Pleasant Hill sees 90.7% surge in Medicaid claims for Temporary National Codes (Non-Medicare) services in 2024

Pleasant Hill Medicaid providers submitted $1,290,256 in claims for services classified under the Temporary National Codes (Non-Medicare) category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was a 90.7% rise from 2023, when providers billed $676,500 for these services.

Medicaid is a state-administered program that funds health coverage for low-income individuals and families, seniors, children, and people with disabilities. It is financed jointly by federal and state governments, making it one of the major U.S. health care programs.

Because taxpayer dollars fund Medicaid, fluctuations in local billing indicate where public resources are being used for health care services within a community.

The “Temporary National Codes (Non-Medicare)” category encompasses a group of Medicaid-billed services determined by HCPCS and CPT coding, organized by care type. For this report, each billing code was grouped into a single service category using shared code prefixes and number ranges, enabling consistent year-to-year tracking and ensuring each service only counted once while accurately reflecting category rankings.

While multiple categories saw increased Medicaid billing, Temporary National Codes (Non-Medicare) held the second-highest total in Pleasant Hill for 2024.

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

For the five years up to 2024, Pleasant Hill’s spending on Temporary National Codes (Non-Medicare) Medicaid services grew by $206,936, a 19.1% increase overall. Payment rises accelerated at several points, with significant year-over-year gains reported in 2020 and 2022.

Though these Medicaid payments were distributed citywide, the bulk were concentrated in a few ZIP codes. In 2024, ZIP code 94523 alone accounted for $1,290,255, making up 100% of Pleasant Hill’s Medicaid spending for Temporary National Codes (Non-Medicare) services.

Within this service category, Medicaid expenditures were also concentrated among a relatively small set of billing codes.

To compare, from 2023 to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) in Pleasant Hill climbed 90.7%, notably higher than the 3.9% rise seen across all Medicaid claim types in the city for that same period.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending by federal and state governments nationwide hit about $871.7 billion in fiscal year 2023, amounting to approximately 18% of total annual health care expenses—a sharp rise from $613.5 billion in 2019, before the COVID-19 pandemic.

This spike represents around 40% growth in just a few years, largely spurred by more enrollees and higher usage of services following the pandemic.

Federal budget changes under the Trump administration have included proposals that would scale back federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid spending by over $1 trillion in the next decade. New provisions such as work requirements and increased cost-sharing could reduce benefits or raise costs for some recipients, shifting a greater share of program costs to states even as Medicaid continues to support millions.

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.