New Hampshire reports $55.7 million in Medicaid payments for Temporary National Codes (Non-Medicare) in 2024

New Hampshire recorded $55,650,352 in Medicaid payments for services falling under the Temporary National Codes (Non-Medicare) category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 6.2% rise compared to 2023, when claims totaled $52,420,942.

Medicaid, a public health insurance initiative, is operated by individual states and funded collaboratively through federal and state contributions. It serves low-income populations, seniors, children and individuals with disabilities, making it a significant portion of the U.S. health care system.

As Medicaid funding comes directly from taxpayers, shifts in billing patterns within communities highlight changes in the distribution of public health care resources.

The “Temporary National Codes (Non-Medicare)” category includes a range of Medicaid services defined by the type of care, organized by standardized HCPCS and CPT code sets. This analysis assigned each billing code to a specific service category based on consistent code prefixes and ranges to group similar services, prevent double counting and produce accurate long-term comparisons.

Where relevant, some categories comprise various forms of care. In such instances, the category groups associated services typically billed together within Medicaid, such as visits to offices, diagnostic tests and therapeutic procedures.

Between the five years leading to 2024, Medicaid payments attributed to Temporary National Codes (Non-Medicare) in New Hampshire increased by $24,675,197, or 79.7%. Spending growth was particularly high in certain years, with significant year-over-year gains in 2022 and 2023.

While these payments were distributed throughout the state, a handful of ZIP codes accounted for most of the spending. In 2024, the largest sums of Medicaid payments for Temporary National Codes (Non-Medicare) services were concentrated in ZIP Code 03820, with $29,145,227 (52.4% of the total), ZIP Code 03103 at $8,866,767 (15.9%), and ZIP Code 03110, with $4,880,124 (8.8%).

Together, these three ZIP codes represented 77.1% of all Medicaid payments for Temporary National Codes (Non-Medicare) services across New Hampshire in 2024.

By comparison, aggregate Medicaid payments across all categories in the state climbed 3.1% from 2023 to 2024.

Spending increases occurred across a number of Medicaid categories, but in 2024, the Temporary National Codes (Non-Medicare) category ranked among the three largest groups by total payment outlays statewide.

The Centers for Medicare & Medicaid Services reported that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, comprising around 18% of all national health care expenses—considerably higher than the $613.5 billion recorded in 2019 prior to the COVID-19 pandemic.

This change reflects an estimated 40% growth over several years, largely influenced by greater enrollment numbers and higher utilization rates during and after the pandemic.

Recent federal budget packages, enacted under the Trump administration, have included major proposals to shrink federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act”, passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over the next decade and includes measures like work requirements and increased cost-sharing. These reforms could decrease coverage and financial aid for certain beneficiary groups, shifting more responsibility to the states as overall federal growth slows, though the program remains essential for millions.