Temporary National Codes (Non-Medicare) Medicaid spending climbs to $94,997 in Saguache, Colorado for 2024

In 2024, Medicaid providers in Saguache billed a total of $94,997 for services categorized under Temporary National Codes (Non-Medicare), according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was up 7.9% from 2023, when $88,032 in claims were filed for these services.

Medicaid, a public health insurance program, is managed by states and financed by both federal and state governments. It serves low-income people and families, seniors, children, and those with disabilities, forming one of the core parts of U.S. health care.

With taxpayer-financed Medicaid, changes in local billing highlight how public health funding is distributed within each community.

The “Temporary National Codes (Non-Medicare)” grouping includes Medicaid-billed services identified by care type, based on established HCPCS and CPT code sets. For this analysis, each billing code was mapped to one service group using clear code prefixes and ranges, which allows for grouping related care while avoiding double totals or misclassification over time.

Temporary National Codes (Non-Medicare) represented the largest Medicaid payment category in Saguache for 2024, even though Medicaid spending increased in several service groups.

Statewide in Colorado, Temporary National Codes (Non-Medicare) held the sixth spot by total Medicaid payments during 2024.

From 2019 through 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Saguache grew by $80,971, or 577.3%. Some years saw larger annual gains, with significant growth logged in 2021 and 2023.

While care billed under Temporary National Codes (Non-Medicare) occurred across Saguache, payment activity was mainly concentrated in a few ZIP codes. In 2024, the ZIP code 81149 posted $94,997 in Medicaid payments for this care type. This single ZIP accounted for 100% of Saguache’s spending on Temporary National Codes (Non-Medicare) for the year.

Payments within the Temporary National Codes (Non-Medicare) group were concentrated among a select group of billing codes.

Compared to the broader trend, Medicaid payments for Temporary National Codes (Non-Medicare) in Saguache rose by 7.9% from 2023 to 2024, exceeding the 5.8% change recorded across all Medicaid claim types in the area for the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled around $871.7 billion in fiscal 2023, equal to about 18% of all national health spending. That is a sharp rise from nearly $613.5 billion in 2019 prior to the COVID-19 pandemic.

This jump amounts to almost 40% growth over several years, primarily caused by larger enrollments and greater health care use during and in the wake of the pandemic.

Recent federal budget changes under the Trump administration included major plans to scale back federal Medicaid spending and update the program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over 10 years, while adding work requirements and more cost-sharing. These policies could lower coverage and public funding for some Medicaid users, likely shifting greater costs to states and restricting federal funding increases while the program still covers tens of millions of Americans.

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.