In 2024, Medicaid providers in Fort Wayne billed $9,792,399 for services within the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 56.9% rise over 2023, when providers filed $6,241,641 in claims for the same service category.
Medicaid is a state-administered health insurance program, funded in partnership by the federal and state governments. It provides coverage to low-income individuals and families, children, seniors, and people with disabilities, making it a core component of the U.S. health care landscape.
Since taxpayer funding underpins Medicaid payments, fluctuations in local billing trends reveal how community health care funds are being directed.
The “Temporary National Codes (Non-Medicare)” service category groups together a selection of Medicaid-billed services based on standardized HCPCS and CPT code classifications. For this report, each billing code was matched to a single service category using established numerical ranges and code prefixes, ensuring related services could be compared while maintaining accurate rankings and avoiding duplication.
Medicaid outlays rose in several service categories, with Temporary National Codes (Non-Medicare) taking the fifth spot for total Medicaid payments in Fort Wayne during 2024.
Statewide, the Temporary National Codes (Non-Medicare) category was ranked 13th for Medicaid payments in Indiana in 2024.
From 2019 through 2024, Medicaid payments associated with Temporary National Codes (Non-Medicare) in Fort Wayne increased by $5,776,551, or 143.8%. This growth accelerated in certain years, showing strong year-over-year gains particularly during 2023 and 2020.
Though payments for Temporary National Codes (Non-Medicare) services were distributed across the city, the majority of funds were directed to a small number of ZIP codes. In 2024, ZIP code 46816 received $7,104,647, 46805 was allocated $1,236,600, and 46802 saw $809,204 in Medicaid payments for these services. Together, these 3 ZIP codes represented 93.4% of the city’s Medicaid payments in the Temporary National Codes (Non-Medicare) category for the year.
Within the category, Medicaid dollars were mostly concentrated in a select group of billing codes.
By comparison, Medicaid spending on Temporary National Codes (Non-Medicare) in Fort Wayne grew 56.9% from 2023 to 2024, compared to a 13% increase for all Medicaid service categories locally during this period.
Centers for Medicare & Medicaid Services data shows total federal and state Medicaid spending reached around $871.7 billion in the 2023 fiscal year, comprising about 18% of all national health expenditures. This was a significant increase from $613.5 billion in 2019, prior to the pandemic.
This increase of roughly 40% over several years is mainly due to higher enrollment and increased utilization during, and after, the pandemic years.
Recent federal budget legislation passed during the Trump administration has proposed cuts to federal Medicaid funding and changes in its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion in the coming decade. The law also introduces measures such as work requirements and higher cost-sharing, potentially limiting access and funding for some beneficiaries. As a result, states may bear greater financial responsibility for the program, even as Medicaid continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,015,847 | 50.3% |
| 2021 | $2,946,811 | -26.6% |
| 2022 | $1,103,772 | -62.5% |
| 2023 | $6,241,641 | 465.5% |
| 2024 | $9,792,399 | 56.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $67,892,754 | 3<0.1% |
| 2 | Medicine Services and Procedures | $43,353,863 | 19.2% |
| 3 | Alcohol and Drug Abuse Treatment | $38,481,574 | 17% |
| 4 | National Codes Established for State Medicaid Agencies | $29,709,057 | 13.1% |
| 5 | Temporary National Codes (Non-Medicare) | $9,792,399 | 4.3% |
| 6 | Procedures / Professional Services | $8,826,383 | 3.9% |
| 7 | Radiology Procedures | $6,914,277 | 3.1% |
| 8 | Ambulance and Other Transport Services and Supplies | $3,879,032 | 1.7% |
| 9 | Surgery | $3,144,451 | 1.4% |
| 10 | Pathology and Laboratory Procedures | $3,067,498 | 1.4% |
| 11 | Dental Services | $2,905,529 | 1.3% |
| 12 | Durable Medical Equipment | $1,709,128 | 0.8% |
| 13 | Vision Services | $1,691,754 | 0.7% |
| 14 | Enteral and Parenteral Therapy | $1,054,192 | 0.5% |
| 15 | Medical And Surgical Supplies | $901,782 | 0.4% |
| 16 | Drugs Administered Other than Oral Method | $706,813 | 0.3% |
| 17 | Orthotic Procedures and services | $645,686 | 0.3% |
| 18 | Temporary Codes | $484,514 | 0.2% |
| 19 | Administrative, Miscellaneous and Investigational | $321,894 | 0.1% |
| 20 | Anesthesia | $167,600 | 0.1% |
| 21 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $158,893 | 0.1% |
| 22 | Diagnostic Radiology Services | $93,849 | <0.1% |
| 23 | Chemotherapy Drugs | $38,342 | <0.1% |
| 24 | Hearing Services | $1,048 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $9,114,008 | 34 |
| S5130 | Homaker service nos per 15m | $520,511 | 13 |
| S5151 | Unskilled respitecare /diem | $148,715 | 7 |
| S5100 | Adult daycare services 15min | $9,162 | 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.
