Medicaid spending tied to Temporary National Codes in Nevada jumps 249% in 2024

Nevada Medicaid providers reported $111,844 in claims for services 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. This total reflects a 248.7% increase from 2023, when claims totaled $32,073 for the same service category.

Medicaid is a government health insurance program managed by individual states and jointly financed by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, making it one of the core components of the U.S. health care system. Learn more at this resource.

Since Medicaid is funded by taxpayers, shifts in billing levels locally represent changes in how health care resources are distributed within communities.

The “Temporary National Codes (Non-Medicare)” category encompasses a selection of Medicaid-billed services defined by care type using standard HCPCS and CPT code groupings. In this report, service categories were assigned using fixed code prefixes and numeric ranges, supporting analyses of similar services while avoiding overlap and ensuring accurate tracking of changes over time.

Across Medicaid service categories, spending grew in several areas; in Nevada, Temporary National Codes (Non-Medicare) placed sixth among total Medicaid payments during 2024.

In Missouri, this service category ranked fourth statewide in total payments for 2024.

From 2020 through 2024, Medicaid spending on Temporary National Codes (Non-Medicare) in Nevada rose by $102,024, an increase of 1038.9%. Certain years showed accelerated growth, with notable gains registered in 2023 and 2020.

Expenditures in this Medicaid category were seen throughout the city but tended to cluster in a small number of ZIP codes. In 2024, the highest payments linked to this category in Nevada were recorded in ZIP code 64772, amounting to $111,844. This ZIP code represented all Medicaid claims for Temporary National Codes (Non-Medicare) in Nevada that year.

Within the category, a portion of the total Medicaid payments was focused on only a few individual billing codes.

By way of comparison, Medicaid spending tied to Temporary National Codes (Non-Medicare) increased 248.7% in Nevada between 2023 and 2024. Over that period, citywide Medicaid payments across all claim categories rose by 5.3%.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled about $871.7 billion in fiscal 2023, making up approximately 18% of all national health care spending and up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This marks about 40% growth in a few years, led primarily by higher enrollment and usage during and after the pandemic.

Federal budget actions under the Trump administration have featured major proposals to reduce Medicaid funding and change its structure. One example, the “One Big Beautiful Bill Act,” enacted in 2025, seeks to cut federal Medicaid expenditures by more than $1 trillion over 10 years. The law introduces work requirements, higher cost-sharing, and other elements expected to shift costs to states and potentially reduce coverage for some beneficiaries, limiting federal support even as Medicaid remains a key health safety net for millions of Americans.

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.