In 2024, Racine Medicaid providers billed $1,228,995 for services classified under the Temporary National Codes (Non-Medicare) category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 9.1% rise compared with 2023, when claims for this service type totaled $1,127,001.
Medicaid, a public health insurance initiative managed by the states and funded through both federal and state sources, provides coverage for low-income populations, seniors, children, and individuals with disabilities, making it a central part of the U.S. health care system.
Because Medicaid is funded by taxpayers, shifts in local billing can reflect how public health care resources are distributed within a community.
The “Temporary National Codes (Non-Medicare)” category encompasses a defined set of Medicaid-billed services, organized by the type of care and structured with standardized HCPCS and CPT codes. Each billing code in this review was allocated to a single service group using consistent code patterns and number ranges, ensuring comparable services were grouped together while maintaining distinct rankings and avoiding overlap.
Temporary National Codes (Non-Medicare) placed fifth among Medicaid service categories by total payments in Racine for 2024, despite broader increases in spending across multiple categories.
Statewide, in Wisconsin, this service category was sixth by overall Medicaid payments during 2024.
Across the five years preceding 2024, Medicaid payments for the Temporary National Codes (Non-Medicare) category in Racine rose by $132,888, or 9.8%. Certain years, particularly 2021 and 2022, saw more pronounced year-over-year spending increases.
Although care spending in this category was observed citywide, the majority of payments were tied to a select few ZIP codes. In 2024, ZIP codes 53403 and 53404 led the city in Medicaid payments for Temporary National Codes (Non-Medicare), totaling $623,893 and $605,101, respectively. Combined, these two ZIP codes accounted for all Medicaid payments in this category for Racine that year.
Within the Temporary National Codes (Non-Medicare) group, a small number of billing codes represented a significant share of Racine’s Medicaid payments.
From 2023 to 2024, Racine saw a 9.1% rise in Medicaid spending for this service category, while overall Medicaid claims in the city grew by 20.4% during the same periods.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, representing roughly 18% of all U.S. health spending. This amount is up substantially from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth of nearly 40% in a few years has been largely driven by expanded Medicaid enrollment and higher service utilization during and after the pandemic.
Federal budget measures during the Trump administration have involved significant plans to reduce federal Medicaid funding and reorganize program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion over the next decade, introducing elements like work requirements and increased cost-sharing that may limit coverage and federal support for some recipients. These adjustments are anticipated to shift additional expenses to the states and restrain the growth of federal aid, even though Medicaid continues to serve tens of millions across the country.
| 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 listed to provide context within the category. The totals and rankings discussed are derived from standardized service groupings, not individual codes.
Information contained in this report is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data set can be accessed here.
