Indiana’s Medicaid payments amounted to $25,315,546 for services under the Temporary National Codes (Non-Medicare) category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 254.4% rise compared to 2023, when payments totaled $7,142,834.
Medicaid, administered by the states and jointly funded by federal and state governments, covers eligible low-income individuals and families, seniors, children, and people with disabilities. This makes Medicaid one of the key pillars of the U.S. health care system.
Since Medicaid is taxpayer funded, shifts in billing show how public health care spending is distributed within communities.
The “Temporary National Codes (Non-Medicare)” label covers a set of Medicaid-billed services specified by the care provided, grouped by standardized HCPCS and CPT code sets. For this report, every code was categorized into one service type using consistent code prefixes and numeric ranges, which allowed for related services to be grouped accurately and double counting to be avoided.
Some categories encompass various types of services. In these instances, the category brings together related care types commonly billed at the same time under Medicaid—such as office visits, diagnostic assessments, and therapeutic procedures.
Although payments for Temporary National Codes (Non-Medicare) services were distributed throughout Indiana, they were concentrated in certain ZIP codes. For 2024, ZIP Code 46816 accounted for $7,104,647 (28.1% of the sum), ZIP Code 46952 for $2,132,693 (8.4%), and ZIP Code 46635 registered $1,378,869 (5.4%).
Together, these top 3 ZIP codes contributed 41.9% of all Medicaid payments within this category across Indiana in 2024.
Statewide, Medicaid payments for all categories rose 19.6% from 2023 to 2024.
Among several service groups seeing higher Medicaid spending, the Temporary National Codes (Non-Medicare) category placed within the top 13 service categories statewide based on total payments in 2024.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending neared $871.7 billion in fiscal year 2023, accounting for about 18% of all national health expenditures—up from approximately $613.5 billion in 2019, preceding the COVID-19 pandemic.
This jump marks nearly 40% growth over just a few years, largely linked to expanded enrollment and greater use during and following the pandemic.
Recent federal budget actions under the Trump administration included major proposals to curb federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid funding by over $1 trillion in the next decade. It sets out policies like work requirements and increased cost-sharing, likely reducing coverage and support for certain beneficiaries. These measures could place greater financial responsibility on states and limit federal support, even as Medicaid continues to cover millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2024 | $25,315,546 | 254.4% |
| 2023 | $7,142,834 | 216.4% |
| 2022 | $2,257,527 | -95.3% |
| 2021 | $48,290,161 | -33% |
| 2020 | $72,071,175 | 9.6% |
| 2019 | $65,729,774 | 7.7% |
| 2018 | $61,042,426 | N/A |
| ZIP Code | Medicaid Payments | % of State Total |
|---|---|---|
| 46816 | $7,104,647 | 28.1% |
| 46952 | $2,132,693 | 8.4% |
| 46635 | $1,378,869 | 5.4% |
| 46805 | $1,236,600 | 4.9% |
| 47429 | $1,172,552 | 4.6% |
| 47446 | $869,415 | 3.4% |
| 47356 | $865,400 | 3.4% |
| 46250 | $851,041 | 3.4% |
| 46802 | $809,205 | 3.2% |
| 47452 | $773,094 | 3.1% |
| 47909 | $710,744 | 2.8% |
| 46407 | $707,748 | 2.8% |
| 46290 | $663,503 | 2.6% |
| 46804 | $619,493 | 2.4% |
| 47201 | $588,366 | 2.3% |
| 46240 | $526,564 | 2.1% |
| 47421 | $466,196 | 1.8% |
| 47448 | $465,595 | 1.8% |
| 47904 | $384,130 | 1.5% |
| 46237 | $320,613 | 1.3% |
| 46268 | $318,092 | 1.3% |
| 46227 | $279,185 | 1.1% |
| 46203 | $269,156 | 1.1% |
| 46216 | $262,200 | 1% |
| 46280 | $213,949 | 0.8% |
| 46706 | $165,042 | 0.7% |
| 47304 | $160,293 | 0.6% |
| 47150 | $124,690 | 0.5% |
| 46219 | $110,011 | 0.4% |
| 46254 | $98,064 | 0.4% |
| 46143 | $79,148 | 0.3% |
| 46017 | $65,277 | 0.3% |
| 47203 | $57,389 | 0.2% |
| 46158 | $54,265 | 0.2% |
| 46970 | $51,738 | 0.2% |
| 46241 | $43,354 | 0.2% |
| 46001 | $40,436 | 0.2% |
| 47401 | $39,978 | 0.2% |
| 46220 | $38,372 | 0.2% |
| 46205 | $33,973 | 0.1% |
| 46016 | $33,786 | 0.1% |
| 47713 | $29,719 | 0.1% |
| 46815 | $22,454 | 0.1% |
| 47834 | $22,343 | 0.1% |
| 46256 | $18,660 | 0.1% |
| 46032 | $13,551 | 0.1% |
| 46142 | $7,353 | <0.1% |
| 47130 | $7,352 | <0.1% |
| 47012 | $6,103 | <0.1% |
| 46601 | $1,053 | <0.1% |
| 46383 | $1,034 | <0.1% |
| 46619 | $656 | <0.1% |
| 47591 | $403 | <0.1% |
Source: U.S. Department of Health and Human Services Medicaid Provider Spending database. The original statewide data set is available here.