In 2024, providers in Stroudsburg billed Medicaid for $851 in services grouped under Temporary Codes, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 193.4% rise from the prior year, when $290 in claims were reported for these services.
Medicaid is a state-administered program financed in partnership by federal and state governments. Serving low-income individuals and families, seniors, children, and people with disabilities, it represents a significant share of the nation’s health care system.
Since Medicaid funding comes from taxpayers, variations in community billing patterns reflect how local health care resources are allocated.
The “Temporary Codes” segment includes a range of Medicaid services identified by standardized HCPCS and CPT code sets. For this report, each billing code was mapped to one service group using specified code prefixes and numeric bands. This method enables trends tracking within grouped services and ensures categories remain distinct for ranking purposes.
Although many Medicaid service areas saw increases in spending, Temporary Codes ended up as the 14th-largest Medicaid payment category in Stroudsburg for 2024.
Across Pennsylvania, Temporary Codes secured the 19th spot among all Medicaid categories for total payments in 2024.
Between 2019 and 2024, Stroudsburg’s Medicaid payments linked to Temporary Codes rose by $131, or 18.2%. The pace of spending sped up during certain years, especially in 2021 and 2023 when notable annual hikes occurred.
While Medicaid spending in the Temporary Codes category occurred throughout Stroudsburg, a small number of ZIP codes accounted for the majority of payments. In 2024, ZIP code 18360 represented $851 in such claims—meaning that this area alone made up 100% of these Medicaid payments for the city that year.
Much of the Medicaid spending within Temporary Codes was limited to a few selected billing codes.
To compare, Stroudsburg’s Medicaid payments for Temporary Codes surged by 193.4% from 2023 to 2024, outpacing the 31.4% change across all medical claim categories citywide during that period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion nationwide in fiscal 2023—roughly 18% of total U.S. health expenditures. This represents an increase from about $613.5 billion in 2019 before the COVID-19 pandemic.
The jump marks growth of approximately 40% over several years, attributable primarily to expanded enrollment and elevated usage during and after the pandemic.
Recent Trump administration federal budget measures have proposed significant reductions to Medicaid funding and structural shifts in the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid outlays by more than $1 trillion over a decade and adds policies such as work mandates and higher cost-sharing. These changes could reduce support and limit growth in federal Medicaid funds for certain recipients, moving greater cost burdens to individual states as the program continues to serve millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $720 | – |
| 2021 | $4,110 | 470.7% |
| 2022 | $108 | -97.4% |
| 2023 | $290 | 168.3% |
| 2024 | $851 | 193.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $2,007,249 | 29.4% |
| 2 | Evaluation and Management | $1,926,029 | 28.2% |
| 3 | National Codes Established for State Medicaid Agencies | $1,247,746 | 18.3% |
| 4 | Medical And Surgical Supplies | $413,377 | 6% |
| 5 | Temporary National Codes (Non-Medicare) | $392,207 | 5.7% |
| 6 | Pathology and Laboratory Procedures | $257,543 | 3.8% |
| 7 | Medicine Services and Procedures | $211,450 | 3.1% |
| 8 | Vision Services | $116,510 | 1.7% |
| 9 | Radiology Procedures | $108,940 | 1.6% |
| 10 | Durable Medical Equipment | $98,107 | 1.4% |
| 11 | Surgery | $50,961 | 0.7% |
| 12 | Administrative, Miscellaneous and Investigational | $1,302 | <0.1% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,271 | <0.1% |
| 14 | Temporary Codes | $851 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $69 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| Q9967 | Locm 300-399mg/ml iodine,1ml | $851 | 21 |
Note: HCPCS codes are included for reference within this category. Group totals and rankings in this story are based on standardized service groupings, rather than specific billing codes.
Information in this news article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.
