Medicaid spending for Temporary National Codes (Non-Medicare) surges 99.3% in Soquel in 2024

In 2024, Soquel Medicaid providers billed $1,135,059 for services under the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was up 99.3% from $569,567 billed in 2023 for these same services.

Medicaid is a public health insurance program administered by the states and funded by both federal and state governments. It provides coverage to low-income individuals and families, seniors, children and people with disabilities, constituting a leading segment of the U.S. health care system.

Because taxpayer funding supports Medicaid, local changes in billing reveal shifts in how public health care dollars are distributed in a community.

The “Temporary National Codes (Non-Medicare)” category encompasses a set of Medicaid-billed services, based on the service provided as defined by standardized HCPCS and CPT code groupings. Each billing code was classified into a single service category for this analysis, using uniform code prefixes and number ranges to accurately group related services for review, prevent double counting and maintain reliable rankings over time.

Temporary National Codes (Non-Medicare) led all service categories in Soquel by total Medicaid payments in 2024, outpacing all others in terms of spending.

Statewide in California, Temporary National Codes (Non-Medicare) ranked seventh by total Medicaid payments for 2024.

Between 2020 and 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) category in Soquel climbed by $1,135,059, a 0% change. Some periods saw accelerated growth, with significant year-over-year gains registered in 2023 and 2022.

While these payments were made throughout the city, most were concentrated in a few ZIP codes, with code 95073 accounting for $1,135,059 in 2024. This single ZIP code made up 100% of all Medicaid payments for the category in Soquel that year.

Within the Temporary National Codes (Non-Medicare) segment, Medicaid payments were focused around a relatively small number of billing codes.

To provide context, between 2024 and 2023, Medicaid payments for the Temporary National Codes (Non-Medicare) category increased by 99.3% in Soquel, compared with an overall 80.8% rise in Medicaid claim payments citywide for the period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, roughly 18% of total national health expenditures, representing a sharp increase from $613.5 billion in 2019 before the COVID-19 pandemic.

The roughly 40% spending growth during the past several years was largely driven by a combination of expanded enrollment and increased utilization during and after the pandemic.

Recent federal budget measures during the Trump administration included major proposals to decrease federal Medicaid funding and change how the program operates. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over the next decade and features policies such as work requirements and extended cost-sharing that may reduce benefits and coverage for certain recipients. The resulting changes could shift additional costs to states and limit federal Medicaid funding growth, as the program continues serving 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.