Medicaid payments for Temporary National Codes (Non-Medicare) in Colorado Springs hit $48 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Colorado Springs submitted $48,038,574 in claims for services designated under the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total was a 24.7% rise compared to 2023, when these providers billed $38,533,510 for the same service category.

Medicaid, a state-administered public health insurance initiative jointly financed by federal and state governments, covers low-income individuals, families, children, seniors, and people with disabilities. The program is one of the largest components of the U.S. health care system. For details on Medicaid funding, see here.

Because Medicaid relies on taxpayer funding, fluctuations in local Medicaid billing show how health care spending is allocated throughout a community.

The Temporary National Codes (Non-Medicare) category encompasses a set of Medicaid services grouped by care type, relying on standardized HCPCS and CPT code groupings. For this article’s analysis, each code is assigned to a single service group using consistent prefixes and numeric ranges. This method allows related services to be tracked while avoiding double counting and maintaining correct rankings over time.

Although Medicaid expenditures increased for various service categories, Temporary National Codes (Non-Medicare) ranked fifth among Medicaid payment categories in Colorado Springs in 2024.

Statewide, this category ranked sixth by total Medicaid payments in Colorado during the year.

From 2019 through 2024, Medicaid payments for Temporary National Codes (Non-Medicare) services in Colorado Springs grew by $38,675,722, or 413.1%. The increase in spending was especially notable in 2021 and 2020.

Payments for Temporary National Codes (Non-Medicare) services in Colorado Springs were concentrated in a handful of ZIP codes in 2024. The ZIP codes with the highest total payments included 80908, with $26,813,654; 80907, at $5,779,422; and 80920, totaling $5,219,555. The top 3 ZIP codes together made up 78.7% of all local Medicaid payments for this service category.

Within this service category, Medicaid payments were also focused on a select group of billing codes.

Between 2024 and 2023, local Medicaid payments for the Temporary National Codes (Non-Medicare) category rose 24.7%, while all Medicaid claim categories in Colorado Springs increased by 7.4% over the same interval.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid combined spending was about $871.7 billion during fiscal year 2023. That’s around 18% of all health expenditures nationally and a significant jump from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This increase represents roughly 40% growth over several years, with much of the change driven by higher enrollment and greater utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have proposed substantial cuts to federal Medicaid funding and changes to its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years and introduce policies such as work requirements and higher cost-sharing that could impact coverage and funding for certain groups. These policies are projected to transfer more responsibility to states and restrict the growth of federal Medicaid support, even as the program continues to cover millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $9,362,851 38.2%
2021 $23,598,677 152%
2022 $28,719,285 21.7%
2023 $38,533,510 34.2%
2024 $48,038,574 24.7%
Top Categories by Medicaid Payments in Colorado Springs, Colorado, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $184,156,478 30.5%
2 National Codes Established for State Medicaid Agencies $150,583,884 24.9%
3 Medicine Services and Procedures $80,582,783 13.3%
4 Evaluation and Management $63,617,526 10.5%
5 Temporary National Codes (Non-Medicare) $48,038,574 8%
6 Ambulance and Other Transport Services and Supplies $21,323,384 3.5%
7 Durable Medical Equipment $9,210,926 1.5%
8 Vision Services $9,133,967 1.5%
9 Dental Services $6,993,004 1.2%
10 Procedures / Professional Services $6,492,500 1.1%
11 Pathology and Laboratory Procedures $5,069,600 0.8%
12 Surgery $3,729,570 0.6%
13 Radiology Procedures $3,316,717 0.5%
14 Drugs Administered Other than Oral Method $3,236,305 0.5%
15 Enteral and Parenteral Therapy $2,834,393 0.5%
16 Orthotic Procedures and services $1,929,641 0.3%
17 Medical And Surgical Supplies $1,806,939 0.3%
18 Durable medical equipment (DME) Medicare administrative contractors (MACs) $1,076,288 0.2%
19 Administrative, Miscellaneous and Investigational $666,264 0.1%
20 Anesthesia $101,496 <0.1%
21 Temporary Codes $40,689 <0.1%
22 Chemotherapy Drugs $6,958 <0.1%
23 Pathology and Laboratory Services $3,456 <0.1%
24 Other Services $0 <0.1%
24 Outpatient PPS $0 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Colorado Springs, Colorado, 2024

HCPCS Code Description Medicaid Payments Claims
S5130 Homaker service nos per 15m $26,930,024 367
S5150 Unskilled respite care /15m $9,842,514 45
S9122 Home health aide or certifie $5,413,870 15
S5151 Unskilled respitecare /diem $1,890,332 33
S5165 Home modifications per serv $1,241,169 9
S5105 Centerbased day care perdiem $908,673 19
S1040 Cranial remolding orthosis $632,717 12
S8121 O2 contents liquid lb $349,101 12
S9480 Intensive outpatient psychia $304,533 10
S5100 Adult daycare services 15min $217,414 12
S5161 Emer rspns sys serv permonth $203,057 44
S9445 Pt education noc individ $43,601 33
S4993 Contraceptive pills for bc $30,995 10
S5185 Med reminder serv per month $17,940 10
S0209 Wc van mileage per mi $12,099 23
S0119 Ondansetron 4 mg $528 13
S5101 Adult day care per half day $0 6
S5125 Attendant care service /15m $0 28
S9470 Nutritional counseling, diet $0 4

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.

This article’s data source is the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original data is available here.



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