Kirkland Medicaid providers billed a total of $803,148 for Temporary National Codes (Non-Medicare) services in 2024, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 16.5% uptick from 2023, when $689,311 was billed for the same services.
Medicaid, a joint federal and state public insurance program, supports low-income individuals and families, children, seniors, and people with disabilities, making it one of the biggest components of the U.S. health care system.
Since Medicaid is funded by taxpayers, fluctuations in billing at the local level indicate how public health care spending is distributed within a community.
The “Temporary National Codes (Non-Medicare)” category comprises a set of Medicaid-billed services based on the specific care type, organized by uniform HCPCS and CPT code groupings. In this analysis, each code was placed in a single service category by using standard code prefixes and numeric ranges. This method allows related services to be grouped without duplication and facilitates precise tracking over time.
While Kirkland saw higher Medicaid spending in several categories, Temporary National Codes (Non-Medicare) ranked fifth for overall Medicaid payments in 2024.
Statewide in Washington, the category placed 14th in total Medicaid payments during 2024.
From 2019 through 2024, Kirkland’s Medicaid spending on Temporary National Codes (Non-Medicare) rose by $765,355, a 2025.1% gain. Several periods, including 2023 and 2020, saw especially rapid year-over-year growth in expenditures.
This spending was not evenly spread, as most payments in 2024 were concentrated in a small number of ZIP codes. The top ZIP code, 98034, accounted for $803,147 of these payments—representing the entire Medicaid total for this category in Kirkland that year.
A relatively small set of individual billing codes represented the majority of Medicaid payments within the Temporary National Codes (Non-Medicare) category.
In comparison, Kirkland’s 16.5% rise in Medicaid payments for this category between 2023 and 2024 contrasts with a 3.1% change across all Medicaid claim types for the city during the same period.
The Centers for Medicare & Medicaid Services reported combined federal and state Medicaid expenses of approximately $871.7 billion for the 2023 fiscal year, representing about 18% of national health expenditures, up significantly from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
The nearly 40% increase over that time frame is mainly due to higher enrollment and service use during and after the pandemic.
Recent federal budget laws from the Trump administration have introduced major plans to decrease federal Medicaid spending and revamp the program. One example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid funding by more than $1 trillion over 10 years and brings in requirements like work mandates and greater cost-sharing, potentially reducing coverage and federal support for certain recipients. These changes may transfer more financial responsibility to states and curb federal Medicaid growth, while the program still covers millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $37,792 | 259.4% |
| 2021 | $14,036 | -62.9% |
| 2023 | $689,311 | 4810.7% |
| 2024 | $803,147 | 16.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,191,731 | 28.7% |
| 2 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,346,266 | 21.1% |
| 3 | Medicine Services and Procedures | $1,579,239 | 14.2% |
| 4 | Procedures / Professional Services | $1,555,297 | 14% |
| 5 | Temporary National Codes (Non-Medicare) | $803,147 | 7.2% |
| 6 | Radiology Procedures | $671,741 | 6% |
| 7 | Surgery | $240,503 | 2.2% |
| 8 | Temporary Codes | $170,711 | 1.5% |
| 9 | Pathology and Laboratory Procedures | $163,522 | 1.5% |
| 10 | National Codes Established for State Medicaid Agencies | $146,260 | 1.3% |
| 11 | Drugs Administered Other than Oral Method | $110,310 | 1% |
| 12 | Vision Services | $84,494 | 0.8% |
| 13 | Ambulance and Other Transport Services and Supplies | $38,047 | 0.3% |
| 14 | Dental Services | $11,225 | 0.1% |
| 15 | Medical And Surgical Supplies | $8,334 | 0.1% |
| 16 | Durable Medical Equipment | $3,924 | <0.1% |
| 17 | Coronavirus Diagnostic Panel | $33 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $21 | <0.1% |
| 19 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| 19 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9480 | Intensive outpatient psychia | $803,147 | 10 |
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.
