Blacksburg Medicaid providers submitted $512,480 in claims for services categorized as Temporary National Codes (Non-Medicare) in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 44.9% increase over 2023, when $353,713 in claims for these services were recorded.
Medicaid, administered by states and jointly funded by federal and state governments, offers health coverage to low-income people and families, seniors, children, and individuals with disabilities—making it a significant component of the U.S. health care system. More information on Medicaid funding is available at this resource.
Because taxpayer dollars fund Medicaid, shifts in local billing levels indicate how public health care resources are distributed in a given area.
The “Temporary National Codes (Non-Medicare)” category comprises a set of Medicaid-billed services identified by specific types of care and standard HCPCS and CPT coding groupings. In this analysis, each billing code was placed in a single service category based on code prefixes and numeric ranges, which enables comparison of related services and prevents duplication or inaccurate rankings over time.
While Medicaid spending rose in several service categories, Temporary National Codes (Non-Medicare) ranked fifth in Blacksburg for total Medicaid payments in 2024.
Statewide in Virginia, Temporary National Codes (Non-Medicare) also held the fifth position by total Medicaid payments for the year.
Between 2020 and 2024, Blacksburg’s Medicaid payments for Temporary National Codes (Non-Medicare) grew by $464,872, equaling a 976.5% rise. Periods of particularly high growth occurred in 2022 and 2023.
Most payments within the Temporary National Codes (Non-Medicare) group were concentrated in a small number of ZIP codes. In 2024, Medicaid claims for ZIP code 24060 totaled $512,479, accounting for the full amount spent in this category citywide during the year.
Medicaid spending for the Temporary National Codes (Non-Medicare) category also centered around a few individual billing codes.
Comparing category-level data, Medicaid payments linked to Temporary National Codes (Non-Medicare) increased by 44.9% from 2023 to 2024 in Blacksburg, while overall Medicaid claims in the city rose by 8.2% over the same span.
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 total national health spending. That figure increased sharply from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This jump highlights a growth of about 40% in just a few years, mainly due to expanded enrollment and higher service use during and following the pandemic.
Recent federal budget measures passed under the Trump administration have proposed substantial federal Medicaid funding reductions and significant changes to the program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years. The law introduces elements like work requirements and more cost-sharing, changes expected to lower coverage and funding for certain groups and shift costs to states, potentially slowing federal Medicaid funding growth even as the program remains a key service for tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $47,607 | -48.6% |
| 2021 | $63,376 | 33.1% |
| 2022 | $264,191 | 316.9% |
| 2023 | $353,712 | 33.9% |
| 2024 | $512,479 | 44.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $18,978,051 | 58.3% |
| 2 | National Codes Established for State Medicaid Agencies | $6,682,844 | 20.5% |
| 3 | Evaluation and Management | $3,688,141 | 11.3% |
| 4 | Medicine Services and Procedures | $1,559,357 | 4.8% |
| 5 | Temporary National Codes (Non-Medicare) | $512,479 | 1.6% |
| 6 | Surgery | $461,093 | 1.4% |
| 7 | Radiology Procedures | $427,137 | 1.3% |
| 8 | Pathology and Laboratory Procedures | $141,447 | 0.4% |
| 9 | Procedures / Professional Services | $81,823 | 0.3% |
| 10 | Temporary Codes | $16,623 | 0.1% |
| 11 | Drugs Administered Other than Oral Method | $104 | <0.1% |
| 12 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 12 | Dental Services | $0 | <0.1% |
| 12 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9485 | Crisis intervention mental h | $392,683 | 12 |
| S9482 | Family stabilization 15 min | $75,796 | 9 |
| S0201 | Partial hospitalization serv | $44,000 | 1 |
| S0028 | Injection, famotidine, 20 mg | $0 | 2 |
| S0119 | Ondansetron 4 mg | $0 | 8 |
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.
