In 2024, Medicaid providers in Somerville billed a total of $5,184 for services identified under the Temporary Codes category, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 51% jump from 2023, when $3,434 was billed for the same category of care.
Medicaid, a state-run public health insurance program jointly funded by federal and state governments, provides health coverage for low-income residents, seniors, children, and people with disabilities, ranking among the nation’s largest health care programs.
Since Medicaid dollars are taxpayer-funded, trends in local billing reveal how community health care resources are allotted.
The “Temporary Codes” category encompasses groups of Medicaid services defined by standardized HCPCS and CPT code ranges. This analysis assigns each code to one service category using consistent prefixes and number series, ensuring related procedures are evaluated together without duplication and to maintain accurate category rankings through time.
Temporary Codes was the 12th largest Medicaid service category by payments in Somerville for 2024, despite rising spending across various categories.
Statewide, it ranked 17th among Medicaid categories by total payments in New Jersey in 2024.
From five years before 2024, Medicaid payments linked to Temporary Codes in Somerville climbed by $5,183, representing a 518300% increase. Notable growth periods occurred in both 2021 and 2022, contributing to this trend.
Spending on Temporary Codes in 2024 was largely focused by ZIP code, with the area 08876 accounting for $5,183, or 100% of the total Medicaid payments in this category for the city that year.
Within the scope of Temporary Codes, claims were centered on a small set of billing codes.
To compare, Temporary Codes payments in Somerville rose 51% between 2024 and 2023, while overall Medicaid spending across all categories increased 12.9% in the city during the same period.
Centers for Medicare & Medicaid Services data show federal and state Medicaid expenditure reached approximately $871.7 billion in fiscal year 2023, or about 18% of national health costs, rising considerably from $613.5 billion in 2019, before the COVID-19 pandemic.
That figure represents around 40% growth in a few years, driven by increased enrollment and higher service use during and after the pandemic.
Recent federal budget laws signed during the Trump administration include substantial plans to reduce Medicaid funding and change program structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut federal Medicaid spending by over $1 trillion across the coming decade and introduces measures like work requirements and larger cost-sharing, which could reduce coverage and funds available to some participants. States are likely to absorb more costs amid capped growth in federal support, even as Medicaid continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1 | – |
| 2021 | $1,088 | 108713% |
| 2022 | $4,299 | 295.1% |
| 2023 | $3,433 | -20.1% |
| 2024 | $5,183 | 51% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,932,879 | 49.3% |
| 2 | Medicine Services and Procedures | $1,425,344 | 17.9% |
| 3 | Procedures / Professional Services | $930,512 | 11.7% |
| 4 | Radiology Procedures | $660,734 | 8.3% |
| 5 | National Codes Established for State Medicaid Agencies | $414,609 | 5.2% |
| 6 | Alcohol and Drug Abuse Treatment | $198,856 | 2.5% |
| 7 | Pathology and Laboratory Procedures | $177,639 | 2.2% |
| 8 | Ambulance and Other Transport Services and Supplies | $124,989 | 1.6% |
| 9 | Dental Services | $67,828 | 0.8% |
| 10 | Surgery | $38,031 | 0.5% |
| 11 | Drugs Administered Other than Oral Method | $5,747 | 0.1% |
| 12 | Temporary Codes | $5,183 | 0.1% |
| 13 | Outpatient PPS | $1,299 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $1,017 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| Q9967 | Locm 300-399mg/ml iodine,1ml | $3,091 | 11 |
| Q9963 | Hocm 350-399mg/ml iodine,1ml | $2,092 | 10 |
| Q5001 | Hospice or home hlth in home | $0 | 3 |
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 sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access the source data here.
