In 2024, Medicaid providers in Pensacola recorded $11,539,736 in billing for services grouped under the Temporary National Codes (Non-Medicare) category, according to U.S. Department of Health and Human Services Medicaid Provider Spending data. This total represents a 1.3% increase compared with the prior year, when $11,392,519 in claims were submitted for the same category of service.
Medicaid is a joint federal and state public health insurance program funded by both levels of government. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities, comprising one of the largest components of the U.S. health care system.
Since Medicaid is funded by taxpayers, changes in local billing levels demonstrate how public health care resources are distributed within a city.
The “Temporary National Codes (Non-Medicare)” grouping consists of Medicaid-billed services organized by the type of care rendered, using standardized HCPCS and CPT code groupings. For this report, billing codes were assigned to a single service category using the same code prefixes and numerical breakdowns to group related services, which avoids double counting and maintains accurate year-over-year rankings.
Spending in several Medicaid service categories rose, but Temporary National Codes (Non-Medicare) was the second-largest in Pensacola by total Medicaid payments in 2024.
Statewide, this category ranked first among all service groupings by total Medicaid payments in Florida in 2024.
During the five years preceding 2024, Medicaid payments associated with the Temporary National Codes (Non-Medicare) category in Pensacola climbed by $4,058,130, or 54.2%. Certain periods saw accelerated growth, with notable year-over-year jumps in 2022 and 2023.
Spending for Temporary National Codes (Non-Medicare) services was distributed throughout the city but was concentrated in a few ZIP codes. In 2024, ZIP codes 32502, 32504, and 32503 recorded the highest Medicaid payments in this category—$4,033,818, $3,555,545, and $3,503,439 respectively. Together, these top 3 ZIP codes represented 96.1% of all payments in this category for Pensacola in 2024.
Within the Temporary National Codes (Non-Medicare) grouping, most Medicaid payments were concentrated among a small number of specific billing codes.
Medicaid payments in Pensacola for the Temporary National Codes (Non-Medicare) category increased by 1.3% between 2024 and the prior year, while overall Medicaid claims in the city rose 29.9% across all categories during the same time period.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023. This accounted for roughly 18% of all national health spending, up significantly from $613.5 billion in 2019 prior to the COVID-19 pandemic.
This increase reflects about 40% growth in just several years, primarily arising from expanded enrollment and increased utilization during and after the pandemic years.
Recent federal budget acts under the Trump administration have featured major Medicaid funding reductions and restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to cut federal Medicaid spending by more than $1 trillion over 10 years and introduces work requirements and greater cost-sharing, potentially reducing benefits and federal support for some recipients. As a result, states are expected to shoulder more of the burden as federal support growth slows, even as Medicaid continues to serve tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,481,605 | 9.6% |
| 2021 | $5,547,257 | -25.9% |
| 2022 | $9,002,935 | 62.3% |
| 2023 | $11,392,518 | 26.5% |
| 2024 | $11,539,736 | 1.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $15,063,567 | 33.7% |
| 2 | Temporary National Codes (Non-Medicare) | $11,539,736 | 25.8% |
| 3 | National Codes Established for State Medicaid Agencies | $6,527,715 | 14.6% |
| 4 | Alcohol and Drug Abuse Treatment | $2,985,808 | 6.7% |
| 5 | Medicine Services and Procedures | $2,420,103 | 5.4% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,145,970 | 2.6% |
| 7 | Durable Medical Equipment | $925,226 | 2.1% |
| 8 | Surgery | $673,757 | 1.5% |
| 9 | Pathology and Laboratory Procedures | $662,167 | 1.5% |
| 10 | Anesthesia | $608,677 | 1.4% |
| 11 | Procedures / Professional Services | $599,559 | 1.3% |
| 12 | Radiology Procedures | $575,411 | 1.3% |
| 13 | Dental Services | $309,726 | 0.7% |
| 14 | Enteral and Parenteral Therapy | $258,259 | 0.6% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $210,516 | 0.5% |
| 16 | Medical And Surgical Supplies | $110,378 | 0.2% |
| 17 | Administrative, Miscellaneous and Investigational | $96,808 | 0.2% |
| 18 | Drugs Administered Other than Oral Method | $40,920 | 0.1% |
| 19 | Chemotherapy Drugs | $1,283 | <0.1% |
| 20 | Outpatient PPS | $1,196 | <0.1% |
| 21 | Coronavirus Diagnostic Panel | $166 | <0.1% |
| 22 | Pathology and Laboratory Services | $23 | <0.1% |
| 23 | Temporary Codes | $13 | <0.1% |
| 24 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9124 | Nursing care, in the home; b | $8,688,013 | 39 |
| S5130 | Homaker service nos per 15m | $1,955,111 | 96 |
| S5135 | Adult companioncare per 15m | $371,753 | 35 |
| S5145 | Child fostercare th per diem | $358,229 | 6 |
| S9123 | Nursing care in home rn | $74,755 | 1 |
| S9342 | Hit enteral pump diem | $55,679 | 10 |
| S9343 | Hit enteral bolus nurs | $19,157 | 7 |
| S9500 | Hit antibiotic q24h diem | $17,035 | 3 |
| S5000 | Prescription drug, generic | $0 | 1 |
Note: HCPCS codes are provided for context within the category. Totals and rankings here are based on standardized service groupings, not individual codes.
Information featured here was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.
