In 2024, Medicaid providers in Grants Pass submitted $180,795 in claims for Temporary National Codes (Non-Medicare) services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was up 30.4% from 2023, when the total stood at $138,699 for similar services.
Medicaid is a joint federal and state public health insurance program funded collaboratively by both government levels. It serves low-income people and families, seniors, children, and individuals with disabilities, making it one of the nation’s largest health programs.
Because taxpayer dollars fund Medicaid payments, shifts in local spending levels provide insight into community health care funding allocation.
The “Temporary National Codes (Non-Medicare)” grouping includes a range of Medicaid-billed services categorized by care provided, based on uniform HCPCS and CPT coding guidelines. This analysis assigns each code to a single service group using standardized prefixes and numeric bands in order to group comparable services, prevent double counting, and maintain consistent ranking year over year.
While Medicaid spending grew in several service classifications, Temporary National Codes (Non-Medicare) placed 10th in Grants Pass for total Medicaid reimbursements in 2024.
Statewide in Oregon, Temporary National Codes (Non-Medicare) held the seventh spot by total Medicaid spending for 2024.
During the five years preceding 2024, Grants Pass saw Medicaid reimbursements for Temporary National Codes (Non-Medicare) rise by $28,559, or 13.6%. Growth rates accelerated in some years, with significant annual increases observed in both 2023 and 2022.
Payments for this category of care, while dispersed throughout the city, were concentrated in select ZIP codes. In 2024, ZIP codes 97527 and 97526 recorded the highest amounts—$127,544 and $53,251, respectively—making up 100% of the city’s Medicaid payouts in this category for the year.
Within the Temporary National Codes (Non-Medicare) segment, most Medicaid reimbursements were linked to a small number of specific billing codes.
Comparatively, Medicaid reimbursements tied to the Temporary National Codes (Non-Medicare) in Grants Pass increased 30.4% between 2024 and 2023; in contrast, overall Medicaid claims in the city saw a 14.5% growth over the same span.
The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal 2023, representing roughly 18% of all U.S. health spending. This is a significant rise from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This uptick equates to approximately 40% growth over several years, fueled mainly by expanded enrollment and higher utilization during and after the pandemic period.
Recent federal budget actions under the Trump administration have featured major recommendations to curtail federal Medicaid spending and revise the program’s structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is forecast to cut more than $1 trillion in federal Medicaid expenditures over the coming decade and include provisions like work requirements and greater cost-sharing, changes that could lower coverage and funding for some participants. This is expected to transfer more costs to states and curb the pace of federal Medicaid growth, even as millions of Americans depend on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $209,353 | -33.3% |
| 2021 | $153,484 | -26.7% |
| 2022 | $131,882 | -14.1% |
| 2023 | $138,699 | 5.2% |
| 2024 | $180,795 | 30.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,882,790 | 34.6% |
| 2 | Medicine Services and Procedures | $4,389,094 | 25.8% |
| 3 | National Codes Established for State Medicaid Agencies | $1,835,117 | 10.8% |
| 4 | Procedures / Professional Services | $988,202 | 5.8% |
| 5 | Ambulance and Other Transport Services and Supplies | $913,594 | 5.4% |
| 6 | Alcohol and Drug Abuse Treatment | $788,830 | 4.6% |
| 7 | Radiology Procedures | $546,680 | 3.2% |
| 8 | Dental Services | $430,505 | 2.5% |
| 9 | Administrative, Miscellaneous and Investigational | $254,187 | 1.5% |
| 10 | Temporary National Codes (Non-Medicare) | $180,795 | 1.1% |
| 11 | Pathology and Laboratory Procedures | $180,775 | 1.1% |
| 12 | Temporary Codes | $178,424 | 1.1% |
| 13 | Surgery | $163,794 | 1% |
| 14 | Orthotic Procedures and services | $120,243 | 0.7% |
| 15 | Hearing Services | $71,601 | 0.4% |
| 16 | Vision Services | $49,028 | 0.3% |
| 17 | Durable Medical Equipment | $7,957 | <0.1% |
| 18 | Medical And Surgical Supplies | $6,241 | <0.1% |
| 19 | Outpatient PPS | $30 | <0.1% |
| 20 | Drugs Administered Other than Oral Method | $4 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5161 | Emer rspns sys serv permonth | $77,963 | 12 |
| S5185 | Med reminder serv per month | $41,131 | 12 |
| S5165 | Home modifications per serv | $29,091 | 1 |
| S4993 | Contraceptive pills for bc | $24,160 | 8 |
| S5160 | Emer response sys instal&tst | $8,450 | 10 |
| S0209 | Wc van mileage per mi | $0 | 11 |
| S0215 | Nonemerg transp mileage | $0 | 12 |
| S8948 | Low-level laser trmt 15 min | $0 | 9 |
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.
