Canon City Medicaid payments for Temporary National Codes (Non-Medicare) reach $2,194,075 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid providers in Canon City billed $2,194,075 for services in the Temporary National Codes (Non-Medicare) group, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That total reflects an 11.8% increase from 2023, when providers submitted $1,962,961 in claims under the same category.

Medicaid, a public health insurance program managed by the states and funded by state and federal governments, serves low-income individuals and families, along with seniors, children, and people with disabilities, making it a major component of the U.S. health care system.

Since taxpayer money funds Medicaid, changes in local claim amounts illustrate how public health dollars are distributed within a community.

The “Temporary National Codes (Non-Medicare)” group combines Medicaid-billed services according to care type, organized through standardized HCPCS and CPT code sets. Each billing code for this report was matched to a single service group based on consistent code sequences and numbering, allowing analysts to track related services together while maintaining accurate rankings and preventing double counting over time.

While Medicaid expenditures grew in various service groups, Temporary National Codes (Non-Medicare) ranked fifth for total Medicaid payments in Canon City during 2024.

Statewide, the Temporary National Codes (Non-Medicare) group ranked sixth in total Medicaid payments in Colorado for 2024.

Between 2019 and 2024, Medicaid claims in Canon City for Temporary National Codes (Non-Medicare) grew by $1,867,929, a 572.7% jump. Spending on these services picked up pace in certain years, especially during 2022 and 2021 with notable year-over-year jumps.

Though these services are billed citywide, payments were most concentrated in certain ZIP codes. In 2024, ZIP code 81212 had the highest Medicaid claims in this category, totaling $2,194,075. This single ZIP code represented 100% of Canon City’s Medicaid payments for the Temporary National Codes (Non-Medicare) group that year.

Within the Temporary National Codes (Non-Medicare) group, payments were also focused on a small set of billing codes.

For context, Medicaid claims for Temporary National Codes (Non-Medicare) in Canon City rose 11.8% from 2023 to 2024, while all Medicaid claim categories combined increased by 7.7% over the same span in the city.

According to the Centers for Medicare & Medicaid Services, combined state and federal outlays for Medicaid totaled around $871.7 billion in fiscal 2023, about 18% of the nation’s total health expenditures. This was up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

That rise represents roughly 40% growth in just a few years, mainly due to expanded enrollment and greater service use during and after the pandemic period.

Federal budget laws passed under the Trump administration have introduced significant proposals for scaling back federal Medicaid funding and revamping the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by over $1 trillion over 10 years and implements new work requirements and higher cost-sharing that could limit access and financial support for certain Medicaid beneficiaries. Such changes are expected to increase state costs and restrict the federal growth of Medicaid, while the program remains vital for tens of millions of Americans.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Canon City, Colorado Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $326,146 4.2%
2021 $793,689 143.4%
2022 $1,946,322 145.2%
2023 $1,962,960 0.9%
2024 $2,194,075 11.8%
Top Categories by Medicaid Payments in Canon City, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $10,215,934 38.4%
2 Evaluation and Management $5,753,544 21.7%
3 Medicine Services and Procedures $2,816,022 10.6%
4 Alcohol and Drug Abuse Treatment $2,584,700 9.7%
5 Temporary National Codes (Non-Medicare) $2,194,075 8.3%
6 Durable Medical Equipment $1,001,869 3.8%
7 Medical And Surgical Supplies $937,116 3.5%
8 Ambulance and Other Transport Services and Supplies $273,353 1%
9 Vision Services $233,241 0.9%
10 Dental Services $172,802 0.7%
11 Enteral and Parenteral Therapy $169,812 0.6%
12 Pathology and Laboratory Procedures $95,836 0.4%
13 Surgery $41,258 0.2%
14 Orthotic Procedures and services $39,756 0.1%
15 Radiology Procedures $30,980 0.1%
16 Administrative, Miscellaneous and Investigational $11,506 <0.1%
17 Procedures / Professional Services $2,498 <0.1%
18 Drugs Administered Other than Oral Method $662 <0.1%
19 Temporary Codes $98 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Canon City, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
S5130 Homaker service nos per 15m $1,613,497 35
S5161 Emer rspns sys serv permonth $486,387 47
S5185 Med reminder serv per month $78,888 47
S9445 Pt education noc individ $13,743 4
S5160 Emer response sys instal&tst $1,560 2
S5125 Attendant care service /15m $0 7

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.



Related

Dr. Mehmet Oz CMS Administrator

Medicaid expenditure for Medicine Services and Procedures reaches $693,550 in Pueblo West in 2024

Medicaid payments for Medicine Services and Procedures in Pueblo West rose 11.6% in 2024, reflecting shifts in service use and reimbursement approaches.

David J. Lucero, Sheriff at Pueblo County

Pueblo County deputies arrest man after fentanyl found during traffic stop

A routine traffic stop resulted in a major drug seizure by Pueblo County deputies. Nearly 168 grams of fentanyl and cash were recovered, leading to one man’s arrest.

Phil Lund, Mayor of Cañon City

City announces updates for North 9th Street construction project on May 8

The City provided an update on May 8 about upcoming construction phases along North 9th Street beginning May 11. The announcement outlines changes in traffic patterns as crews prepare roadways for improvements through early June.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from SE Colorado News.