Newport Medicaid providers received $1,833,150 for Temporary National Codes (Non-Medicare) services in 2024, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 65.8% uptick compared to 2023, when $1,105,669 in claims were submitted for these services.
Medicaid is a public insurance initiative managed by states with shared funding from federal and state governments. The program insures low-income residents, families, seniors, children, and individuals with disabilities, making it a fundamental part of the nation’s health care system.
Because Medicaid relies on taxpayer funding, any changes in local billing patterns can help illustrate how communities allocate public health expenditures.
The “Temporary National Codes (Non-Medicare)” service type covers Medicaid-billed offerings organized by the specific care delivered using standardized HCPCS and CPT codes. This analysis assigned each billing code to a defined service group based on uniform code prefixes and number ranges, providing clearer category tracking and avoiding duplication for accurate historical rankings.
Among various Medicaid spending categories, Temporary National Codes (Non-Medicare) received the highest total payments in Newport during 2024.
On a broader scale, this same category was the second-largest for total Medicaid payments statewide in Delaware in 2024.
Over the five years through 2024, Newport saw a $1,095,903 or 148.6% rise in Medicaid expenditures for Temporary National Codes (Non-Medicare). The pace of spending grew more rapidly during select periods, with substantial annual growth in 2020 and 2022.
Though payments for services in the Temporary National Codes (Non-Medicare) category appeared citywide, a select group of ZIP codes captured the majority. In 2024, ZIP code 19804 accounted for $1,833,149, with the top ZIP accounting for 100% of category payments in Newport.
Within this service grouping, most Medicaid dollars were focused on a limited selection of specific individual billing codes.
Between 2024 and 2023, Medicaid payments for Temporary National Codes (Non-Medicare) in Newport climbed by 65.8%. Across all Medicaid service groups during the same window, the city observed a 51.2% increase.
The Centers for Medicare & Medicaid Services reports combined federal and state Medicaid expenditures reaching about $871.7 billion in fiscal year 2023, making up approximately 18% of overall national health spending—a sharp rise from $613.5 billion recorded in 2019, pre-pandemic.
This surge is equivalent to roughly 40% growth in just a few years, largely due to increased enrollment and greater medical use during and after the COVID-19 pandemic.
Recent federal budget laws under the Trump administration have presented major proposals for reduced federal Medicaid spending and restructuring. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid outlays by over $1 trillion over 10 years, adding new conditions such as work requirements and higher cost-sharing that could impact both coverage levels and funding for certain beneficiaries. These reforms look to shift greater program expenses to states while limiting future federal Medicaid growth, even as tens of millions continue to receive benefits under the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $737,246 | 237.3% |
| 2021 | $832,083 | 12.9% |
| 2022 | $976,334 | 17.3% |
| 2023 | $1,105,668 | 13.2% |
| 2024 | $1,833,149 | 65.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $1,833,149 | 94.7% |
| 2 | Evaluation and Management | $50,255 | 2.6% |
| 3 | Procedures / Professional Services | $37,565 | 1.9% |
| 4 | Medicine Services and Procedures | $14,362 | 0.7% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5130 | Homaker service nos per 15m | $1,833,149 | 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.


