In 2024, Sunnyvale Medicaid providers received $2,164,763 in payments for services categorized under Temporary National Codes (Non-Medicare), based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 19.9% jump from 2023, when claims for this category totaled $1,805,033.
Medicaid operates as a statewide health insurance initiative supported by both federal and state funds. It serves low-income populations, children, seniors, and people with disabilities, constituting a major share of the nation’s health care system.
Because Medicaid funds originate from taxpayer contributions, fluctuations in local billing detail how a community’s public healthcare resources are spent.
The “Temporary National Codes (Non-Medicare)” grouping encompasses Medicaid-billed services classified by the nature of care, utilizing matching HCPCS and CPT coding systems. For this review, researchers assigned each billing code to a single service group, following standardized prefixes and numeric intervals to keep related services together, avoid duplicates, and maintain accurate year-over-year comparisons.
Though Medicaid outlays increased in several categories, Temporary National Codes (Non-Medicare) became Sunnyvale’s second-highest category by overall Medicaid payments for 2024.
Across California, this service type ranked seventh in statewide Medicaid payments during 2024.
Looking at the five-year period before 2024, Medicaid spending tied to Temporary National Codes (Non-Medicare) in Sunnyvale grew by $883,298, or 29%. Spending gains accelerated episodically, including pronounced annual surges in 2021 and 2020.
In 2024, spending for Temporary National Codes (Non-Medicare) services in Sunnyvale spanned the city but was largely linked to a handful of ZIP codes. Notably, ZIP code 94085 accounted for $2,164,762 in Medicaid payments, and 94086 contributed $0. Together, these top two ZIP codes were responsible for the entirety of such Medicaid disbursements in Sunnyvale for the year.
Payments within the Temporary National Codes (Non-Medicare) category were also concentrated on a select subset of individual billing codes.
For a broader perspective, Medicaid spending associated with these codes in Sunnyvale rose 19.9% from 2023 to 2024, while total Medicaid claims across all categories in the city increased 29.6% over the same period.
The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures hit roughly $871.7 billion for fiscal year 2023, comprising around 18% of the nation’s total health expenditures. This is a significant rise from $613.5 billion reported in 2019, preceding the COVID-19 crisis.
The approximate 40% growth over recent years reflects increased enrollment and greater use of services linked to the pandemic and its aftermath.
Recent Congressional budget actions during the Trump administration put forward substantial proposals for lowering federal Medicaid outlays and changing the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut federal Medicaid support by more than $1 trillion within the next decade while advancing policies like work mandates and boosted cost-sharing. This legislation may limit federal Medicaid growth and increase the financial burden on states, even as millions remain dependent on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,048,060 | 2.6% |
| 2021 | $3,895,847 | 27.8% |
| 2022 | $3,303,024 | -15.2% |
| 2023 | $1,805,032 | -45.4% |
| 2024 | $2,164,762 | 19.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $5,223,943 | 45.4% |
| 2 | Temporary National Codes (Non-Medicare) | $2,164,762 | 18.8% |
| 3 | Pathology and Laboratory Procedures | $2,159,774 | 18.8% |
| 4 | Dental Services | $805,673 | 7% |
| 5 | Evaluation and Management | $496,955 | 4.3% |
| 6 | Procedures / Professional Services | $368,246 | 3.2% |
| 7 | Medicine Services and Procedures | $290,100 | 2.5% |
| 8 | Medical And Surgical Supplies | $2,406 | <0.1% |
| 9 | Drugs Administered Other than Oral Method | $1,157 | <0.1% |
| 10 | Temporary Codes | $1,075 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5102 | Adult day care per diem | $2,164,762 | 12 |
| S9445 | Pt education noc individ | $0 | 5 |
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.
