In 2024, Medicaid providers in San Luis submitted $380,013 in claims under the Temporary National Codes (Non-Medicare) classification, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total reflects a 23.4% rise from 2023, when $307,984 was billed for the same service category.
Administered by the states and funded through both federal and state dollars, Medicaid is a major public health insurance program. It supports low-income families and individuals, the elderly, children, and those with disabilities, making it one of the largest programs in the U.S. health care system.
Because Medicaid is funded by taxpayers, fluctuations in local claims volumes provide insight into how public health care dollars are spent within San Luis.
The “Temporary National Codes (Non-Medicare)” grouping comprises various services billed to Medicaid, organized according to HCPCS and CPT code designations. This report sorted service categories by assigning distinct billing code prefixes and ranges to avoid double counting and to maintain accurate annual rankings.
In San Luis, this service category topped all Medicaid billing groups by total payments for 2024.
Statewide in Colorado, Temporary National Codes (Non-Medicare) ranked sixth by total Medicaid payment volume for 2024.
Over the five-year span ending in 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in San Luis increased by $262,226, amounting to 222.6%. Certain years, including 2021 and 2022, saw particularly strong year-over-year growth.
Citywide, payments for this service were distributed across San Luis, but concentrated in a small set of ZIP codes. In 2024, the ZIP code 81152 recorded $380,012 in payments for this category. This lone ZIP code accounted for 100% of the city’s Temporary National Codes (Non-Medicare) Medicaid payments for the year.
Payments within this service category were also highly concentrated by individual billing codes.
Between 2023 and 2024, San Luis saw a 23.4% increase in Medicaid payments related to Temporary National Codes (Non-Medicare), compared to a 1.2% change across all Medicaid claim categories in the city during that period.
The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid spending reached approximately $871.7 billion in fiscal year 2023. This represented about 18% of all U.S. health expenditures, up from around $613.5 billion in 2019, before the COVID-19 pandemic.
This increase amounts to approximately 40% growth in recent years, spurred primarily by rising enrollment and increased service utilization during and following the pandemic.
Federal budget legislation passed during the Trump administration featured major plans to decrease federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid expenditures by more than $1 trillion over 10 years, implementing policies such as work requirements and expanded cost-sharing. This could reduce coverage and shift additional financial responsibility to states, even as Medicaid continues serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $117,786 | -63.8% |
| 2021 | $273,833 | 132.5% |
| 2022 | $293,708 | 7.3% |
| 2023 | $307,984 | 4.9% |
| 2024 | $380,012 | 23.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $380,012 | 34.7% |
| 2 | National Codes Established for State Medicaid Agencies | $345,076 | 31.5% |
| 3 | Ambulance and Other Transport Services and Supplies | $222,314 | 20.3% |
| 4 | Evaluation and Management | $136,902 | 12.5% |
| 5 | Dental Services | $10,813 | 1% |
| 6 | Procedures / Professional Services | $724 | 0.1% |
| 7 | Medicine Services and Procedures | $625 | 0.1% |
| 8 | Pathology and Laboratory Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5105 | Centerbased day care perdiem | $380,012 | 12 |
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.
