Milpitas Medicaid providers submitted $2,869,151 in claims for Temporary National Codes (Non-Medicare) services in 2024, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 6.6% rise compared with 2023, when $2,692,401 in claims were reported for this service classification.
Medicaid, a government health insurance initiative overseen by states and jointly funded by federal and state contributions, provides coverage for low-income individuals and families, seniors, children, and those with disabilities. It represents a major segment of the U.S. health care network. For more on funding, see this explainer.
Since Medicaid funding is sourced from taxpayers, shifts in local billing patterns illustrate how health care dollars are distributed within a community.
The “Temporary National Codes (Non-Medicare)” grouping includes certain Medicaid-billed services identified based on care type, with standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a unique service group using designated code ranges and prefixes, allowing for accurate comparison across years and eliminating duplicate counting within ranks.
Temporary National Codes (Non-Medicare) represented the second-largest Medicaid payment category in Milpitas in 2024, among several service types that experienced spending growth.
Statewide in California, this category ranked seventh for overall Medicaid payments in 2024.
Across the five years leading to 2024, Medicaid spending in Milpitas for Temporary National Codes (Non-Medicare) increased by $1,020,101, or 26.2%. Notable annual spending jumps occurred in both 2021 and 2022, when the growth rate accelerated.
Payments in this category were not evenly spread across the city, with the majority concentrated in specific ZIP codes. In 2024, ZIP code 95035 accounted for $2,869,150, comprising the entire Medicaid total for this service class in Milpitas that year.
Within this service category, a small selection of billing codes accounted for most Medicaid payments.
From 2023 to 2024, Milpitas saw a 6.6% increase in Medicaid spending for Temporary National Codes (Non-Medicare), compared with an 11.7% overall increase for all claim types in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, which was roughly 18% of total national health expenditures and an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This represents a growth of approximately 40% over several years, largely attributed to higher enrollment and care usage during and after the pandemic.
Recent federal budget laws signed during the Trump administration have introduced major proposals to cut federal Medicaid funding and shift the program’s structure. One example, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over 10 years, while introducing work mandates and greater cost-sharing that could affect coverage for some participants. These policy adjustments are expected to increase states’ financial responsibility and potentially restrict federal Medicaid growth, though the program continues to serve tens of millions across the nation.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,889,251 | -0% |
| 2021 | $4,244,165 | 9.1% |
| 2022 | $3,341,767 | -21.3% |
| 2023 | $2,692,400 | -19.4% |
| 2024 | $2,869,150 | 6.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $8,302,344 | 54.8% |
| 2 | Temporary National Codes (Non-Medicare) | $2,869,150 | 18.9% |
| 3 | Procedures / Professional Services | $1,589,287 | 10.5% |
| 4 | Medicine Services and Procedures | $626,505 | 4.1% |
| 5 | Dental Services | $443,235 | 2.9% |
| 6 | Anesthesia | $412,262 | 2.7% |
| 7 | Temporary Codes | $392,378 | 2.6% |
| 8 | Surgery | $170,910 | 1.1% |
| 9 | Alcohol and Drug Abuse Treatment | $134,410 | 0.9% |
| 10 | Evaluation and Management | $73,831 | 0.5% |
| 11 | Pathology and Laboratory Procedures | $61,847 | 0.4% |
| 12 | Medical And Surgical Supplies | $44,829 | 0.3% |
| 13 | Drugs Administered Other than Oral Method | $27,946 | 0.2% |
| 14 | Vision Services | $5,054 | <0.1% |
| 15 | Radiology Procedures | $845 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5102 | Adult day care per diem | $2,869,150 | 22 |
| S5110 | Family homecare training 15m | $0 | 3 |
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.