In 2024, Medicaid providers in Eau Claire submitted $3,425,115 in claims for services under the Temporary National Codes (Non-Medicare) category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents a 79.2% increase from 2023, when providers billed $1,911,091 for these same services.
Medicaid is a public health insurance initiative administered by states and funded through a federal-state partnership. It offers coverage for low-income people and families, seniors, children, and people with disabilities, making up a significant portion of the U.S. health system.
Shifts in local Medicaid billing levels demonstrate how taxpayer-funded health care resources are distributed within a community.
The “Temporary National Codes (Non-Medicare)” classification includes a range of Medicaid-billed services defined by the nature of care, grouped using standard HCPCS and CPT code prefixes and number ranges. In this analysis, each billing code is assigned to one service category to avoid double counting and ensure consistent comparisons over time.
Although Medicaid expenses grew across several categories, Temporary National Codes (Non-Medicare) ranked as the fourth-largest by total Medicaid payments in Eau Claire in 2024.
Statewide, Temporary National Codes (Non-Medicare) held the sixth position for total payments in Wisconsin in 2024.
From 2019 to 2024, Eau Claire’s Medicaid payments linked to Temporary National Codes (Non-Medicare) rose by $2,598,332, or 314.3%. The pace of growth picked up at certain times, notably in 2022 and 2020.
Though this type of spending occurred citywide, most of the payments were concentrated in a few ZIP codes. In 2024, ZIP code 54703 reported $3,215,570, and ZIP code 54701 accounted for $209,544 in Medicaid payments for these services. Combined, these 2 ZIP codes represented 100% of all such Medicaid payments in Eau Claire for the year.
Medicaid spending in the Temporary National Codes (Non-Medicare) grouping was largely centered on a small selection of specific billing codes.
For perspective, the 79.2% increase in Eau Claire’s Temporary National Codes (Non-Medicare) Medicaid payments from 2023 to 2024 far outpaced the 9.9% change seen across all Medicaid claim categories in the city during the same timeframe.
Centers for Medicare & Medicaid Services data show that in fiscal year 2023, combined federal and state Medicaid spending totaled about $871.7 billion, making up roughly 18% of total national health expenditures—up sharply from the $613.5 billion spent in 2019 before the COVID-19 pandemic.
This approximately 40% jump in just a few years was largely fueled by expanded enrollment and increased utilization during and after the pandemic.
Recent federal legislation during the Trump administration has included major measures to limit federal Medicaid funding and shift the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut federal Medicaid spending by more than $1 trillion over the next decade. It brings changes such as work requirements and more cost-sharing, which could decrease coverage and federal funding for certain enrollees. These shifts are expected to push more costs onto states and cap the growth of federal Medicaid support, even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $826,783 | 38.5% |
| 2021 | $904,560 | 9.4% |
| 2022 | $1,684,103 | 86.2% |
| 2023 | $1,911,090 | 13.5% |
| 2024 | $3,425,114 | 79.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $8,195,734 | 27.1% |
| 2 | Alcohol and Drug Abuse Treatment | $7,531,104 | 24.9% |
| 3 | Evaluation and Management | $4,781,500 | 15.8% |
| 4 | Temporary National Codes (Non-Medicare) | $3,425,114 | 11.3% |
| 5 | Medicine Services and Procedures | $2,644,955 | 8.7% |
| 6 | Pathology and Laboratory Procedures | $1,531,034 | 5.1% |
| 7 | Radiology Procedures | $522,874 | 1.7% |
| 8 | Procedures / Professional Services | $384,155 | 1.3% |
| 9 | Durable Medical Equipment | $333,843 | 1.1% |
| 10 | Ambulance and Other Transport Services and Supplies | $313,770 | 1% |
| 11 | Surgery | $270,961 | 0.9% |
| 12 | Medical And Surgical Supplies | $108,671 | 0.4% |
| 13 | Dental Services | $102,706 | 0.3% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $69,445 | 0.2% |
| 15 | Enteral and Parenteral Therapy | $20,063 | 0.1% |
| 16 | Vision Services | $11,306 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $5,254 | <0.1% |
| 18 | Drugs Administered Other than Oral Method | $3,870 | <0.1% |
| 19 | Outpatient PPS | $28 | <0.1% |
| 20 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5151 | Unskilled respitecare /diem | $1,200,437 | 12 |
| S5135 | Adult companioncare per 15m | $743,698 | 20 |
| S5150 | Unskilled respite care /15m | $621,765 | 12 |
| S5125 | Attendant care service /15m | $426,395 | 11 |
| S5190 | Wellness assessment by nonph | $255,111 | 9 |
| S4993 | Contraceptive pills for bc | $62,242 | 21 |
| S0215 | Nonemerg transp mileage | $59,258 | 29 |
| S9430 | Pharmacy comp/disp serv | $25,250 | 9 |
| S5136 | Adult companioncare per diem | $22,479 | 1 |
| S5130 | Homaker service nos per 15m | $8,475 | 3 |
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.
