In 2024, Marianna Medicaid providers charged $759,458 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 reflected a 24% climb from 2023, when providers submitted $612,449 in claims for these services.
Medicaid operates as a state-administered health insurance program, funded jointly by federal and state governments. It serves low-income families and individuals, seniors, children, and people with disabilities, making it a major component of the U.S. health system.
Because taxpayer funds support Medicaid, changes in local billing highlight how public health care resources are distributed in the community.
The “Temporary National Codes (Non-Medicare)” group refers to Medicaid-billed services organized by type of care, based on standard HCPCS and CPT code groupings. For this analysis, each billing code was assigned to only one service group using set code prefixes and ranges, which ensures data is consistently categorized, avoids double counting, and allows accurate comparisons over time.
Though Medicaid spending rose across different service categories, Temporary National Codes (Non-Medicare) was the second highest in Marianna by total Medicaid payments for 2024.
Statewide in Florida, the Temporary National Codes (Non-Medicare) group ranked first in 2024 for total Medicaid payments.
Between the five years preceding 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) category in Marianna grew by $609,314, or 405.8%. Several periods saw spending rises, with notable year-on-year growth in 2022 and 2023.
Payments for services in this category were spread across Marianna, but most were concentrated in a few ZIP codes. For 2024, ZIP code 32446 saw $653,896 in Medicaid payments for these services, while 32448 accounted for $105,561. Together, these two ZIP codes made up all Medicaid payments in this service category for the city during the year.
Within the Temporary National Codes (Non-Medicare) group, a small number of billing codes accounted for the majority of Medicaid payments.
For further context, Medicaid payments for this service group in Marianna saw a 24% increase between 2024 and 2023, compared to a 35.4% increase recorded across all Medicaid claim categories in the city for that period.
According to the Centers for Medicare & Medicaid Services, overall federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, representing about 18% of national health spending. That is a sharp rise from the roughly $613.5 billion recorded in 2019, before the onset of the COVID-19 pandemic.
This 40% jump over several years was primarily driven by swelling enrollment and increased service use during and after the pandemic.
Recent federal budget laws enacted under the Trump administration included major steps to curtail federal Medicaid funding and overhaul the program. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to cut over $1 trillion in federal Medicaid spending in the next decade. The law introduces measures such as mandatory work requirements and higher cost-sharing, which could reduce funding and affect coverage for some recipients. These shifts are expected to put more fiscal responsibility on states and slow federal Medicaid growth, even as the program covers tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $150,144 | -64.8% |
| 2021 | $82,253 | -45.2% |
| 2022 | $555,573 | 575.4% |
| 2023 | $612,448 | 10.2% |
| 2024 | $759,457 | 24% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,268,352 | 50.2% |
| 2 | Temporary National Codes (Non-Medicare) | $759,457 | 16.8% |
| 3 | Medicine Services and Procedures | $625,034 | 13.8% |
| 4 | Ambulance and Other Transport Services and Supplies | $228,887 | 5.1% |
| 5 | Alcohol and Drug Abuse Treatment | $188,173 | 4.2% |
| 6 | Procedures / Professional Services | $184,227 | 4.1% |
| 7 | Durable Medical Equipment | $114,429 | 2.5% |
| 8 | Dental Services | $54,577 | 1.2% |
| 9 | Radiology Procedures | $47,399 | 1% |
| 10 | Pathology and Laboratory Procedures | $21,468 | 0.5% |
| 11 | National Codes Established for State Medicaid Agencies | $20,975 | 0.5% |
| 12 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,544 | <0.1% |
| 13 | Anesthesia | $1,478 | <0.1% |
| 14 | Vision Services | $715 | <0.1% |
| 15 | Medical And Surgical Supplies | $535 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $376 | <0.1% |
| 17 | Surgery | $374 | <0.1% |
| 18 | Temporary Codes | $87 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5130 | Homaker service nos per 15m | $653,896 | 10 |
| S5102 | Adult day care per diem | $105,561 | 11 |
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.
