In 2024, Medicaid providers in Lady Lake billed $245,258 for services under the Temporary National Codes (Non-Medicare) classification, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represented an 82.1% rise over 2023, when providers claimed $134,692 for the same service group.
Medicaid, the public health insurance program directed by states and funded in partnership with federal and state governments, provides coverage for low-income populations, including families, seniors, children, and people with disabilities. This makes it one of the primary components of the U.S. health care system.
Since Medicaid payments are taxpayer-funded, shifts in local billing levels illustrate how health care resources are distributed in individual communities.
The “Temporary National Codes (Non-Medicare)” group includes certain Medicaid-billed services identified by care type, drawing on standard HCPCS and CPT code groupings. For analysis purposes, each billing code was sorted into a single service category with consistent code prefixes and number ranges, enabling accurate year-over-year comparisons and preventing duplicate counts.
While Medicaid spending rose across multiple service categories, Temporary National Codes (Non-Medicare) stood as the third-largest category by total Medicaid payments in Lady Lake in 2024.
At the statewide level in Florida, Temporary National Codes (Non-Medicare) led all categories in total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments related to Temporary National Codes (Non-Medicare) in Lady Lake rose by $35,453, or 16.9%. Growth accelerated in some periods, especially in 2023 and 2021, where year-over-year increases stood out.
Although spending for Temporary National Codes (Non-Medicare) was distributed citywide, payments predominantly occurred in select ZIP codes. In 2024, ZIP code 32159 registered $245,257 in Medicaid payments under this category, comprising 100% of these payments in Lady Lake for the year.
Payments within the Temporary National Codes (Non-Medicare) category were largely concentrated among a small set of billing codes.
Comparing 2024 to 2023, Lady Lake saw an 82.1% increase in Medicaid payments for the Temporary National Codes (Non-Medicare) group, versus a 4.9% overall change across all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023, accounting for around 18% of national health expenditures—up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects a roughly 40% increase in a few years, largely attributed to greater enrollment numbers and increased use of services during and after the pandemic.
Recent federal budget actions during the Trump administration included major proposals for reducing federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the coming decade, with provisions for work requirements and higher cost-sharing, which could limit coverage and funding for some recipients. These changes are anticipated to shift more costs to states and place restrictions on federal Medicaid growth, even while the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $209,805 | – |
| 2021 | $587,404 | 180% |
| 2022 | $9,949 | -98.3% |
| 2023 | $134,691 | 1253.8% |
| 2024 | $245,257 | 82.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,279,832 | 56.5% |
| 2 | Administrative, Miscellaneous and Investigational | $683,027 | 30.2% |
| 3 | Temporary National Codes (Non-Medicare) | $245,257 | 10.8% |
| 4 | Evaluation and Management | $45,731 | 2% |
| 5 | Surgery | $7,587 | 0.3% |
| 6 | Medical And Surgical Supplies | $3,774 | 0.2% |
| 7 | Procedures / Professional Services | $99 | <0.1% |
| 8 | Medicine Services and Procedures | $86 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5130 | Homaker service nos per 15m | $245,257 | 12 |
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.
