In 2024, Medicaid payments for services listed under the Temporary National Codes (Non-Medicare) category in Alaska amounted to $50,901,566, figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This total is a 4.2% increase over 2023, when providers billed $48,854,376.
Year-over-year comparisons in this story use the latest available annual data for reference.
Medicaid is a government insurance program run by each state and funded in partnership by federal and state governments. It assists low-income people and families, seniors, children and people with disabilities, making it one of the nation’s largest health care programs.
Because taxpayer dollars fund Medicaid, shifts in billing at the local level reflect how public health care resources are distributed within each community.
The “Temporary National Codes (Non-Medicare)” classification includes a set of Medicaid-billable services, categorized by the type of care delivered and determined through standardized HCPCS and CPT code groupings. For this report, every billing code was assigned to one service category based on shared code prefixes and numbers. This approach enables related services to be studied collectively without duplication, ensuring reliable year-over-year ranking.
In many cases, these categories group several service types together. When that’s the case, the category includes associated types of care that are typically billed jointly within Medicaid, such as checkups, evaluations, and treatment procedures.
Between 2019 and 2024, Alaska’s Medicaid payments for services in the Temporary National Codes (Non-Medicare) category climbed by $14,472,770—or 39.7%. This spending grew more quickly at several points, with noticeable year-to-year increases seen in 2022 and 2023.
Statewide spending for these services was not evenly distributed, with much of the total coming from a few ZIP codes. In 2024, ZIP Code 99503 led the state at $10,484,688 (20.6% of the total), followed by 99518 at $10,471,536 (20.6%), and 99508 at $7,614,823 (15%).
The combined total for the three top ZIP codes represented 56.1% of all Medicaid payments for these services statewide in 2024.
Statewide, Medicaid payments across all service types grew 4.5% between 2023 and 2024.
Spending went up in several Medicaid categories, but Temporary National Codes (Non-Medicare) remained among the six service categories with the highest spending by total payments in Alaska for 2024.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, making up about 18% of national health spending—an increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This marks an increase of around 40% in just a few years, as expanded coverage and rising utilization during and after the pandemic drove costs higher.
Federal budget measures under the Trump administration have featured substantial proposals to reduce federal Medicaid contributions and revise the program’s structure. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over the next 10 years. The law adds policies such as work requirements and higher cost-sharing, which may lower funding and coverage for certain individuals, shifting more of the burden to states while federal Medicaid support is likely to grow more slowly, even as the program serves tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2024 | $50,901,566 | 4.2% |
| 2023 | $48,854,376 | 27.9% |
| 2022 | $38,205,795 | 7% |
| 2021 | $35,705,128 | -2% |
| 2020 | $36,428,796 | -15.5% |
| 2019 | $43,088,913 | 51.6% |
| 2018 | $28,419,958 | N/A |
| ZIP Code | Medicaid Payments | % of State Total |
|---|---|---|
| 99503 | $10,484,688 | 20.6% |
| 99518 | $10,471,536 | 20.6% |
| 99508 | $7,614,823 | 15% |
| 99701 | $6,036,267 | 11.9% |
| 99504 | $3,518,149 | 6.9% |
| 99507 | $3,029,112 | 6% |
| 99559 | $2,146,057 | 4.2% |
| 99501 | $1,766,039 | 3.5% |
| 99654 | $1,719,961 | 3.4% |
| 99688 | $1,561,080 | 3.1% |
| 99516 | $960,656 | 1.9% |
| 99835 | $551,056 | 1.1% |
| 99669 | $373,329 | 0.7% |
| 99901 | $247,859 | 0.5% |
| 99611 | $158,746 | 0.3% |
| 99712 | $137,757 | 0.3% |
| 99762 | $62,540 | 0.1% |
| 99801 | $22,087 | <0.1% |
| 99576 | $14,840 | <0.1% |
| 99752 | $9,540 | <0.1% |
| 99577 | $7,619 | <0.1% |
| 99645 | $7,524 | <0.1% |
| 99603 | $302 | <0.1% |
Data for this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source material here.
