Sunnyvale records $2,164,763 in Medicaid spending for Temporary National Codes (Non-Medicare) services in 2024

In 2024, Medicaid providers in Sunnyvale billed a total of $2,164,763 for services in 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 19.9% increase from 2023, when billings for the same services were recorded at $1,805,033.

Medicaid, which is administered at the state level and financed by both federal and state governments, insures millions of low-income people, children, seniors, and those with disabilities. It remains one of the primary pillars of the nation’s health care system.

Since Medicaid uses public funds, shifts in local billing show changes in how public health spending is distributed within communities.

The “Temporary National Codes (Non-Medicare)” section includes Medicaid-billed services grouped by care type, following established HCPCS and CPT coding structures. For this assessment, service categories were assigned per billing code based on designated code prefixes and numeric ranges, keeping each service type distinct, preventing double-counting, and maintaining accurate year-to-year payment comparisons.

Temporary National Codes (Non-Medicare) comprised the second-largest Medicaid payment category in Sunnyvale by total dollars in 2024, as overall Medicaid outlays grew in several service sectors.

At the state level in California, this category ranked as the seventh-largest in terms of aggregate Medicaid payments during 2024.

Between the five years prior to 2024, Medicaid spending on Temporary National Codes (Non-Medicare) in Sunnyvale went up by $883,298 (an increase of 29%). The record shows periods of accelerated growth, most notably during 2021 and 2020.

While these expenditures spanned the city, most payments for this service type were concentrated within just a few ZIP codes. In 2024, ZIP code 94085 accounted for $2,164,762 in claims and 94086 registered $0. The sum for these two ZIP codes matched 100% of Medicaid payments under the Temporary National Codes (Non-Medicare) heading for Sunnyvale during the year.

Within this category, Medicaid claim distribution focused on select individual billing codes.

In comparison to the previous year, Medicaid spending locally on Temporary National Codes (Non-Medicare) in Sunnyvale climbed by 19.9%, while the total increase across all Medicaid services was 29.6% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, the combination of federal and state payments to Medicaid reached about $871.7 billion during fiscal 2023—nearly 18% of the country’s health care expenditure, up from approximately $613.5 billion in 2019 before the COVID-19 pandemic.

This change equates to an approximate 40% jump over several years, with enrollment expansion and increased utilization fueling the trend throughout and after the pandemic era.

Recent federal budget measures under the Trump administration have proposed major reductions in federal Medicaid support and reforms to its structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and introduces provisions such as work requirements and higher cost-sharing. These changes may decrease beneficiary coverage and funds received, potentially shifting a larger share of expense to states, while the program continues to serve many Americans.

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.