Pierre Medicaid payments for Temporary National Codes (Non-Medicare) reach $2,021,480 in 2024

In 2024, Medicaid providers in Pierre billed $2,021,480 for services under the Temporary National Codes (Non-Medicare) category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total represents a 16.7% increase from 2023, when $1,732,061 was billed for the same service group.

Medicaid, the public health insurance initiative overseen by states and financed through a partnership between federal and state governments, covers low-income individuals and families as well as seniors, children, and those with disabilities. It stands as one of the nation’s most significant health care programs.

Since Medicaid is funded through taxpayer contributions, fluctuations in local billing highlight how health care resources are distributed within communities.

The “Temporary National Codes (Non-Medicare)” category is defined by specific types of Medicaid-billed services, based on standardized HCPCS and CPT code groupings. For the purpose of this analysis, each code was assigned to one service group according to uniform prefixes and number sequences, which enabled related services to be viewed collectively, ensured accurate comparisons, and eliminated double counting.

Spending on Temporary National Codes (Non-Medicare) climbed across service groups, with the category ranking second by total Medicaid payments in Pierre in 2024.

Across South Dakota, Temporary National Codes (Non-Medicare) was the fifth highest Medicaid payment category by total dollars in 2024.

Looking at data for the five years leading up to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Pierre rose by $875,363, an increase of 76.4%. Periods with sharp year-over-year increases in 2021 and 2023 contributed to this accelerated growth.

The spread of spending in this category covered much of Pierre, but the largest share was reported in a single ZIP code. In 2024, ZIP code 57501 received $2,021,479, accounting for all Medicaid spending under this category in Pierre that year.

Most Medicaid payments within Temporary National Codes (Non-Medicare) were tied to a select group of individual billing codes.

Comparatively, payments attributed to Temporary National Codes (Non-Medicare) in Pierre increased by 16.7% between 2024 and 2023. For all Medicaid categories citywide, the same interval marked a 32.1% change.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of overall national health expenditures, up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth, approaching 40% over a few years, resulted largely from increases in enrollment and service utilization during and after the pandemic.

Recent federal budget actions under the Trump administration have featured major proposals to trim federal Medicaid funding and alter how the program is structured. The “One Big Beautiful Bill Act,” passed in 2025, is set to cut over $1 trillion in federal Medicaid support over the next 10 years, adding requirements such as work mandates and higher cost-sharing that may reduce both coverage levels and funding access for some groups. These adjustments are expected to increase states’ share of costs and slow the expansion of federal Medicaid resources, even as the program continues to serve millions of Americans.

Note: HCPCS codes are provided for context within this grouping. Category totals and rankings are established using standardized service group definitions, not individual codes.

This article uses information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.