Ypsilanti health care providers billed $1,265,768 to Medicaid for Temporary National Codes (Non-Medicare) services in 2024, according to information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 39.4% rise from 2023, when the total came to $908,313 for the same classification of services.
Medicaid is organized at the state level and funded with both federal and state money. The program serves individuals and families with low incomes, older adults, children, and those with disabilities, representing a significant segment within U.S. health care.
Because Medicaid is taxpayer-funded, local fluctuations in billing levels indicate how public health care resources are distributed in the area.
The “Temporary National Codes (Non-Medicare)” group encompasses Medicaid services assigned according to standardized HCPCS and CPT collections. To facilitate breakdown and analysis, billing codes were grouped with consistent prefixes and number zones, allowing for similar procedures to be reviewed together, minimizing double counting and supporting accurate overall rankings through time.
Though overall Medicaid expenditures rose across many service groups, Temporary National Codes (Non-Medicare) ranked as the eighth-largest contributor to total Medicaid payments in Ypsilanti for 2024.
Across Michigan, this service group represented the fifth-highest Medicaid expenditure category in 2024.
Over the five years prior to 2024, Ypsilanti Medicaid payments associated with Temporary National Codes (Non-Medicare) grew by $845,546, or 201.2%. Notable surges in this spending appeared in both 2023 and 2021 compared with each prior year.
While payments related to Temporary National Codes (Non-Medicare) were spread across Ypsilanti, they were heavily concentrated in specific ZIP codes. In 2024, ZIP code 48198 saw $1,010,559, while 48197 tallied $255,207 in payments for these services. Together, those ZIP codes made up the entirety—100%—of Ypsilanti’s Medicaid expenditures in this category that year.
Within this Medicaid group, spending clusters were evident among certain billing codes.
Comparing years, payments related to these services in Ypsilanti climbed by 39.4% from 2023 to 2024. Across all Medicaid service categories citywide, the percent change during this period was 6.7%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled approximately $871.7 billion in fiscal 2023, around 18% of the total national health bill, up from about $613.5 billion in 2019 before the COVID-19 outbreak.
This represents roughly 40% expansion in several years, largely attributed to more enrollees and an uptick in medical use during and following the pandemic.
Congressional budget actions signed during the Trump administration have contained notable measures reducing federal spending on Medicaid and altering the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to lower federal contributions to Medicaid by over $1 trillion in the next 10 years and implements policies like work requirements and increased beneficiary cost-sharing. These shifts could limit funding for some recipients and transfer more costs to individual states, though Medicaid remains a key provider for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $420,222 | -44.3% |
| 2021 | $544,797 | 29.6% |
| 2022 | $547,287 | 0.5% |
| 2023 | $908,312 | 66% |
| 2024 | $1,265,767 | 39.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $38,052,567 | 45.4% |
| 2 | Evaluation and Management | $13,677,524 | 16.3% |
| 3 | National Codes Established for State Medicaid Agencies | $13,193,287 | 15.7% |
| 4 | Medicine Services and Procedures | $10,107,156 | 12.1% |
| 5 | Radiology Procedures | $3,019,468 | 3.6% |
| 6 | Pathology and Laboratory Procedures | $1,715,928 | 2% |
| 7 | Procedures / Professional Services | $1,269,415 | 1.5% |
| 8 | Temporary National Codes (Non-Medicare) | $1,265,767 | 1.5% |
| 9 | Surgery | $826,194 | 1% |
| 10 | Dental Services | $347,401 | 0.4% |
| 11 | Drugs Administered Other than Oral Method | $193,080 | 0.2% |
| 12 | Anesthesia | $62,564 | 0.1% |
| 13 | Durable Medical Equipment | $31,656 | <0.1% |
| 14 | Temporary Codes | $21,433 | <0.1% |
| 15 | Hearing Services | $9,411 | <0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $5,758 | <0.1% |
| 17 | Vision Services | $31 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 18 | Medical And Surgical Supplies | $0 | <0.1% |
| 18 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S0280 | Medical home, initial plan | $524,026 | 14 |
| S9470 | Nutritional counseling, diet | $260,631 | 10 |
| S9976 | Lodging per diem | $238,572 | 11 |
| S5111 | Family homecare train/sessio | $207,290 | 10 |
| S9445 | Pt education noc individ | $18,612 | 5 |
| S5120 | Chore services per 15 min | $15,110 | 8 |
| S0621 | Routine ophthalmological exa | $1,419 | 3 |
| S0620 | Routine ophthalmological exa | $106 | 2 |
| S9088 | Services provided in urgent | $0 | 9 |
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.
