In 2024, Medicaid providers in Springfield billed $451,706 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 figure reflects a 23.3% rise compared to 2023, when claims for these services totaled $366,367.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It provides coverage for low-income individuals and families, seniors, children, and people with disabilities and is one of the largest segments of U.S. health care spending.
Because Medicaid funding comes from taxpayer dollars, fluctuations in local billing offer insight into how community health care dollars are distributed.
The “Temporary National Codes (Non-Medicare)” group comprises a set of Medicaid-billed services defined by type of care, using standardized HCPCS and CPT code sets. For this report, each billing code was grouped into a single service category by consistent code prefixes and numeric ranges, allowing related care types to be tracked together while avoiding double-counting and maintaining ranking integrity over time.
While multiple service groups experienced increased Medicaid spending, Temporary National Codes (Non-Medicare) was Springfield’s second-largest Medicaid payment category in 2024.
Statewide in Colorado, the Temporary National Codes (Non-Medicare) group ranked sixth by total Medicaid payments for 2024.
Across the five years preceding 2024, Medicaid payments linked to the Temporary National Codes (Non-Medicare) group in Springfield rose by $173,406, or 62.3%. Higher rates of growth were observed during select periods, with significant annual increases seen in 2022 and 2023.
While these Medicaid expenditures were distributed citywide, the payments clustered in a small number of ZIP codes. In 2024, the highest Medicaid payments for Temporary National Codes (Non-Medicare) went to ZIP code 81073, where $451,706 was billed; the top 1 ZIP code accounted for 100% of such Medicaid payments in Springfield for the year.
Within the Temporary National Codes (Non-Medicare) group, Medicaid payments were heavily concentrated among only a few billing codes.
For context, Medicaid payments for Temporary National Codes (Non-Medicare) in Springfield increased by 23.3% between 2024 and 2023, compared to a 6.7% overall rise across all Medicaid claim categories in the city during that time frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached roughly $871.7 billion in fiscal year 2023, making up about 18% of overall national health expenditures—a sharp climb from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This jump means about 40% growth over several years, driven primarily by increases in enrollment and service use during and following the pandemic.
Recent congressional budget measures during the Trump administration have included major proposals aimed at decreasing federal Medicaid contributions and revising the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to lower federal Medicaid funding by more than $1 trillion in the next 10 years and enacts provisions such as work requirements and increased beneficiary cost-sharing that could limit coverage and reduce funding for certain groups. These changes are projected to shift greater financial responsibility to the states and restrict federal support for Medicaid growth, though the program is expected to continue serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $278,299 | 17.2% |
| 2021 | $244,929 | -12% |
| 2022 | $301,801 | 23.2% |
| 2023 | $366,367 | 21.4% |
| 2024 | $451,706 | 23.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $542,851 | 48.8% |
| 2 | Temporary National Codes (Non-Medicare) | $451,706 | 40.6% |
| 3 | National Codes Established for State Medicaid Agencies | $97,783 | 8.8% |
| 4 | Medicine Services and Procedures | $13,050 | 1.2% |
| 5 | Ambulance and Other Transport Services and Supplies | $3,185 | 0.3% |
| 6 | Pathology and Laboratory Procedures | $2,280 | 0.2% |
| 7 | Surgery | $617 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5130 | Homaker service nos per 15m | $451,706 | 12 |
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.
