In 2024, Medicaid payments in Maine reached $126,584,765 for services within the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That’s a 4.1% increase from 2023 when claims totaled $121,597,862 from providers.
Medicaid, a government health insurance program run at the state level with joint federal and state funding, supports low-income individuals and families, seniors, children and people with disabilities, making it one of the key components of the U.S. health care system.
Because Medicaid funds come from taxpayers, local variations in billing reflect how public health care resources are distributed throughout communities.
The category “Temporary National Codes (Non-Medicare)” encompasses Medicaid services billed according to the type of care provided, as grouped by established HCPCS and CPT code ranges. Each billing code was attributed to a distinct service category using standard code prefixes and numeric sequences, so related services could be analyzed collectively and prevent duplicate counts, ensuring accurate comparisons over time.
Some categories may cover multiple service types. In those instances, the group includes care commonly billed together on Medicaid claims, such as office visits, diagnostic procedures, and treatment methods.
From 2019 to 2024, Medicaid spending for Temporary National Codes (Non-Medicare) in Maine climbed by $47,196,856, or 59.5%. The rate of growth sped up in certain periods, especially in 2020 and 2023, when notable annual increases occurred.
Although these Medicaid payments were distributed throughout Maine, most were concentrated in select ZIP codes. In 2024, top locations included ZIP Code 04092 at $25,443,529 (20.1% of the total), ZIP Code 04106 at $24,310,753 (19.2%), and ZIP Code 04015 at $9,868,736 (7.8%).
The three highest-paying ZIP codes comprised 47.1% of Medicaid spending for the Temporary National Codes (Non-Medicare) category statewide during 2024.
Statewide, total Medicaid payments across all claim categories saw a 1.3% increase from 2023 to 2024.
Despite rising spending in several service categories, Temporary National Codes (Non-Medicare) held a ranking among the top three Medicaid payment categories by total expenditure in Maine for 2024.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending hit roughly $871.7 billion for fiscal year 2023, accounting for about 18% of overall U.S. health expenditures. That’s a jump from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
The increase amounts to nearly 40% over just a few years, mainly driven by expanded enrollment and greater use of services during and after the pandemic era.
Recent federal budget measures under the Trump administration have featured major proposals to decrease federal Medicaid funding and revise the program. Notably, the “One Big Beautiful Bill Act,” approved in 2025, is expected to cut federal Medicaid contributions by over $1 trillion during the next decade. The act also introduces work requirements and higher cost-sharing, potentially limiting coverage and lowering funding for certain beneficiaries. These changes may place greater costs on states and constrain future federal support, even as Medicaid continues to serve tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2024 | $126,584,765 | 4.1% |
| 2023 | $121,597,862 | 22.9% |
| 2022 | $98,925,907 | 17.1% |
| 2021 | $84,483,948 | 6.4% |
| 2020 | $79,387,909 | 40.8% |
| 2019 | $56,392,875 | 43.1% |
| 2018 | $39,400,669 | N/A |
| ZIP Code | Medicaid Payments | % of State Total |
|---|---|---|
| 04092 | $25,443,529 | 20.1% |
| 04106 | $24,310,753 | 19.2% |
| 04015 | $9,868,736 | 7.8% |
| 04240 | $9,394,958 | 7.4% |
| 04401 | $9,340,848 | 7.4% |
| 04917 | $8,601,726 | 6.8% |
| 04070 | $6,868,465 | 5.4% |
| 04210 | $3,883,898 | 3.1% |
| 04856 | $3,817,988 | 3% |
| 04039 | $3,384,096 | 2.7% |
| 04087 | $3,040,485 | 2.4% |
| 04462 | $1,773,423 | 1.4% |
| 04073 | $1,738,924 | 1.4% |
| 04011 | $1,674,547 | 1.3% |
| 04769 | $1,423,174 | 1.1% |
| 04048 | $1,353,276 | 1.1% |
| 04103 | $1,350,092 | 1.1% |
| 04654 | $1,278,657 | 1% |
| 04276 | $1,170,562 | 0.9% |
| 04609 | $1,019,658 | 0.8% |
| 04294 | $940,843 | 0.7% |
| 04901 | $919,109 | 0.7% |
| 04268 | $857,786 | 0.7% |
| 04042 | $856,937 | 0.7% |
| 04473 | $624,690 | 0.5% |
| 04739 | $591,979 | 0.5% |
| 04330 | $326,993 | 0.3% |
| 04444 | $323,693 | 0.3% |
| 04074 | $221,994 | 0.2% |
| 04101 | $87,721 | 0.1% |
| 04005 | $55,419 | <0.1% |
| 04730 | $11,990 | <0.1% |
| 04072 | $9,278 | <0.1% |
| 04038 | $4,356 | <0.1% |
| 04346 | $3,693 | <0.1% |
| 04416 | $3,051 | <0.1% |
| 04742 | $2,888 | <0.1% |
| 04102 | $1,634 | <0.1% |
| 04605 | $1,559 | <0.1% |
| 04427 | $1,135 | <0.1% |
| 04020 | $224 | <0.1% |
Details in this article come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source dataset is available here.


