Bend Medicaid providers recorded $2,823,751 in billings for services under the Temporary National Codes (Non-Medicare) category in 2024, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected an 18.3% rise from 2023, when claims for this category totaled $2,386,261.
Medicaid is a public insurance program managed by the states and funded by both federal and state governments. It provides health coverage to low-income people, families, seniors, children and individuals with disabilities, establishing itself as a major segment of the U.S. health care system.
Shifts in Medicaid billing at the local level highlight how taxpayer dollars are spent to support public health care in a community.
The “Temporary National Codes (Non-Medicare)” category groups Medicaid-billed services based on the care provided, relying on standardized HCPCS and CPT code groupings. This analysis assigns each billing code to a single service type using consistent code prefixes and number ranges, ensuring similar services are grouped together without overlap or double-counting, and preserving accurate historical rankings.
Although spending increased across various service types, Temporary National Codes (Non-Medicare) placed fifth among Medicaid payment categories in Bend in 2024.
Statewide in Oregon, Temporary National Codes (Non-Medicare) ranked seventh by total Medicaid payments for 2024.
In the five years before 2024, Medicaid payments for this category in Bend rose by $754,057—an increase of 36.4%. Periods of faster growth, with marked year-over-year gains, were seen in 2020 and 2021.
Although service payments were distributed citywide, most Medicaid dollars for this category went to providers in just a few ZIP codes. In 2024, the largest amounts were billed in ZIP code 97701, with $2,052,716, and 97702, with $771,033. Combined, these 2 ZIP codes represented 100% of Medicaid payments for the category in Bend that year.
Within the Temporary National Codes (Non-Medicare) category, the bulk of payments concentrated into a small number of specific billing codes.
For comparison, Bend saw Medicaid payments connected to Temporary National Codes (Non-Medicare) rise by 18.3% between 2024 and 2023. That outpaced the 6.8% overall growth recorded across all Medicaid claim categories locally over the same span.
According to the Centers for Medicare & Medicaid Services, overall Medicaid expenditures from both federal and state sources reached approximately $871.7 billion in fiscal 2023. That amounts to nearly 18% of all national health spending, a steep jump from the $613.5 billion spent in 2019 before the COVID-19 pandemic.
This growth marks a roughly 40% increase in a few years, driven in large part by expanded enrollment and increased utilization throughout and following the pandemic response.
Recent federal budget developments under the Trump administration have featured significant efforts to shrink federal Medicaid allocations and redesign the program. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over the coming decade and put new policies like work requirements and higher cost-sharing in place—aimed at reducing coverage and funds for some members. These changes would likely shift a greater share of Medicaid funding responsibility to states and limit federal support, even as the program continues to assist millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,069,693 | 33.5% |
| 2021 | $2,293,190 | 10.8% |
| 2022 | $2,361,690 | 3% |
| 2023 | $2,386,261 | 1% |
| 2024 | $2,823,750 | 18.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $12,243,312 | 28% |
| 2 | Alcohol and Drug Abuse Treatment | $9,767,964 | 22.3% |
| 3 | Evaluation and Management | $8,646,276 | 19.8% |
| 4 | National Codes Established for State Medicaid Agencies | $4,075,403 | 9.3% |
| 5 | Temporary National Codes (Non-Medicare) | $2,823,750 | 6.5% |
| 6 | Radiology Procedures | $2,019,971 | 4.6% |
| 7 | Durable Medical Equipment | $645,486 | 1.5% |
| 8 | Ambulance and Other Transport Services and Supplies | $594,634 | 1.4% |
| 9 | Surgery | $506,574 | 1.2% |
| 10 | Procedures / Professional Services | $388,532 | 0.9% |
| 11 | Pathology and Laboratory Procedures | $359,045 | 0.8% |
| 12 | Medical And Surgical Supplies | $342,027 | 0.8% |
| 13 | Temporary Codes | $290,703 | 0.7% |
| 14 | Dental Services | $286,239 | 0.7% |
| 15 | Drugs Administered Other than Oral Method | $229,766 | 0.5% |
| 16 | Anesthesia | $174,962 | 0.4% |
| 17 | Vision Services | $110,776 | 0.3% |
| 18 | Enteral and Parenteral Therapy | $95,368 | 0.2% |
| 19 | Orthotic Procedures and services | $93,243 | 0.2% |
| 20 | Administrative, Miscellaneous and Investigational | $39,237 | 0.1% |
| 21 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $17,215 | <0.1% |
| 22 | Prosthetic Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S0109 | Methadone oral 5mg | $1,738,890 | 13 |
| S5125 | Attendant care service /15m | $1,025,790 | 32 |
| S9131 | Pt in the home per diem | $20,203 | 12 |
| S9342 | Hit enteral pump diem | $18,754 | 5 |
| S9379 | Hit noc per diem | $10,045 | 8 |
| S9129 | Occupational therapy, in the | $5,335 | 4 |
| S9128 | Speech therapy, in the home, | $4,730 | 6 |
| S2900 | Robotic surgical system | $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.
