Watsonville Medicaid providers submitted $4,639,149 in claims for Temporary National Codes (Non-Medicare) services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 270% rise compared to 2023, when providers billed $1,253,876 for the same service category.
Medicaid is a government health insurance program managed by the states and funded jointly by federal and state governments. It offers coverage for low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health care system.
Shifts in Medicaid billing levels track how taxpayer-funded health care dollars are used within a local community.
The “Temporary National Codes (Non-Medicare)” group includes Medicaid services categorized by the type of care, based on standard HCPCS and CPT code systems. Each billing code was matched to a single service category for this analysis, using code prefixes and numeric grouping, so that related services could be accurately grouped together and double counting was avoided.
Even with overall growth in Medicaid spending across multiple categories, Temporary National Codes (Non-Medicare) was the fourth largest category by total Medicaid payments in Watsonville for 2024.
Statewide in California, Temporary National Codes (Non-Medicare) ranked seventh by total Medicaid payments for 2024.
Looking at the five years prior to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Watsonville rose by $3,040,027, an increase of 190.1%. Some years, including 2021 and 2022, saw especially large year-over-year gains.
Medicaid spending for Temporary National Codes (Non-Medicare) services in 2024 was mostly centered in just a few ZIP codes across Watsonville. ZIP code 95076 alone accounted for $4,639,148, making up 100% of all Medicaid payments within this category in the city for that year.
A small subset of billing codes within the Temporary National Codes (Non-Medicare) category saw the most concentrated Medicaid payments.
Between 2023 and 2024, local Medicaid payments linked to Temporary National Codes (Non-Medicare) climbed by 270%. By comparison, all claim categories collectively saw a 3% shift over the same period in Watsonville.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached around $871.7 billion in fiscal year 2023, accounting for about 18% of total U.S. health expenditures, a sharp rise from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth equals approximately a 40% increase over a few years, largely attributed to broader enrollment and increased service use during and following the pandemic period.
Recent federal budget measures from the Trump administration have included plans to scale back federal Medicaid dollars and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and includes changes such as work requirements and higher cost-sharing. These provisions could restrict coverage and funding for some enrollees, transferring greater responsibility to states and placing limits on federal Medicaid growth as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,599,121 | -2.9% |
| 2021 | $1,660,974 | 3.9% |
| 2022 | $1,342,543 | -19.2% |
| 2023 | $1,253,875 | -6.6% |
| 2024 | $4,639,148 | 270% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $28,029,366 | 54.9% |
| 2 | Evaluation and Management | $6,279,983 | 12.3% |
| 3 | Medicine Services and Procedures | $5,339,209 | 10.5% |
| 4 | Temporary National Codes (Non-Medicare) | $4,639,148 | 9.1% |
| 5 | Radiology Procedures | $2,123,307 | 4.2% |
| 6 | Dental Services | $1,268,256 | 2.5% |
| 7 | Pathology and Laboratory Procedures | $892,226 | 1.7% |
| 8 | Alcohol and Drug Abuse Treatment | $798,965 | 1.6% |
| 9 | Procedures / Professional Services | $441,140 | 0.9% |
| 10 | Surgery | $404,980 | 0.8% |
| 11 | Ambulance and Other Transport Services and Supplies | $192,969 | 0.4% |
| 12 | Coronavirus Diagnostic Panel | $153,940 | 0.3% |
| 13 | Medical And Surgical Supplies | $127,875 | 0.3% |
| 14 | Durable Medical Equipment | $114,414 | 0.2% |
| 15 | Drugs Administered Other than Oral Method | $103,700 | 0.2% |
| 16 | Orthotic Procedures and services | $32,871 | 0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $29,275 | 0.1% |
| 18 | Vision Services | $29,248 | 0.1% |
| 19 | Hearing Services | $27,673 | 0.1% |
| 20 | Temporary Codes | $23,135 | <0.1% |
| 21 | Anesthesia | $347 | <0.1% |
| 22 | Administrative, Miscellaneous and Investigational | $90 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5170 | Homedelivered prepared meal | $2,543,205 | 10 |
| S5102 | Adult day care per diem | $1,106,742 | 11 |
| S9977 | Meals per diem | $844,166 | 15 |
| S0199 | Med abortion inc all ex drug | $75,446 | 5 |
| S4993 | Contraceptive pills for bc | $22,356 | 8 |
| S9445 | Pt education noc individ | $19,462 | 27 |
| S9470 | Nutritional counseling, diet | $14,228 | 7 |
| S0190 | Mifepristone, oral, 200 mg | $4,909 | 5 |
| S9452 | Nutrition class | $3,508 | 12 |
| S5111 | Family homecare train/sessio | $2,521 | 1 |
| S5000 | Prescription drug, generic | $1,442 | 8 |
| S0164 | Injection pantroprazole | $985 | 4 |
| S0191 | Misoprostol, oral, 200 mcg | $174 | 4 |
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.
