In 2024, Medicaid providers in Lewiston billed $9,394,958 for services within the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 3.5% rise from 2023, when claims for this category totaled $9,073,878.
Medicaid is a state-administered health insurance program, funded in partnership with the federal government and the states. It supports low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the U.S. health system.
Since Medicaid funding comes from taxpayer dollars, local billing trends provide insight into how health care expenditures are distributed in the community.
The “Temporary National Codes (Non-Medicare)” category includes a set of Medicaid-billed services categorized by care type, grouped by standardized HCPCS and CPT code systems. For this analysis, each billing code was matched to a specific service category using consistent prefixes and number ranges, ensuring related services were grouped together without duplicate counts and maintaining ranking accuracy over time.
Although several service categories saw increased Medicaid spending, Temporary National Codes (Non-Medicare) accounted for the fourth-largest share of total Medicaid payments in Lewiston for 2024.
Statewide, in Maine, Temporary National Codes (Non-Medicare) stood third in total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments related to Temporary National Codes (Non-Medicare) in Lewiston rose by $2,883,997, or 44.3%. The pace of growth picked up during select periods, with especially notable annual increases in both 2020 and 2023.
Spending for services in the Temporary National Codes (Non-Medicare) category occurred throughout Lewiston but was concentrated in a small group of ZIP codes. In 2024, ZIP code 04240 reported the highest Medicaid payments for these services, totaling $9,394,957. All of Lewiston’s Medicaid payments linked to Temporary National Codes (Non-Medicare) came from this ZIP code for the year.
Within the Temporary National Codes (Non-Medicare) category, service payments were focused among a limited set of individual billing codes.
For additional context, Medicaid payments associated with Temporary National Codes (Non-Medicare) in Lewiston increased by 3.5% from 2023 to 2024, while overall Medicaid claim categories in the city saw a 7.5% change during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, accounting for an estimated 18% of all national health expenditures. This is a substantial increase from $613.5 billion reported in 2019, before the onset of the COVID-19 pandemic.
This reflects an increase of about 40% over several years, influenced mainly by higher enrollment and utilization during and following the pandemic.
Major federal budget bills passed under the Trump administration have included significant measures to reduce Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next decade. It introduces policies such as work requirements and additional cost-sharing, which may limit coverage and financing for some beneficiaries. These provisions are likely to shift additional expenses to the states and curb the growth of federal Medicaid funding, while the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,510,960 | 35.5% |
| 2021 | $6,738,099 | 3.5% |
| 2022 | $7,714,617 | 14.5% |
| 2023 | $9,073,877 | 17.6% |
| 2024 | $9,394,957 | 3.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $41,686,573 | 41.2% |
| 2 | Alcohol and Drug Abuse Treatment | $18,225,730 | 18% |
| 3 | Evaluation and Management | $13,494,882 | 13.3% |
| 4 | Temporary National Codes (Non-Medicare) | $9,394,957 | 9.3% |
| 5 | Procedures / Professional Services | $5,702,378 | 5.6% |
| 6 | Medicine Services and Procedures | $4,349,407 | 4.3% |
| 7 | Radiology Procedures | $2,292,285 | 2.3% |
| 8 | Ambulance and Other Transport Services and Supplies | $2,010,385 | 2% |
| 9 | Surgery | $1,621,778 | 1.6% |
| 10 | Pathology and Laboratory Procedures | $1,184,562 | 1.2% |
| 11 | Drugs Administered Other than Oral Method | $620,386 | 0.6% |
| 12 | Durable Medical Equipment | $246,220 | 0.2% |
| 13 | Dental Services | $115,640 | 0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $107,441 | 0.1% |
| 15 | Medical And Surgical Supplies | $79,181 | 0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $75,237 | 0.1% |
| 17 | Temporary Codes | $45,591 | <0.1% |
| 18 | Outpatient PPS | $29,495 | <0.1% |
| 19 | Anesthesia | $12,184 | <0.1% |
| 20 | Chemotherapy Drugs | $1,226 | <0.1% |
| 21 | Coronavirus Diagnostic Panel | $538 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $8,160,208 | 12 |
| S5165 | Home modifications per serv | $692,172 | 10 |
| S5161 | Emer rspns sys serv permonth | $400,369 | 12 |
| S5170 | Homedelivered prepared meal | $124,475 | 11 |
| S5160 | Emer response sys instal&tst | $13,823 | 11 |
| S9999 | Sales tax | $3,244 | 12 |
| S8100 | Spacer without mask | $573 | 6 |
| S8101 | Spacer with mask | $90 | 2 |
| S9088 | Services provided in urgent | $0 | 2 |
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.
