In 2024, Medicaid providers in Kalispell billed a total of $733,082 for services in the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This total represents a 10.8% jump from 2023, when providers submitted $661,548 in claims for this type of service.
Medicaid, a state-administered health insurance program funded in partnership by federal and state governments, covers low-income individuals and families, seniors, children, and those with disabilities. The program is a central element of the U.S. health care system.
Since Medicaid payments are funded with public tax dollars, fluctuations in city billing totals reflect changes in how local communities utilize health care resources.
The “Temporary National Codes (Non-Medicare)” category groups a range of Medicaid-billed services by the type of care delivered, organized according to standardized HCPCS and CPT codes. For this review, billing codes were consistently assigned to a single service category based on code ranges and prefixes, ensuring services could be tracked over time without overlap or duplications.
Although overall Medicaid spending grew in a number of service areas, Temporary National Codes (Non-Medicare) ranked sixth by total Medicaid payments in Kalispell in 2024.
Statewide, the Temporary National Codes (Non-Medicare) category stood at the top for total Medicaid payments in Montana in 2024.
During the five years leading up to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Kalispell rose by $166,632, or 29.4%. Growth accelerated in select years, including marked increases in 2020 and 2022.
While this category’s spending was distributed citywide, Medicaid payments were highly concentrated in a small number of ZIP codes. In 2024, the 59901 ZIP code led these, totaling $733,081. Combined, the leading ZIP code accounted for 100% of all Medicaid payments under this category in Kalispell that year.
Within this category, payments were further concentrated among just a few individual billing codes.
Comparing citywide trends, Medicaid payments for Temporary National Codes (Non-Medicare) in Kalispell climbed 10.8% from 2023 to 2024, while overall Medicaid categories increased by 16.4% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled roughly $871.7 billion in fiscal year 2023—or about 18% of total U.S. health expenditures—significantly higher than the $613.5 billion spent in 2019, prior to the COVID-19 pandemic.
This growth amounts to an increase of around 40% over several years, primarily due to rising enrollment and greater use of services during and after the pandemic.
Recent federal budget laws under the Trump administration have included numerous proposals designed to trim federal Medicaid funding and change the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years. It introduces new policies such as work requirements and higher cost-sharing that could limit both Medicaid funding and coverage for certain recipients. Such changes are expected to push more financial responsibility to states and may restrict federal Medicaid investment moving forward, while the program continues serving millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $566,449 | 42.9% |
| 2021 | $532,417 | -6% |
| 2022 | $701,860 | 31.8% |
| 2023 | $661,548 | -5.7% |
| 2024 | $733,081 | 10.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $13,924,576 | 52.6% |
| 2 | Evaluation and Management | $4,502,576 | 17% |
| 3 | Medicine Services and Procedures | $3,175,450 | 12% |
| 4 | Alcohol and Drug Abuse Treatment | $1,051,576 | 4% |
| 5 | Dental Services | $948,437 | 3.6% |
| 6 | Temporary National Codes (Non-Medicare) | $733,081 | 2.8% |
| 7 | Pathology and Laboratory Procedures | $435,620 | 1.6% |
| 8 | Ambulance and Other Transport Services and Supplies | $366,091 | 1.4% |
| 9 | Durable Medical Equipment | $334,895 | 1.3% |
| 10 | Surgery | $311,261 | 1.2% |
| 11 | Radiology Procedures | $246,883 | 0.9% |
| 12 | Medical And Surgical Supplies | $147,584 | 0.6% |
| 13 | Procedures / Professional Services | $103,334 | 0.4% |
| 14 | Drugs Administered Other than Oral Method | $95,851 | 0.4% |
| 15 | Orthotic Procedures and services | $34,513 | 0.1% |
| 16 | Temporary Codes | $17,889 | 0.1% |
| 17 | Anesthesia | $7,246 | <0.1% |
| 18 | Outpatient PPS | $3,994 | <0.1% |
| 19 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $3,495 | <0.1% |
| 20 | Diagnostic Radiology Services | $2,042 | <0.1% |
| 21 | Administrative, Miscellaneous and Investigational | $1,274 | <0.1% |
| 22 | Pathology and Laboratory Services | $1,100 | <0.1% |
| 23 | Chemotherapy Drugs | $889 | <0.1% |
| 24 | Prosthetic Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5135 | Adult companioncare per 15m | $439,024 | 12 |
| S5126 | Attendant care service /diem | $254,887 | 12 |
| S9379 | Hit noc per diem | $19,627 | 7 |
| S0215 | Nonemerg transp mileage | $19,542 | 21 |
Note: HCPCS codes are provided to clarify category details. Category totals and rankings in this article are based on grouped services, not individual codes.
Information in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be accessed here.
