Providers in Sauk Centre recorded $154,150 in Medicaid-billed services for the Temporary National Codes (Non-Medicare) category in 2024, based on U.S. Department of Health and Human Services Medicaid Provider Spending database records. This represented a 96.4% rise compared with 2023, when claims for these services totaled $78,489.
Medicaid is a public health insurance program operated by state governments and funded jointly by federal and state authorities. It provides coverage to low-income people and families, seniors, children, and those with disabilities, making it one of the nation’s largest health care programs.
Because Medicaid relies on taxpayer funding, changes in local billing amounts reveal how public dollars are distributed in health care for different communities.
The “Temporary National Codes (Non-Medicare)” category encompasses a set of Medicaid-billed services defined by service type, as grouped by standardized HCPCS and CPT codes. For this report, codes were assigned into a unique service category according to their prefixes and number ranges, so related services could be tracked collectively without duplicate counts and with consistent ranking across years.
While Medicaid payments rose across several categories, Temporary National Codes (Non-Medicare) was the third largest in Sauk Centre by total payment amount in 2024.
Statewide in Minnesota, the Temporary National Codes (Non-Medicare) category also ranked third by overall Medicaid payments in 2024.
In the five years prior to 2024, local Medicaid payments tied to this category rose by $78,721, or 104.4%. Growth was particularly rapid during certain time frames, with strong annual increases posted in 2023 and 2022.
Although these services were delivered citywide, most Medicaid payments for this category were tied to a small number of ZIP codes. In 2024, ZIP code 56378 accounted for $154,149, which was 100% of Sauk Centre’s Medicaid payments for Temporary National Codes (Non-Medicare) for the year.
Payments within this service group were also concentrated among limited individual billing codes.
To contrast, from 2023 to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) rose 96.4% in Sauk Centre, while payments across all Medicaid claim categories rose 41.7% during that same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, representing nearly 18% of all national health spending and a sharp rise from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This marks an increase of around 40% in just a few years, largely because of expanding enrollment and greater use of services in and after the pandemic period.
Recent federal budgeting initiatives during the Trump administration have featured major proposals to scale back federal funding for Medicaid and adjust the program’s structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the coming decade and implements measures such as work requirements and added cost-sharing, which could reduce coverage and funds for some people. The measures anticipate a greater share of Medicaid costs shifted to states and potential limitations on future federal spending while the program continues to reach millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $75,429 | -55.3% |
| 2021 | $42,501 | -43.7% |
| 2022 | $25,481 | -40% |
| 2023 | $78,488 | 208% |
| 2024 | $154,149 | 96.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $508,846 | 54.2% |
| 2 | Alcohol and Drug Abuse Treatment | $197,605 | 21.1% |
| 3 | Temporary National Codes (Non-Medicare) | $154,149 | 16.4% |
| 4 | Medicine Services and Procedures | $43,894 | 4.7% |
| 5 | Vision Services | $17,736 | 1.9% |
| 6 | Ambulance and Other Transport Services and Supplies | $13,987 | 1.5% |
| 7 | Pathology and Laboratory Procedures | $1,679 | 0.2% |
| 8 | Surgery | $451 | <0.1% |
| 9 | Drugs Administered Other than Oral Method | $136 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5130 | Homaker service nos per 15m | $152,888 | 12 |
| S0302 | Completed epsdt | $1,261 | 5 |
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.
