In Racine, Medicaid providers submitted $1,228,995 in claims for services classified under the Temporary National Codes (Non-Medicare) group in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 9.1% increase over 2023, when $1,127,001 in claims were reported for the same services.
Medicaid, a public health insurance program managed by states and funded by both federal and state governments, supports low-income people and families, older adults, children, and those with disabilities, making it a major part of the U.S. health care system.
Because taxpayer dollars fund Medicaid payments, fluctuations in local billing reflect how public health care resources are distributed in specific communities.
The “Temporary National Codes (Non-Medicare)” grouping includes Medicaid-billed services organized by the type of care, using standard HCPCS and CPT code sets. For this report, each billing code was assigned to a single services group using set code prefixes and ranges to allow comprehensive analysis of related services while preventing duplication and maintaining ranking accuracy over time.
Temporary National Codes (Non-Medicare) ranked fifth among Medicaid service categories in Racine for total payments in 2024, despite overall growth across many categories.
Across Wisconsin, Temporary National Codes (Non-Medicare) ranked as the sixth-largest Medicaid payment category in 2024.
From 2019 to 2024, Medicaid payments for Temporary National Codes (Non-Medicare) services in Racine rose by $132,888, or 9.8%. Certain years, especially 2021 and 2022, saw the most significant year-over-year increases.
Although spending for care in this category was distributed throughout Racine, most payments were concentrated in just a few ZIP codes. In 2024, ZIP code 53403 accounted for $623,893, while 53404 totaled $605,101. Together, these 2 ZIP codes represented 100% of all Medicaid payments in this category locally.
Within Temporary National Codes (Non-Medicare), payments were also focused on a small subset of individual billing codes.
Comparatively, while Racine saw a 9.1% year-over-year increase in spending for Temporary National Codes (Non-Medicare) between 2024 and 2023, total Medicaid claims across all categories in the city climbed by 20.4% over that time.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, comprising roughly 18% of all U.S. health spending and rising sharply from roughly $613.5 billion in 2019, before the pandemic.
This reflects an increase of nearly 40% in just a few years, primarily because of expanded enrollment and greater use of services during and after the COVID-19 pandemic period.
Recent federal budget acts during the Trump administration have featured proposals to decrease federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce federal Medicaid funding by more than $1 trillion over the next 10 years, introducing requirements such as work mandates and higher cost-sharing, which may cut coverage and funding for some participants. This is likely to shift additional costs to states and moderate the growth of federal Medicaid investment while the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,361,882 | 1.9% |
| 2021 | $1,622,637 | 19.1% |
| 2022 | $1,887,225 | 16.3% |
| 2023 | $1,127,000 | -40.3% |
| 2024 | $1,228,994 | 9.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $3,961,553 | 22.7% |
| 2 | Alcohol and Drug Abuse Treatment | $3,816,023 | 21.9% |
| 3 | Medicine Services and Procedures | $2,431,744 | 14% |
| 4 | Pathology and Laboratory Procedures | $2,015,575 | 11.6% |
| 5 | Temporary National Codes (Non-Medicare) | $1,228,994 | 7.1% |
| 6 | National Codes Established for State Medicaid Agencies | $1,045,540 | 6% |
| 7 | Dental Services | $870,006 | 5% |
| 8 | Ambulance and Other Transport Services and Supplies | $776,856 | 4.5% |
| 9 | Radiology Procedures | $614,941 | 3.5% |
| 10 | Surgery | $208,981 | 1.2% |
| 11 | Procedures / Professional Services | $133,124 | 0.8% |
| 12 | Medical And Surgical Supplies | $117,363 | 0.7% |
| 13 | Durable Medical Equipment | $81,787 | 0.5% |
| 14 | Anesthesia | $71,352 | 0.4% |
| 15 | Drugs Administered Other than Oral Method | $30,911 | 0.2% |
| 16 | Administrative, Miscellaneous and Investigational | $17,408 | 0.1% |
| 17 | Vision Services | $1,550 | <0.1% |
| 18 | Hearing Services | $1,038 | <0.1% |
| 19 | Temporary Codes | $783 | <0.1% |
| 20 | Coronavirus Diagnostic Panel | $120 | <0.1% |
| 21 | Orthotic Procedures and services | $0 | <0.1% |
| 21 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $498,562 | 13 |
| S9484 | Crisis intervention per hour | $265,460 | 11 |
| S5130 | Homaker service nos per 15m | $147,804 | 9 |
| S4993 | Contraceptive pills for bc | $130,184 | 12 |
| S5190 | Wellness assessment by nonph | $106,539 | 12 |
| S5170 | Homedelivered prepared meal | $80,444 | 10 |
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.
