In 2024, Medicaid providers in Eugene reported $5,755,100 in billing for services under the Temporary National Codes (Non-Medicare) category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 34.1% jump compared with the prior year, when claims totaled $4,292,443 for the same services.
Medicaid is the public health insurance program administered by states and funded through a partnership between federal and state governments. It serves people who are low income, older adults, children, and individuals with disabilities, and remains among the largest components of the U.S. health care landscape.
Because taxpayer dollars fund Medicaid payments, shifts in local billing reflect how communities allocate public health care resources.
The “Temporary National Codes (Non-Medicare)” grouping encompasses Medicaid-billed services defined by the type of care provided, sorted through established HCPCS and CPT codes. For this analysis, each billing code falls into a single service category by code prefix and range, grouping related services while avoiding double counting and supporting accurate ranking over time.
Temporary National Codes (Non-Medicare) placed fifth by total Medicaid payments in Eugene in 2024, even as Medicaid expenditures increased across several categories.
On a statewide level, this category ranked seventh in Oregon for Medicaid payments in 2024.
Between 2020 and 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) grouping in Eugene rose by $5,134,324—a growth of 827.1%. Accelerations in spending took place in certain years, particularly in 2022 and 2023, which saw larger percentage increases.
While spending for Temporary National Codes (Non-Medicare) occurred throughout the city, a few ZIP codes captured most of the payments. In 2024, ZIP code 97401 received $4,882,909, ZIP code 97403 recorded $870,382, and ZIP code 97402 accounted for $1,808. Collectively, these 3 areas made up 100% of the Medicaid payments relating to the Temporary National Codes (Non-Medicare) services in Eugene for the year.
Most Medicaid payments within this category were linked to a small subset of specific billing codes.
During the period from 2023 to 2024, Eugene saw a 34.1% increase in payments for Temporary National Codes (Non-Medicare) services, exceeding the overall Medicaid claim category growth in the city, which registered a change of 18.3%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled an estimated $871.7 billion in fiscal 2023, accounting for about 18% of all national health spending—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth amounts to a roughly 40% increase over a few years, fueled mainly by expanded enrollment and greater service use during and following the pandemic.
Recent federal budget changes under the Trump administration include major proposals aimed at reducing federal Medicaid spending and restructuring benefits. The “One Big Beautiful Bill Act,” passed in 2025, aims to cut over $1 trillion in federal Medicaid funding over a decade and enacts provisions like work requirements and increased cost sharing, potentially affecting coverage and support for some enrolled groups. The changes are anticipated to shift financial responsibility to states and restrain federal Medicaid growth as the program continues to assist millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $620,776 | -40.9% |
| 2021 | $528,762 | -14.8% |
| 2022 | $1,809,918 | 242.3% |
| 2023 | $4,292,442 | 137.2% |
| 2024 | $5,755,100 | 34.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $23,147,849 | 29.3% |
| 2 | Evaluation and Management | $15,541,476 | 19.7% |
| 3 | Alcohol and Drug Abuse Treatment | $11,526,246 | 14.6% |
| 4 | Ambulance and Other Transport Services and Supplies | $9,851,539 | 12.5% |
| 5 | Temporary National Codes (Non-Medicare) | $5,755,100 | 7.3% |
| 6 | Procedures / Professional Services | $2,444,569 | 3.1% |
| 7 | Vision Services | $2,430,256 | 3.1% |
| 8 | Drugs Administered Other than Oral Method | $2,154,502 | 2.7% |
| 9 | National Codes Established for State Medicaid Agencies | $2,150,781 | 2.7% |
| 10 | Pathology and Laboratory Procedures | $1,292,677 | 1.6% |
| 11 | Surgery | $813,522 | 1% |
| 12 | Radiology Procedures | $516,624 | 0.7% |
| 13 | Durable Medical Equipment | $358,489 | 0.5% |
| 14 | Prosthetic Procedures | $271,807 | 0.3% |
| 15 | Dental Services | $217,186 | 0.3% |
| 16 | Medical And Surgical Supplies | $179,341 | 0.2% |
| 17 | Temporary Codes | $135,259 | 0.2% |
| 18 | Orthotic Procedures and services | $126,787 | 0.2% |
| 19 | Administrative, Miscellaneous and Investigational | $14,979 | <0.1% |
| 20 | Anesthesia | $13,639 | <0.1% |
| 21 | Chemotherapy Drugs | $12,537 | <0.1% |
| 22 | Hearing Services | $9,952 | <0.1% |
| 23 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,054 | <0.1% |
| 24 | Miscellaneous Medical Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9480 | Intensive outpatient psychia | $5,489,416 | 44 |
| S4993 | Contraceptive pills for bc | $238,524 | 64 |
| S4930 | $13,811 | 21 | |
| S9128 | Speech therapy, in the home, | $7,453 | 4 |
| S9443 | Lactation class | $5,895 | 3 |
| S5125 | Attendant care service /15m | $0 | 2 |
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.
