In 2024, Medicaid providers in Richland Center charged $14,296,917 for Temporary National Codes (Non-Medicare) services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 411.7% increase compared to 2023, when claims for this category totaled $2,793,737.
Medicaid, the nation’s public health insurance initiative, is administered by states with federal and state funding shared between the two levels of government. The program provides coverage for low-income residents, families, seniors, children and people with disabilities, making it a core component of the U.S. health care landscape.
Because Medicaid relies on public funds, shifts in local claims highlight how health care resources are distributed within a community.
The “Temporary National Codes (Non-Medicare)” group includes Medicaid-billed procedures categorized by care type, using standardized HCPCS and CPT coding conventions. For this report, individual billing codes were placed into a single service group based on code prefixes and ranges to avoid double counting and maintain precise category rankings over time.
Temporary National Codes (Non-Medicare) ranked as the top Medicaid payment category in Richland Center for 2024, amid increases across several service types.
At the state level, this category placed sixth in total payments among Wisconsin Medicaid service categories in 2024.
From 2019 to 2024, Richland Center Medicaid payments related to Temporary National Codes (Non-Medicare) rose by $12,600,548, or 742.8%. Some years, including 2022 and 2020, showed especially sharp year-over-year increases.
Though these Medicaid payments were dispersed throughout the city, they were concentrated in certain ZIP codes. In 2024, ZIP code 53581 generated $14,296,917 in related Medicaid payments, making up 100% of local Temporary National Codes (Non-Medicare) expenditures for the year.
A small number of specific billing codes accounted for most payments in the Temporary National Codes (Non-Medicare) category.
Comparatively, the 411.7% growth for this category in Richland Center from 2023 to 2024 outpaced the 92% overall increase for all Medicaid service categories locally during that interval.
According to the Centers for Medicare & Medicaid Services, in fiscal year 2023, combined federal and state Medicaid expenses reached about $871.7 billion, accounting for roughly 18% of U.S. national health spending—substantially higher than the $613.5 billion recorded in 2019, before COVID-19.
This represents an increase of around 40% in a few years, propelled mainly by broader enrollment and higher usage rates during and after the pandemic era.
Major federal budget legislation during the Trump presidency introduced significant federal Medicaid funding cuts and structural changes. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is forecasted to trim federal Medicaid funding by more than $1 trillion over the next 10 years, with new requirements like work mandates and increased cost-sharing, potentially reducing access and funding for some enrollees. These measures are expected to shift more expense to the states and limit federal Medicaid growth, even as the program continues serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,696,369 | 148.9% |
| 2021 | $496,350 | -70.7% |
| 2022 | $1,289,314 | 159.8% |
| 2023 | $2,793,736 | 116.7% |
| 2024 | $14,296,917 | 411.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $14,296,917 | 58% |
| 2 | National Codes Established for State Medicaid Agencies | $7,258,657 | 29.4% |
| 3 | Alcohol and Drug Abuse Treatment | $1,198,881 | 4.9% |
| 4 | Evaluation and Management | $1,158,254 | 4.7% |
| 5 | Medicine Services and Procedures | $366,205 | 1.5% |
| 6 | Pathology and Laboratory Procedures | $223,444 | 0.9% |
| 7 | Radiology Procedures | $79,708 | 0.3% |
| 8 | Dental Services | $45,459 | 0.2% |
| 9 | Ambulance and Other Transport Services and Supplies | $10,076 | <0.1% |
| 10 | Surgery | $8,778 | <0.1% |
| 11 | Administrative, Miscellaneous and Investigational | $5,950 | <0.1% |
| 12 | Procedures / Professional Services | $5,882 | <0.1% |
| 13 | Temporary Codes | $691 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $79 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5125 | Attendant care service /15m | $3,409,711 | 23 |
| S5135 | Adult companioncare per 15m | $3,202,888 | 11 |
| S5130 | Homaker service nos per 15m | $1,855,117 | 11 |
| S5108 | Homecare train pt 15 min | $1,574,676 | 11 |
| S9125 | Respite care, in the home, p | $1,182,156 | 20 |
| S5150 | Unskilled respite care /15m | $881,135 | 11 |
| S5126 | Attendant care service /diem | $700,928 | 4 |
| S5151 | Unskilled respitecare /diem | $548,703 | 11 |
| S0215 | Nonemerg transp mileage | $458,391 | 22 |
| S5136 | Adult companioncare per diem | $398,309 | 8 |
| S5121 | Chore services per diem | $51,777 | 9 |
| S5120 | Chore services per 15 min | $19,583 | 6 |
| S9430 | Pharmacy comp/disp serv | $13,538 | 15 |
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.
