Goose Creek Medicaid payments for Temporary National Codes (Non-Medicare) climb to $725,584 in 2024

In Goose Creek, Medicaid providers submitted $725,584 in claims for Temporary National Codes (Non-Medicare) services in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 242% jump compared with 2023, when claims for the same services totaled $212,160.

Medicaid is a public insurance program managed by states and jointly financed by federal and state funds. It serves low-income families and individuals, seniors, children, and people with disabilities, making it one of the nation’s largest health care payers.

Since Medicaid expenditures come from taxpayers, shifts in local billing reflect how community health care dollars are distributed.

The “Temporary National Codes (Non-Medicare)” group encompasses Medicaid-billed services identified by standardized HCPCS and CPT code sets. For this review, every billing code was assigned to a single category using consistent prefixes and number ranges, allowing for aggregated analysis of related services without double counting and ensuring reliable rankings over time.

While Goose Creek saw growth in Medicaid spending across several service types, Temporary National Codes (Non-Medicare) ranked as the city’s second-highest Medicaid payment category in 2024.

Across South Carolina, this same group of codes stood fifth in total Medicaid payments for 2024.

Over the five years prior to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Goose Creek rose by $478,721, or 193.9%. Certain periods, especially 2021 and 2022, recorded significant year-over-year increases.

Although payments for this category were distributed around the city, most spending was concentrated in a few ZIP codes. In 2024, ZIP code 29445 recorded all $725,584 in Medicaid payments for Temporary National Codes (Non-Medicare) services, accounting for 100% of the city’s total in this category for the year.

Payments within the Temporary National Codes (Non-Medicare) group were focused on only a handful of individual billing codes.

For context, Medicaid payments in Goose Creek for the Temporary National Codes (Non-Medicare) category grew by 242% from 2023 to 2024, while the citywide increase across all Medicaid claim categories over that period was 17.8%.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of national health expenditures, a significant rise from $613.5 billion in 2019 before the COVID-19 pandemic.

This growth represents an increase of approximately 40% over a few years, largely attributed to greater enrollment and higher service utilization during and after the pandemic.

Recent federal budget acts under the Trump administration included major efforts to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is set to cut federal Medicaid spending by more than $1 trillion over the coming decade and puts in place policies like work requirements and increased cost-sharing, which could lower coverage and funding for some participants. These changes are projected to shift greater cost responsibility to the states and constrain federal support, though Medicaid continues to serve tens of millions of people nationwide.

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.