these top 3 ZIP codes made up 100% of all Medicaid payments tied to this category across the city during the year.
Medicaid payment totals for Temporary National Codes (Non-Medicare) were also heavily concentrated among just a few billing codes.
Between 2023 and 2024, San Angelo’s Medicaid payments in this grouping increased by 9%, while total Medicaid claims in the city climbed by 38.3% during the same timeframe.
The Centers for Medicare & Medicaid Services report that nationwide federal and state Medicaid expenditures hit about $871.7 billion in fiscal 2023—approximately 18% of all national health costs. This is a significant increase from around $613.5 billion in 2019, before the emergence of COVID-19.
This change equates to an approximate 40% increase over several years, largely attributed to higher program enrollment and utilization during the pandemic and after.
Recent federal budget legislation approved under President Trump introduced sweeping efforts to shrink federal Medicaid funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the decade, adding measures such as work requirements and greater cost-sharing. These shifts could limit coverage and decrease funding for some participants, pushing more financial responsibility to states and restricting future federal support—even as the program continues serving tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $195,314 | 46.9% |
| 2021 | $236,492 | 21.1% |
| 2022 | $273,977 | 15.9% |
| 2023 | $244,334 | -10.8% |
| 2024 | $266,297 | 9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,842,699 | 31.9% |
| 2 | National Codes Established for State Medicaid Agencies | $2,940,881 | 24.4% |
| 3 | Alcohol and Drug Abuse Treatment | $1,510,618 | 12.5% |
| 4 | Medicine Services and Procedures | $1,199,287 | 1<0.1% |
| 5 | Dental Services | $597,367 | 5% |
| 6 | Ambulance and Other Transport Services and Supplies | $591,703 | 4.9% |
| 7 | Pathology and Laboratory Procedures | $460,790 | 3.8% |
| 8 | Temporary National Codes (Non-Medicare) | $266,297 | 2.2% |
| 9 | Radiology Procedures | $249,504 | 2.1% |
| 10 | Surgery | $131,862 | 1.1% |
| 11 | Durable Medical Equipment | $123,246 | 1% |
| 12 | Vision Services | $49,379 | 0.4% |
| 13 | Anesthesia | $47,505 | 0.4% |
| 14 | Medical And Surgical Supplies | $18,077 | 0.2% |
| 15 | Procedures / Professional Services | $10,445 | 0.1% |
| 16 | Enteral and Parenteral Therapy | $6,220 | 0.1% |
| 17 | Drugs Administered Other than Oral Method | $1,698 | <0.1% |
| 18 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,001 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $248,102 | 12 |
| S0621 | Routine ophthalmological exa | $17,723 | 16 |
| S0620 | Routine ophthalmological exa | $470 | 1 |
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.
