In 2024, Medicaid providers in Ripley billed $278 for services listed under the Temporary Codes category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 1.1% rise over 2023, when providers submitted $275 in claims for similar services.
Medicaid is a state-administered public health insurance program funded jointly by the federal and state governments. The program covers low-income individuals, families, seniors, children, and people with disabilities, making it a significant component of the U.S. health care system.
Because taxpayers provide funding for Medicaid payments, shifts in local billing levels indicate how public health care funding is distributed locally.
The Temporary Codes category encompasses a set of Medicaid services grouped by care type, based on consistent HCPCS and CPT code prefixes and ranges. Each billing code in this analysis was allocated to a distinct service group to analyze related services accurately, avoid duplicated counts, and maintain consistent rankings over time.
Despite increases in Medicaid expenditures across various categories, Temporary Codes ranked 10th in Ripley by total Medicaid payments for 2024.
Statewide, in West Virginia, Temporary Codes held the 18th spot by total Medicaid payments in 2024.
From 2020 to 2024, Ripley’s Medicaid payments associated with Temporary Codes grew by $33,314, or 99.2%. Certain periods saw faster growth, especially in 2023 and 2022 when year-over-year gains were significant.
While spending in this category was spread throughout the city, the payments were driven primarily by a small number of ZIP codes. In 2024, ZIP code 25271 recorded the highest Medicaid payments for Temporary Codes, totaling $278. In that year, the top ZIP code accounted for 100.1% of all spending in this service group in Ripley.
Within the Temporary Codes group, a limited subset of individual billing codes accounted for most Medicaid payments.
Comparatively, Medicaid payments for Temporary Codes in Ripley increased 1.1% from 2023 to 2024, versus a 17.8% rise across all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenses reached about $871.7 billion in fiscal year 2023, making up about 18% of national health expenditures. This amount increased sharply from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This growth represents an increase of roughly 40% in just a few years, largely due to expanded enrollment and greater use of services during and after the pandemic period.
Recent federal budget legislation passed during the Trump administration introduced major proposals to scale back federal Medicaid funding and change how the program operates. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to cut federal Medicaid spending by over $1 trillion over the next decade. It includes measures such as work requirements and increased cost-sharing that may reduce coverage and limit funding for some recipients. As a result, states are expected to bear a greater share of program costs, restraining federal Medicaid support even as the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $33,591 | -50.7% |
| 2021 | $7,005 | -79.1% |
| 2022 | $158 | -97.7% |
| 2023 | $275 | 73.7% |
| 2024 | $278 | 1.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,681,286 | 36.2% |
| 2 | Evaluation and Management | $1,590,126 | 34.3% |
| 3 | Medicine Services and Procedures | $317,451 | 6.8% |
| 4 | Pathology and Laboratory Procedures | $292,719 | 6.3% |
| 5 | Alcohol and Drug Abuse Treatment | $238,559 | 5.1% |
| 6 | Radiology Procedures | $221,619 | 4.8% |
| 7 | Ambulance and Other Transport Services and Supplies | $209,294 | 4.5% |
| 8 | Dental Services | $78,993 | 1.7% |
| 9 | Surgery | $9,182 | 0.2% |
| 10 | Temporary Codes | $278 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $253 | <0.1% |
| 12 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| Q9967 | Locm 300-399mg/ml iodine,1ml | $278 | 7 |
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.
