In 2024, Waterloo Medicaid providers billed $22,168,463 for services in the Temporary National Codes (Non-Medicare) category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 7.6% rise over 2023, when billings for the same category reached $20,603,579.
Medicaid is a government health insurance program managed by the states and funded in partnership by state and federal governments. It serves low-income populations, seniors, children and people with disabilities, making it a key component of the U.S. health care system.
Because Medicaid spending relies on taxpayer funding, shifts in local billing levels highlight how public health care resources are distributed within a community.
The “Temporary National Codes (Non-Medicare)” section consists of Medicaid-billed services categorized by specific care types, defined through standardized HCPCS and CPT code groupings. For this report, each billing code is assigned to a single service grouping using consistent code prefixes and numeric ranges, enabling related services to be tracked together while ensuring ranks remain accurate and codes are not double counted.
Amid increased spending across several service groups, Temporary National Codes (Non-Medicare) accounted for the highest Medicaid payments in Waterloo for 2024.
Statewide, in Iowa, the Temporary National Codes (Non-Medicare) service group placed second by Medicaid payment total in 2024.
From 2019 through 2024, Medicaid payments tied to Temporary National Codes (Non-Medicare) in Waterloo rose by $13,639,162, up 159.9%. Growth in spending was particularly rapid during select periods, with notable year-over-year increases seen in 2021 and 2023.
Although payments for Temporary National Codes (Non-Medicare) services were made citywide, the majority concentrated in a few ZIP codes. In 2024, ZIP code 50701 received $20,744,177, 50703 received $1,245,504, and 50702 saw $178,781. Together, these top 3 ZIP codes made up 100% of Waterloo’s Medicaid payments for the category that year.
Within Temporary National Codes (Non-Medicare), a small subset of billing codes received the bulk of Medicaid payments.
By comparison, Medicaid payments connected to Temporary National Codes (Non-Medicare) in Waterloo grew 7.6% between 2024 and 2023, whereas all Medicaid claim types citywide increased by 11.9% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, making up roughly 18% of all national health expenditures—up from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This reflects about 40% overall growth in just a few years, mainly because of greater enrollment and increased health care use during and after the pandemic period.
Recent federal budget laws signed during the Trump administration have introduced major proposals to reduce federal Medicaid funding and alter the structure of the program. As an example, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over 10 years and add policies such as work requirements and higher cost-sharing, which could reduce benefits and funding for some recipients. These measures are projected to shift more of Medicaid’s financing burden onto states and restrain federal support, even as enrollment remains high.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $8,529,300 | -38.9% |
| 2021 | $21,133,702 | 147.8% |
| 2022 | $20,043,803 | -5.2% |
| 2023 | $20,603,578 | 2.8% |
| 2024 | $22,168,463 | 7.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $22,168,463 | 27.2% |
| 2 | Alcohol and Drug Abuse Treatment | $19,007,401 | 23.3% |
| 3 | National Codes Established for State Medicaid Agencies | $12,154,443 | 14.9% |
| 4 | Evaluation and Management | $7,905,735 | 9.7% |
| 5 | Procedures / Professional Services | $5,556,775 | 6.8% |
| 6 | Medicine Services and Procedures | $4,738,031 | 5.8% |
| 7 | Durable Medical Equipment | $2,441,861 | 3% |
| 8 | Ambulance and Other Transport Services and Supplies | $1,943,579 | 2.4% |
| 9 | Medical And Surgical Supplies | $1,505,464 | 1.8% |
| 10 | Enteral and Parenteral Therapy | $1,001,273 | 1.2% |
| 11 | Surgery | $973,777 | 1.2% |
| 12 | Dental Services | $733,269 | 0.9% |
| 13 | Orthotic Procedures and services | $582,326 | 0.7% |
| 14 | Pathology and Laboratory Procedures | $448,203 | 0.5% |
| 15 | Radiology Procedures | $180,497 | 0.2% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $107,465 | 0.1% |
| 17 | Vision Services | $31,673 | <0.1% |
| 18 | Anesthesia | $23,267 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $21,711 | <0.1% |
| 20 | Drugs Administered Other than Oral Method | $19,236 | <0.1% |
| 21 | Temporary Codes | $9,188 | <0.1% |
| 22 | Outpatient PPS | $0 | <0.1% |
| 23 | Pathology and Laboratory Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5126 | Attendant care service /diem | $10,558,183 | 11 |
| S5136 | Adult companioncare per diem | $8,448,018 | 22 |
| S5151 | Unskilled respitecare /diem | $1,163,429 | 6 |
| S0215 | Nonemerg transp mileage | $688,466 | 20 |
| S9485 | Crisis intervention mental h | $622,976 | 17 |
| S5102 | Adult day care per diem | $382,491 | 11 |
| S8121 | O2 contents liquid lb | $172,932 | 12 |
| S5170 | Homedelivered prepared meal | $90,592 | 11 |
| S5130 | Homaker service nos per 15m | $22,249 | 11 |
| S5131 | Homemaker service nos /diem | $9,063 | 1 |
| S5101 | Adult day care per half day | $8,938 | 9 |
| S9445 | Pt education noc individ | $1,120 | 1 |
| S0281 | Medical home, maintenance | $0 | 8 |
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.
