Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database indicates that Medicaid providers in El Cajon billed $5,875,556 for Temporary National Codes (Non-Medicare) services in 2024. This amount represents a 31.6% boost from 2023, when these providers reported $4,465,069 in claims for the same service type.
Medicaid, a public health insurance program managed by the states and financed jointly through federal and state funds, serves low-income individuals, families, seniors, children and people with disabilities, making it a significant part of the nation’s health care system.
Since Medicaid payments are funded by taxpayers, local shifts in billing help reveal how community public health spending is distributed.
The “Temporary National Codes (Non-Medicare)” group encompasses a set of Medicaid-billed services categorized by care type, using standardized HCPCS and CPT code groupings. Consistent use of code prefixes and number ranges allowed for the assignment of each billing code to a single service category in this analysis, so related services could be grouped for accurate long-term comparisons and rankings without double-counting.
Temporary National Codes (Non-Medicare) placed second in El Cajon for total Medicaid payments by category in 2024, among several service categories experiencing increased spending.
At the state level in California, this category ranked seventh for total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments tied to Temporary National Codes (Non-Medicare) in El Cajon grew by $1,383,061, or 19.1%. Certain years, including 2020 and 2021, saw especially strong annual increases in spending.
While distribution of spending in this category spanned multiple parts of El Cajon, the payments were mostly concentrated in a small number of ZIP codes. In 2024, ZIP code 92020 accounted for $5,781,677, 92021 contributed $93,878, and 92019 recorded $0. Collectively, these top 3 ZIP codes represented the entirety of Medicaid payments in this category for the city in 2024.
Payments within the Temporary National Codes (Non-Medicare) group were similarly concentrated among just a few billing codes.
Medicaid payments for Temporary National Codes (Non-Medicare) services in El Cajon rose 31.6% between 2023 and 2024, a sharper increase than the 5.2% change seen across all Medicaid claim categories locally during the same period.
Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023—about 18% of total national health spending—up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This growth amounts to an increase of around 40% in just a few years, largely attributable to greater enrollment and utilization amid and following the pandemic.
Recent federal budget legislation during the Trump administration included several significant proposals for changing federal Medicaid funding and program structure. Notably, the “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next decade. It also introduces work requirements and expanded cost-sharing, changes that could impact coverage and funding for some beneficiaries by shifting more expenses to states even as Medicaid continues to provide coverage for tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,258,617 | 58.5% |
| 2021 | $15,602,077 | 114.9% |
| 2022 | $9,514,019 | -39% |
| 2023 | $4,465,068 | -53.1% |
| 2024 | $5,875,556 | 31.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $56,802,323 | 69.8% |
| 2 | Temporary National Codes (Non-Medicare) | $5,875,556 | 7.2% |
| 3 | Medicine Services and Procedures | $5,762,257 | 7.1% |
| 4 | Evaluation and Management | $4,076,374 | 5% |
| 5 | Dental Services | $1,959,800 | 2.4% |
| 6 | Alcohol and Drug Abuse Treatment | $1,881,184 | 2.3% |
| 7 | Surgery | $1,511,113 | 1.9% |
| 8 | Ambulance and Other Transport Services and Supplies | $1,436,758 | 1.8% |
| 9 | Procedures / Professional Services | $985,737 | 1.2% |
| 10 | Anesthesia | $696,775 | 0.9% |
| 11 | Pathology and Laboratory Procedures | $332,512 | 0.4% |
| 12 | Vision Services | $21,439 | <0.1% |
| 13 | Medical And Surgical Supplies | $16,001 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $10,744 | <0.1% |
| 15 | Radiology Procedures | $4,730 | <0.1% |
| 16 | Orthotic Procedures and services | $0 | <0.1% |
| 16 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5102 | Adult day care per diem | $5,781,202 | 43 |
| S0199 | Med abortion inc all ex drug | $69,918 | 8 |
| S4993 | Contraceptive pills for bc | $11,673 | 5 |
| S0190 | Mifepristone, oral, 200 mg | $5,093 | 5 |
| S9131 | Pt in the home per diem | $4,650 | 3 |
| S5000 | Prescription drug, generic | $1,708 | 12 |
| S9445 | Pt education noc individ | $1,174 | 10 |
| S0191 | Misoprostol, oral, 200 mcg | $135 | 6 |
| S0612 | Annual gynecological examina | $0 | 3 |
| S0613 | Ann breast exam | $0 | 3 |
| S9451 | Exercise class | $0 | 31 |
| S9452 | Nutrition class | $0 | 31 |
| S9470 | Nutritional counseling, diet | $0 | 1 |
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.
