Medicaid payments for Temporary Codes services reach $171 in Carthage for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Carthage health care providers billed $171 to Medicaid for services in the Temporary Codes category during 2024, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 50% rise from 2023, when $114 in claims were filed for the same services.

Medicaid, funded jointly by state and federal governments and administered by the states, insures low-income individuals, families, seniors, children, and people with disabilities, placing it among the central components of the U.S. health care system. Additional information is available at Commonwealth Fund.

As Medicaid relies on tax revenue, changes in the local billing landscape illustrate how health care funding is allocated within a particular community.

The category “Temporary Codes” groups Medicaid-billed services by type, using standardized prefixes and number ranges within HCPCS and CPT code sets. Each billing code for the analysis was mapped to one service category for accurate categorization across time periods while preventing double counting.

Medicaid spending trended upward across several categories; however, Temporary Codes came in 11th for total Medicaid payments in Carthage for 2024.

On a broader scale, Temporary Codes was the 17th largest payment category across New York in 2024.

Medicaid payments for Temporary Codes in Carthage rose by $117 over five years prior to 2024, equivalent to a 216.7% increase. Spending jumps were notable in some years, particularly 2023 and 2020.

Payments related to Temporary Codes were made throughout Carthage but showed concentration in select ZIP codes in 2024: ZIP code 13619 alone summed to $171. The top ZIP code accounted for all Medicaid payments in this service group within Carthage during 2024.

The analysis also identified that few individual codes were responsible for the majority of Medicaid payments in the Temporary Codes category.

In comparison, Carthage saw a 50% increase in Medicaid payments associated with Temporary Codes from 2023 to 2024, whereas Medicaid payments across all service categories in the city grew by 61.8% during the same span.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid expenditures reached around $871.7 billion in fiscal year 2023, making up about 18% of all national health spending, up significantly from roughly $613.5 billion in 2019 prior to the COVID-19 pandemic.

This jump represents an increase of approximately 40% over several years, attributed mainly to expanded enrollment and greater utilization during and following the pandemic.

Recent legislative changes to federal budgets during the Trump presidency featured major efforts to cut back federal Medicaid funding and overhaul how funds are distributed. The “One Big Beautiful Bill Act,” approved in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces new policies such as work requirements and higher out-of-pocket costs that may scale back benefits and financing for some enrollees. These statutory updates are expected to raise the burden on states and set limitations on future growth in federal Medicaid support, even as millions remain enrolled in the program nationwide.

Medicaid Payments Tied to Temporary Codes in Carthage, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $54 80%
2021 $85 58.3%
2022 $28 -66.7%
2023 $114 300%
2024 $171 50%
Top Categories by Medicaid Payments in Carthage, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $1,845,590 51.7%
2 Medicine Services and Procedures $531,263 14.9%
3 Surgery $508,065 14.2%
4 Pathology and Laboratory Procedures $415,939 11.6%
5 Ambulance and Other Transport Services and Supplies $103,987 2.9%
6 Radiology Procedures $55,650 1.6%
7 Procedures / Professional Services $53,351 1.5%
8 Dental Services $43,439 1.2%
9 Temporary National Codes (Non-Medicare) $11,355 0.3%
10 Anesthesia $3,358 0.1%
11 Temporary Codes $171 <0.1%
12 Drugs Administered Other than Oral Method $8 <0.1%
Top 20 HCPCS Codes Within the Temporary Codes Category in Carthage, New York, 2024

HCPCS Code Description Medicaid Payments Claims
Q9967 Locm 300-399mg/ml iodine,1ml $171 6

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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