In 2024, Medicaid providers in Muskegon billed $513,538 for services within the Temporary National Codes (Non-Medicare) category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 14.4% rise compared with 2023, when claims for the same service type totaled $448,973.
Medicaid, a public insurance program managed by each state and funded jointly through federal and state resources, provides coverage for low-income groups, including families, seniors, children and people with disabilities. It ranks as a major part of the U.S. health care system.
Since Medicaid payments are financed by taxpayers, fluctuations in local billing indicate how public health spending is distributed within communities.
The “Temporary National Codes (Non-Medicare)” group consists of Medicaid-billed services that are defined by the care delivered, using standardized HCPCS and CPT groupings. For this report, each billing code was organized under a single service category using consistent code prefixes and number ranges, supporting the analysis of related services while minimizing double counting and ensuring accuracy in rankings over time.
While Medicaid spending rose across several categories, Temporary National Codes (Non-Medicare) placed 12th in Muskegon by total Medicaid payment volume in 2024.
Statewide in Michigan, the Temporary National Codes (Non-Medicare) services ranked fifth in total Medicaid payments for 2024.
Between 2019 and 2024, Muskegon saw Medicaid payments associated with Temporary National Codes (Non-Medicare) increase by $161,053, or 45.7%. Notable year-over-year jumps occurred in 2020 and 2023, demonstrating periods of accelerated spending growth.
Although services in the Temporary National Codes (Non-Medicare) group were provided throughout Muskegon, Medicaid payments were concentrated in specific ZIP codes. In 2024, ZIP code 49442 received $286,620 in payments, 49441 received $174,409, and 49445 accounted for $52,507. These top 3 ZIP codes collectively represented all Medicaid payments for this service category in the city during the year.
Medicaid payments within the Temporary National Codes (Non-Medicare) category were also focused on a subset of Medicaid billing codes.
For context, Medicaid payments related to Temporary National Codes (Non-Medicare) in Muskegon grew 14.4% between 2024 and 2023, while total Medicaid claim categories city-wide increased by 21.7% over the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of national health care spending—an increase from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This represents a nearly 40% increase over several years, largely driven by enhanced enrollment and increased service utilization during and after the pandemic period.
Recent federal legislation enacted under the Trump administration features substantial proposals to decrease federal Medicaid spending and change the program. The “One Big Beautiful Bill Act,” passed in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion over the next decade and implement measures such as work requirements and higher cost-sharing, which could lower coverage and funding for certain enrollees. These measures are anticipated to shift more financial responsibility to states and restrict the expansion of federal support, even as Medicaid continues providing care for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $352,485 | 29.8% |
| 2021 | $357,503 | 1.4% |
| 2022 | $359,612 | 0.6% |
| 2023 | $448,973 | 24.8% |
| 2024 | $513,538 | 14.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $34,985,393 | 36.8% |
| 2 | National Codes Established for State Medicaid Agencies | $22,485,040 | 23.7% |
| 3 | Evaluation and Management | $13,494,642 | 14.2% |
| 4 | Medicine Services and Procedures | $7,080,914 | 7.4% |
| 5 | Procedures / Professional Services | $6,916,223 | 7.3% |
| 6 | Radiology Procedures | $2,452,133 | 2.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $2,392,870 | 2.5% |
| 8 | Surgery | $1,426,454 | 1.5% |
| 9 | Pathology and Laboratory Procedures | $1,063,681 | 1.1% |
| 10 | Dental Services | $875,548 | 0.9% |
| 11 | Durable Medical Equipment | $701,854 | 0.7% |
| 12 | Temporary National Codes (Non-Medicare) | $513,538 | 0.5% |
| 13 | Drugs Administered Other than Oral Method | $354,420 | 0.4% |
| 14 | Enteral and Parenteral Therapy | $117,744 | 0.1% |
| 15 | Orthotic Procedures and services | $108,488 | 0.1% |
| 16 | Medical And Surgical Supplies | $61,579 | 0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $9,062 | <0.1% |
| 18 | Vision Services | $4,111 | <0.1% |
| 19 | Temporary Codes | $2,938 | <0.1% |
| 20 | Chemotherapy Drugs | $1,237 | <0.1% |
| 21 | Hearing Services | $860 | <0.1% |
| 22 | Anesthesia | $470 | <0.1% |
| 23 | Pathology and Laboratory Services | $53 | <0.1% |
| 24 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 24 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5111 | Family homecare train/sessio | $286,620 | 12 |
| S5170 | Homedelivered prepared meal | $171,463 | 11 |
| S5120 | Chore services per 15 min | $30,116 | 7 |
| S0215 | Nonemerg transp mileage | $16,614 | 19 |
| S5121 | Chore services per diem | $8,722 | 3 |
| S0250 | Comp geriatr assmt team | $0 | 7 |
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.