Orlando Medicaid payments for Temporary Codes rise 30% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Orlando Medicaid providers submitted $9,143,911 in claims for services under Temporary Codes in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 30% gain from 2023, when claims for this service type totaled $7,036,285.

Medicaid is a government health insurance initiative operated by states and jointly financed by federal and state governments. It provides coverage for low-income residents, seniors, children, and individuals living with disabilities, making it one of the main pillars of the U.S. health care system. jointly by federal and state governments

Because Medicaid expenditures are taxpayer-funded, fluctuations in local billing patterns disclose how public health funds are distributed at the community level.

The “Temporary Codes” group includes certain Medicaid services classified by type of care based on HCPCS and CPT code groupings. Each medical billing code in this analysis was placed within a specific service group using uniform code prefixes and number ranges. This approach allowed similar services to be viewed together while preventing double counting and maintaining year-over-year ranking accuracy.

While Medicaid spending increased across several categories, Temporary Codes placed seventh in total Orlando Medicaid payments for 2024.

Statewide in Florida, Temporary Codes ranked 16th by total Medicaid payments in 2024.

Over the five years before 2024, Medicaid payments related to Temporary Codes in Orlando climbed by $1,103,083—an increase of 10.8%. Accelerated growth occurred during certain years, with prominent annual increases noted in 2022 and 2023.

Spending tied to Temporary Codes was noted across multiple city areas, but was concentrated in several ZIP codes. In 2024, ZIP codes recording the highest Medicaid payments for Temporary Codes included 32810 at $9,090,267, 32827 at $50,418, and 32803 with $1,855. Combined, these 3 ZIP codes made up 100% of Orlando’s Medicaid payments for Temporary Codes that year.

Within this category, Medicaid invoices focused on a small set of billing codes.

To compare, Medicaid payments for Temporary Codes in Orlando increased by 30% from 2023 to 2024, while overall Medicaid claim payments across all categories in the city experienced a 28.9% rise for the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion for fiscal year 2023, accounting for around 18% of all national health costs—an increase from an estimated $613.5 billion in 2019 prior to the COVID-19 pandemic.

This jump reflects nearly 40% growth in several years, mainly driven by bigger enrollment and higher usage during and post-pandemic.

Federal budget legislation during the Trump administration introduced extensive proposals to lower federal Medicaid spending and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion during the next 10 years. The law adds measures such as work requirements and more cost-sharing, which may decrease coverage and financing for certain beneficiaries. These measures are expected to shift more expenses to states and restrict federal Medicaid support growth, though the program continues to serve tens of millions across the country.

Medicaid Payments Tied to Temporary Codes in Orlando, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $10,246,994 5.7%
2021 $5,654,616 -44.8%
2022 $6,591,142 16.6%
2023 $7,036,285 6.8%
2024 $9,143,911 30%
Top Categories by Medicaid Payments in Orlando, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Temporary National Codes (Non-Medicare) $67,783,464 24.3%
2 Evaluation and Management $67,643,800 24.2%
3 National Codes Established for State Medicaid Agencies $45,233,359 16.2%
4 Medicine Services and Procedures $26,107,671 9.4%
5 Alcohol and Drug Abuse Treatment $20,137,722 7.2%
6 Procedures / Professional Services $9,463,436 3.4%
7 Temporary Codes $9,143,911 3.3%
8 Enteral and Parenteral Therapy $6,629,258 2.4%
9 Durable Medical Equipment $5,504,627 2%
10 Surgery $5,442,573 1.9%
11 Radiology Procedures $4,116,573 1.5%
12 Pathology and Laboratory Procedures $3,218,764 1.2%
13 Dental Services $1,869,799 0.7%
14 Ambulance and Other Transport Services and Supplies $1,585,981 0.6%
15 Medical And Surgical Supplies $1,419,979 0.5%
16 Anesthesia $1,244,165 0.4%
17 Orthotic Procedures and services $755,764 0.3%
18 Prosthetic Procedures $714,348 0.3%
19 Drugs Administered Other than Oral Method $540,026 0.2%
20 Durable medical equipment (DME) Medicare administrative contractors (MACs) $336,245 0.1%
21 Administrative, Miscellaneous and Investigational $291,562 0.1%
22 Vision Services $22,937 <0.1%
23 Coronavirus Diagnostic Panel $10,230 <0.1%
24 Diagnostic Radiology Services $5,251 <0.1%
25 Pathology and Laboratory Services $2,474 <0.1%
Top 20 HCPCS Codes Within the Temporary Codes Category in Orlando, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
Q0508 Mis sup/acc imp vad $8,784,031 28
Q0509 Mis sup/ac imp vad nopay med $306,235 11
Q0162 Ondansetron oral $50,418 74
Q9967 Locm 300-399mg/ml iodine,1ml $1,973 38
Q0092 Set up port xray equipment $1,188 8
Q0511 Sup fee antiem,antica,immuno $48 11
Q0512 Px sup fee anti-can sub pres $16 11

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.



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