Brea Medicaid providers bill $575,025 for Temporary National Codes (Non-Medicare) in 2024, up 200% from prior year

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Brea submitted $575,025 in claims for services categorized under Temporary National Codes (Non-Medicare), data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This was a 200.3% rise from 2023, when $191,464 in claims were made for these services.

Medicaid is a state-operated public health insurance program funded jointly by federal and state government sources. It insures low-income individuals and families, seniors, children, as well as those with disabilities, making it a core part of the U.S. heath care system.

As Medicaid is taxpayer funded, shifts in community claims levels reflect changes in how public health spending is distributed locally.

The “Temporary National Codes (Non-Medicare)” category refers to a segment of Medicaid claims designated by the type of care, connected to established HCPCS and CPT coding sets. For this analysis, billing codes were categorized using unified code prefixes and number groupings to enable fair comparisons and accurate year-over-year rankings.

Brea saw Temporary National Codes (Non-Medicare) rank as the fifth-largest Medicaid service category by billed amount in 2024 despite overall growth across several categories.

For California statewide, Temporary National Codes (Non-Medicare) was the seventh-largest Medicaid service category in 2024 when ranked by payment total.

Within the five years prior to 2024, Brea Medicaid payments for these services increased by $575,025, with growth patterns shifting over the period—most notably with marked annual jumps in 2023 and 2022.

Although expenditures for Temporary National Codes (Non-Medicare) services were recorded citywide, just a handful of ZIP codes saw most of these payments. In 2024, ZIP code 92821 reported $575,025 in claims, representing 100% of Medicaid payments in this category throughout Brea for the year.

The distribution of Medicaid claims within the Temporary National Codes (Non-Medicare) category was also focused on few specific billing codes.

To put this in perspective, Brea’s 200.3% lift in Medicaid claims within the Temporary National Codes (Non-Medicare) group from 2023 to 2024 compares with just a 4.1% change across all Medicaid service categories in the city during the same timeframe.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023—about 18% of all national health spending—up from $613.5 billion in 2019, before the COVID-19 pandemic.

This roughly 40% rise over several years was driven mainly by increased enrollment and utilization during and in the aftermath of the pandemic.

Recent federal budget measures under the Trump administration have brought significant cuts and restructuring proposals to Medicaid, including policies in the “One Big Beautiful Bill Act,” enacted in 2025. The legislation is projected to reduce federal Medicaid spending by over $1 trillion over 10 years and calls for initiatives such as work requirements and greater cost-sharing, potentially leading to less coverage and reduced funding for certain beneficiaries. As a result, the cost burden could shift to states and restrict the pace of growth in federal Medicaid aid, even as it continues to serve a large portion of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2023 $191,463 -54.3%
2024 $575,025 200.3%
Top Categories by Medicaid Payments in Brea, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Evaluation and Management $7,147,807 44.1%
2 Medicine Services and Procedures $2,612,032 16.1%
3 Ambulance and Other Transport Services and Supplies $2,179,566 13.5%
4 Alcohol and Drug Abuse Treatment $1,470,480 9.1%
5 Temporary National Codes (Non-Medicare) $575,025 3.6%
6 National Codes Established for State Medicaid Agencies $572,315 3.5%
7 Dental Services $507,440 3.1%
8 Radiology Procedures $383,775 2.4%
9 Surgery $359,262 2.2%
10 Drugs Administered Other than Oral Method $221,549 1.4%
11 Procedures / Professional Services $77,255 0.5%
12 Pathology and Laboratory Procedures $39,446 0.2%
13 Durable Medical Equipment $15,272 0.1%
14 Administrative, Miscellaneous and Investigational $12,026 0.1%
15 Durable medical equipment (DME) Medicare administrative contractors (MACs) $8,716 0.1%
16 Chemotherapy Drugs $5,546 <0.1%
17 Anesthesia $2,433 <0.1%
18 Orthotic Procedures and services $1,445 <0.1%
19 Temporary Codes $340 <0.1%
20 Vision Services $153 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Brea, California, 2024

HCPCS Code Description Medicaid Payments Claims
S5130 Homaker service nos per 15m $575,025 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.



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