In 2024, Medicaid providers in El Segundo billed $8,234,755 for services under the Temporary National Codes (Non-Medicare) category, as detailed in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This totals a 524.8% increase compared to 2023, when providers recorded $1,318,000 in claims for the same service group.
Medicaid, funded by both federal and state governments and run by states, is a major public health insurance program that serves low-income families and individuals, seniors, children, and those with disabilities. It remains one of the core components of U.S. health care.
Because taxpayers finance Medicaid, shifts in local billing offer insights into how public resources for health care are distributed in each community.
The “Temporary National Codes (Non-Medicare)” category encompasses a set of Medicaid-billed services identified by care type, using HCPCS and CPT code groupings. For analysis purposes, codes were assigned to one service category based on their prefixes and numeric ranges, ensuring accurate service groupings and rankings while avoiding double counting.
Even as overall Medicaid expenditures rose in multiple areas, El Segundo recorded the second-largest total for Medicaid payments in this category in 2024.
Across California, Temporary National Codes (Non-Medicare) stood seventh among all Medicaid payment categories statewide in 2024.
From 2019 to 2024, Medicaid spending associated with Temporary National Codes (Non-Medicare) in El Segundo climbed by $7,943,854, or 2730.8%. Notable yearly surges occurred especially in 2023 and 2020.
Although use of Temporary National Codes (Non-Medicare) services occurred throughout El Segundo, the majority of Medicaid spending was concentrated within a small number of ZIP codes. For 2024, ZIP code 90245 accounted for $8,234,755, representing 100% of all related Medicaid billing for the city that year.
Medicaid payments within this category were centered on a small set of billing codes.
To compare categories, Temporary National Codes (Non-Medicare) Medicaid payments in El Segundo surged 524.8% between 2024 and 2023, whereas all Medicaid claim categories increased by 260.9% in the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal 2023, making up around 18% of national health spending, a sharp climb from $613.5 billion in 2019 before the COVID-19 pandemic.
This upturn equals about 40% growth in just a few years, largely due to expanded enrollment and greater service use during and following the pandemic.
Recent federal budgets during the Trump administration have advanced significant proposals to scale back federal Medicaid aid and change the program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the next decade and introduces policies such as work requirements and higher cost-sharing, potentially reducing both coverage and funding for select beneficiaries. These changes are expected to transfer greater financial responsibility to states and curtail the growth of federal Medicaid assistance, even as the program continues to provide coverage to tens of millions across the nation.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $290,901 | 17.2% |
| 2021 | $232,372 | -20.1% |
| 2022 | $63,626 | -72.6% |
| 2023 | $1,317,999 | 1971.5% |
| 2024 | $8,234,755 | 524.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $25,506,089 | 69.9% |
| 2 | Temporary National Codes (Non-Medicare) | $8,234,755 | 22.6% |
| 3 | Surgery | $758,494 | 2.1% |
| 4 | Evaluation and Management | $721,809 | 2% |
| 5 | Durable Medical Equipment | $531,172 | 1.5% |
| 6 | Alcohol and Drug Abuse Treatment | $367,288 | 1% |
| 7 | Medicine Services and Procedures | $187,642 | 0.5% |
| 8 | Medical And Surgical Supplies | $123,419 | 0.3% |
| 9 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $34,372 | 0.1% |
| 10 | Ambulance and Other Transport Services and Supplies | $5,820 | <0.1% |
| 11 | Dental Services | $4,229 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $2,027 | <0.1% |
| 13 | Pathology and Laboratory Procedures | $308 | <0.1% |
| 14 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5130 | Homaker service nos per 15m | $5,705,044 | 12 |
| S5151 | Unskilled respitecare /diem | $1,333,573 | 11 |
| S9125 | Respite care, in the home, p | $1,156,034 | 11 |
| S5111 | Family homecare train/sessio | $40,102 | 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.
