In 2024, Medicaid providers in Crescent City billed $26,382 for services identified under Temporary National Codes (Non-Medicare), as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 115.7% rise from the $12,232 billed in 2023 for the same service category.
Medicaid operates as a state-administered public health insurance program funded jointly by both federal and state governments. The program covers low-income residents, families, seniors, children, and those with disabilities, making it a significant part of the overall U.S. health care landscape.
Since Medicaid spending is taxpayer funded, fluctuations in local billing highlight how health care resources are used within a city.
The “Temporary National Codes (Non-Medicare)” group includes Medicaid-billed services delineated by care type and relies on standardized HCPCS and CPT code groupings. For this report, individual billing codes were assigned to one service category each, using uniform code prefixes and numeric ranges, to ensure related services are grouped together while maintaining accurate rankings without duplicate counting.
Although various service categories saw increased Medicaid spending, Temporary National Codes (Non-Medicare) was ranked 11th in Crescent City based on overall Medicaid payments for 2024.
Across California, the Temporary National Codes (Non-Medicare) category stood seventh statewide by total Medicaid payments in 2024.
Over the five years preceding 2024, Medicaid payments connected to the Temporary National Codes (Non-Medicare) category in Crescent City rose by $146,583, or 84.7%. Notable increases occurred in certain spans, particularly in 2023 and 2022.
While spending under the Temporary National Codes (Non-Medicare) category was reported citywide, payments were highly concentrated within a small number of ZIP codes. In 2024, ZIP code 95531 alone accounted for $26,382 in these payments, representing 100% of the category’s Medicaid billing within Crescent City this year.
Payments under the Temporary National Codes (Non-Medicare) classification were further clustered among a select set of billing codes.
Between 2024 and 2023, Medicaid spending for Temporary National Codes (Non-Medicare) in Crescent City rose 115.7%, whereas all Medicaid claims in the city saw a 17.5% change over the same time frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid totaled about $871.7 billion in fiscal year 2023, constituting around 18% of all U.S. health expenditures, significantly higher than the $613.5 billion spent in 2019 prior to the COVID-19 pandemic.
This surge represents growth of nearly 40% in just a few years, primarily due to increased enrollment and greater health care usage during and after the pandemic.
Recent federal budget measures from the Trump administration have featured proposals to scale back federal Medicaid spending and reorganize the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid outlays by over $1 trillion in the next decade, introducing changes such as work requirements and higher cost-sharing that could lead to reduced funding and more limited coverage for some beneficiaries. This policy shift is anticipated to raise state-level costs and restrict the rate of federal Medicaid support, even with the program continuing to serve millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $172,964 | -13.6% |
| 2021 | $49,136 | -71.6% |
| 2022 | $3,700 | -92.5% |
| 2023 | $12,231 | 230.5% |
| 2024 | $26,382 | 115.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $10,902,606 | 61.8% |
| 2 | Ambulance and Other Transport Services and Supplies | $2,511,263 | 14.2% |
| 3 | Evaluation and Management | $1,853,839 | 10.5% |
| 4 | Medicine Services and Procedures | $1,051,179 | 6% |
| 5 | Radiology Procedures | $586,646 | 3.3% |
| 6 | Procedures / Professional Services | $280,741 | 1.6% |
| 7 | Pathology and Laboratory Procedures | $251,917 | 1.4% |
| 8 | Alcohol and Drug Abuse Treatment | $70,649 | 0.4% |
| 9 | Anesthesia | $40,595 | 0.2% |
| 10 | Drugs Administered Other than Oral Method | $35,636 | 0.2% |
| 11 | Temporary National Codes (Non-Medicare) | $26,382 | 0.1% |
| 12 | Surgery | $12,062 | 0.1% |
| 13 | Temporary Codes | $5,297 | <0.1% |
| 14 | Medical And Surgical Supplies | $188 | <0.1% |
| 15 | Vision Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5111 | Family homecare train/sessio | $26,307 | 13 |
| S0028 | Injection, famotidine, 20 mg | $74 | 1 |
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.
