In 2024, Auburn Medicaid providers billed $3,883,898 for services within the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This is a 5.9% rise compared to 2023, when claims for these services totaled $3,667,537.
Medicaid is a publicly funded health insurance program administered by states, with financing from both state and federal governments. Coverage includes low-income people, seniors, children, and individuals with disabilities, which makes Medicaid a major component of the U.S. health system. More details are available through the Commonwealth Fund.
Since Medicaid is funded by taxpayers, shifts in local billing patterns reflect how public health care funds are distributed within the community.
The “Temporary National Codes (Non-Medicare)” category covers a subset of Medicaid services identified by standardized HCPCS and CPT code groupings. Each billing code is attributed to one service category, grouped using the same code prefixes and number ranges for this reporting. This grouping enables closer analysis without counting claims multiple times or disrupting historical rankings.
While overall Medicaid payments rose in more than one service group, Temporary National Codes (Non-Medicare) was the third-largest Medicaid payment category in Auburn for 2024.
Similarly, for Maine as a whole, Temporary National Codes (Non-Medicare) also held the third overall spot for Medicaid payments by category in 2024.
Spanning the five years before 2024, Auburn saw a $1,510,900 jump, or 63.7% growth, in Medicaid payments for Temporary National Codes (Non-Medicare). Some years, such as 2020 and 2022, witnessed particularly strong growth compared with the previous year.
Though spending for these services was distributed around Auburn, Medicaid payments were concentrated in a small number of ZIP codes. In 2024, ZIP code 04210 accounted for all $3,883,898 billed for Temporary National Codes (Non-Medicare) services. Altogether, Auburn’s top 1 ZIP code comprised 100% of payments in this category during the year.
Within Temporary National Codes (Non-Medicare), payments focused on a small selection of specific billing codes.
For context, Auburn saw Medicaid payments tied to this category rise 5.9% from 2023 to 2024, notably higher than the city’s 3.7% overall change across all Medicaid service categories for the same timeframe.
Centers for Medicare & Medicaid Services data shows combined state and federal Medicaid spending totaling about $871.7 billion in fiscal year 2023, around 18% of all health spending nationwide. That is sharply increased from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This shift represents almost 40% growth in only a few years, mainly because of higher enrollment numbers and usage during and after the pandemic.
Major federal budget changes during the Trump administration have proposed substantial reductions in Medicaid funding, aiming to restructure the program. As one example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid support by $1 trillion over the next 10 years and implement measures such as work requirements and greater cost-sharing, potentially reducing benefits and shifting more expenses to states, while keeping the program accessible to millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,372,997 | 104% |
| 2021 | $2,756,621 | 16.2% |
| 2022 | $3,331,335 | 20.8% |
| 2023 | $3,667,537 | 10.1% |
| 2024 | $3,883,898 | 5.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $40,893,123 | 46.2% |
| 2 | Alcohol and Drug Abuse Treatment | $36,545,054 | 41.3% |
| 3 | Temporary National Codes (Non-Medicare) | $3,883,898 | 4.4% |
| 4 | Medical And Surgical Supplies | $2,574,868 | 2.9% |
| 5 | Medicine Services and Procedures | $1,757,798 | 2% |
| 6 | Durable Medical Equipment | $1,218,851 | 1.4% |
| 7 | Evaluation and Management | $656,980 | 0.7% |
| 8 | Ambulance and Other Transport Services and Supplies | $493,143 | 0.6% |
| 9 | Dental Services | $207,478 | 0.2% |
| 10 | Procedures / Professional Services | $136,964 | 0.2% |
| 11 | Orthotic Procedures and services | $80,767 | 0.1% |
| 12 | Pathology and Laboratory Procedures | $17,030 | <0.1% |
| 13 | Surgery | $6,128 | <0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $5,442 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $3,092 | <0.1% |
| 16 | Radiology Procedures | $1,658 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 17 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5140 | Adult foster care per diem | $3,773,500 | 22 |
| S9999 | Sales tax | $110,397 | 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.
