In 2024, Alice Medicaid providers billed $56,323,466 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 represented a 37.2% increase over 2023, when providers billed $41,042,681 for these services.
Medicaid is a public health insurance program administered by the states and funded by both federal and state governments. The program provides coverage to low-income individuals, families, children, seniors, and people with disabilities, making it a major component of the U.S. health care system.
Since Medicaid is taxpayer-funded, trends in local billing levels highlight how public health resources are directed within a community.
The “Temporary National Codes (Non-Medicare)” category includes a set of Medicaid services defined by care type, using standard HCPCS and CPT code groupings. For this report, each billing code was matched to a single service category based on code prefixes and number ranges, ensuring related services are grouped appropriately while preventing double counting and maintaining accurate rankings over time.
Temporary National Codes (Non-Medicare) had the highest total Medicaid payments in Alice across all service categories in 2024.
Statewide, the Temporary National Codes (Non-Medicare) category was also ranked first in total Medicaid payments in Texas for 2024.
From the five-year period ending in 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Alice increased by $30,030,972—or 114.2%. The pace of spending growth accelerated in some years, with significant year-over-year increases especially in 2021 and 2020.
Though spending in this category was distributed citywide, the majority of Medicaid payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 78332 accounted for $56,323,465 in Medicaid payments for Temporary National Codes (Non-Medicare). Altogether, the leading 1 ZIP code made up 100% of all Medicaid payments for this category in Alice during the year.
Within the category, a small group of billing codes accounted for most Medicaid payments.
To compare, Medicaid payments for Temporary National Codes (Non-Medicare) in Alice went up by 37.2% from 2023 to 2024, while all Medicaid claim categories in the city saw a 17% change during the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, or roughly 18% of all national health spending, up significantly from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This reflects a nearly 40% increase in a short period, primarily due to expanded enrollment and greater service use during and after the pandemic.
Federal budget measures enacted under the Trump administration included major proposals to trim federal Medicaid funding and revise the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, introducing policies such as work requirements and higher cost-sharing that could limit coverage and reduce funding for certain recipients. These changes may lead to increased state responsibility for costs and slower federal funding growth, even as the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $26,292,493 | 40% |
| 2021 | $48,842,443 | 85.8% |
| 2022 | $54,285,114 | 11.1% |
| 2023 | $41,042,680 | -24.4% |
| 2024 | $56,323,465 | 37.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $56,323,465 | 80.1% |
| 2 | National Codes Established for State Medicaid Agencies | $6,469,152 | 9.2% |
| 3 | Medicine Services and Procedures | $3,977,375 | 5.7% |
| 4 | Evaluation and Management | $2,618,567 | 3.7% |
| 5 | Ambulance and Other Transport Services and Supplies | $390,805 | 0.6% |
| 6 | Dental Services | $318,972 | 0.5% |
| 7 | Medical And Surgical Supplies | $85,405 | 0.1% |
| 8 | Procedures / Professional Services | $79,963 | 0.1% |
| 9 | Pathology and Laboratory Procedures | $53,999 | 0.1% |
| 10 | Radiology Procedures | $10,053 | <0.1% |
| 11 | Enteral and Parenteral Therapy | $8,186 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $7,550 | <0.1% |
| 13 | Vision Services | $3,252 | <0.1% |
| 14 | Temporary Codes | $1,867 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 15 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $55,362,530 | 114 |
| S5101 | Adult day care per half day | $646,172 | 32 |
| S5170 | Homedelivered prepared meal | $130,901 | 11 |
| S9110 | Telemonitoring/home per mnth | $109,269 | 11 |
| S9152 | Speech therapy, re-eval | $69,935 | 20 |
| S4993 | Contraceptive pills for bc | $4,656 | 2 |
| S9124 | Nursing care, in the home; b | $0 | 1 |
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.
