In 2024, Medicaid providers in Happy Valley submitted $538,481 in claims for services within the Temporary National Codes (Non-Medicare) group, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 33.6% increase from 2023, when $402,980 in claims for this category were recorded.
Medicaid is administered at the state level with funding support from both state and federal governments, according to the Commonwealth Fund. The program assists eligible low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the nation’s health care system.
Because taxpayer funding is behind Medicaid payments, shifting billing activity reveals how public health funding is distributed throughout a community.
The “Temporary National Codes (Non-Medicare)” group refers to selected Medicaid-billed services categorized by the care type, using standardized HCPCS and CPT code systems. For the purposes of this analysis, each billing code was assigned to a unique service category through consistent prefix and number range rules, enabling meaningful comparisons over time while preventing double counting and maintaining accurate standings.
While multiple service groups saw increased Medicaid spending, Temporary National Codes (Non-Medicare) placed second in total Medicaid payments for Happy Valley in 2024.
Statewide, this category was ranked seventh for Medicaid payments in Oregon for 2024.
From 2020 to 2024, Medicaid payments for this category in Happy Valley went up by $538,481, reflecting a 0% overall change. Some years reported higher growth, with substantial increases documented in 2023 and 2022.
Though spending was spread throughout the city, most Medicaid payments for the Temporary National Codes (Non-Medicare) group were concentrated in a few ZIP codes. In 2024, ZIP code 97086 accounted for $538,480, representing 100% of the city’s total Medicaid payments for this service type during the year.
Within this category, only a small set of billing codes accounted for the bulk of Medicaid payments.
In comparison, the 33.6% jump in Happy Valley’s Temporary National Codes (Non-Medicare) Medicaid payments between 2023 and 2024 far outpaced the 5.1% growth seen across all Medicaid service categories locally in the same timeframe.
As reported by the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditure reached approximately $871.7 billion for fiscal 2023, making up about 18% of all U.S. health spending. This rose significantly from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This translates to about 40% growth in recent years, largely tied to increased enrollment and utilization during and after the pandemic period.
Recent federal legislation during the Trump presidency has put forward significant Medicaid restructuring proposals. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim over $1 trillion in federal Medicaid funding over the next decade, introducing requirements like work obligations and higher cost-sharing. Such measures could reduce both coverage and funding for some recipients, potentially shifting costs to state budgets and capping federal Medicaid support even as enrollment remains high.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $160,235 | – |
| 2023 | $402,979 | 151.5% |
| 2024 | $538,480 | 33.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $879,384 | 38.3% |
| 2 | Temporary National Codes (Non-Medicare) | $538,480 | 23.5% |
| 3 | Evaluation and Management | $432,009 | 18.8% |
| 4 | Medicine Services and Procedures | $394,158 | 17.2% |
| 5 | Surgery | $30,809 | 1.3% |
| 6 | Procedures / Professional Services | $7,578 | 0.3% |
| 7 | Dental Services | $4,108 | 0.2% |
| 8 | Vision Services | $3,751 | 0.2% |
| 9 | Pathology and Laboratory Procedures | $2,022 | 0.1% |
| 10 | Ambulance and Other Transport Services and Supplies | $1,014 | <0.1% |
| 11 | Medical And Surgical Supplies | $470 | <0.1% |
| 12 | Prosthetic Procedures | $21 | <0.1% |
| 13 | Alcohol and Drug Abuse Treatment | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $538,480 | 12 |
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.

