In 2024, Medicaid providers in Chicago submitted $8,381,174 in claims for services in the Temporary National Codes (Non-Medicare) category, using figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represented a 44.1% jump over the $5,818,194 paid out for the same services during 2023.
Medicaid, the public health insurance program managed by states and funded through federal and state contributions, covers low-income residents, families, seniors, children, and individuals with disabilities, making it a central part of the U.S. health care system.
As Medicaid is taxpayer funded, fluctuations in billing at the community level point to changing patterns of public health care spending.
The “Temporary National Codes (Non-Medicare)” grouping identifies Medicaid-billed services by standardized HCPCS and CPT codes for different care types. For this review, service categories were defined by segmenting billing codes with established prefixes and number ranges, ensuring related services were grouped without overlap or double counting, and allowing comparisons over time.
While overall Medicaid expenditures rose in several categories, Temporary National Codes (Non-Medicare) held the seventh-highest ranking for Medicaid payments by category in Chicago for 2024.
On a statewide basis, this category ranked eighth in Illinois for total Medicaid payments for the year.
From 2019 through 2024, Medicaid spending for the Temporary National Codes (Non-Medicare) group in Chicago increased by $1,943,287 (18.8%), with sharper annual increases observed in 2023 and 2022.
Although these Medicaid payments were made throughout Chicago, the outlays were heavily concentrated in a few ZIP codes. In 2024, top ZIP codes included 60602 with $5,565,977, 60629 with $1,257,422, and 60641 at $796,797. These three ZIP codes together comprised 90.9% of all Medicaid payments connected to this category in the city for the year.
Within the Temporary National Codes (Non-Medicare) grouping, a small subset of individual billing codes accounted for the majority of Medicaid payments.
For further context, payments in this category increased 44.1% in Chicago from 2023 to 2024, whereas Medicaid payments overall citywide across all claim categories saw a 9.3% shift during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending totaled roughly $871.7 billion in fiscal 2023—about 18% of all national health expenditures—up from $613.5 billion in 2019 before the COVID-19 pandemic.
This rise represents growth of close to 40% over just a few years, mainly tied to higher enrollment and greater use of health services during and following the pandemic.
Recent federal budget measures passed during the Trump administration introduced significant cuts and restructuring for Medicaid. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to trim over $1 trillion from federal Medicaid outlays over 10 years. New policies like work requirements and increased cost-sharing under the law are expected to reduce coverage and federal funding for some recipients, shifting more of the program’s financial burden to states as Medicaid continues serving millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,324,460 | -77.8% |
| 2021 | $6,700,452 | -35.1% |
| 2022 | $4,277,495 | -36.2% |
| 2023 | $5,818,193 | 36% |
| 2024 | $8,381,173 | 44.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $253,035,544 | 34.8% |
| 2 | Ambulance and Other Transport Services and Supplies | $233,732,197 | 32.1% |
| 3 | Alcohol and Drug Abuse Treatment | $162,993,591 | 22.4% |
| 4 | Pathology and Laboratory Procedures | $18,381,457 | 2.5% |
| 5 | Medicine Services and Procedures | $17,341,073 | 2.4% |
| 6 | Evaluation and Management | $9,803,453 | 1.3% |
| 7 | Temporary National Codes (Non-Medicare) | $8,381,173 | 1.2% |
| 8 | Procedures / Professional Services | $7,910,178 | 1.1% |
| 9 | Dental Services | $7,526,178 | 1% |
| 10 | Durable Medical Equipment | $1,622,428 | 0.2% |
| 11 | Chemotherapy Drugs | $1,443,344 | 0.2% |
| 12 | Medical And Surgical Supplies | $1,411,908 | 0.2% |
| 13 | Radiology Procedures | $1,258,795 | 0.2% |
| 14 | Surgery | $854,387 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $540,372 | 0.1% |
| 16 | Orthotic Procedures and services | $494,045 | 0.1% |
| 17 | Enteral and Parenteral Therapy | $260,864 | <0.1% |
| 18 | Drugs Administered Other than Oral Method | $186,691 | <0.1% |
| 19 | Temporary Codes | $103,265 | <0.1% |
| 20 | Vision Services | $97,068 | <0.1% |
| 21 | Prosthetic Procedures | $37,880 | <0.1% |
| 22 | Administrative, Miscellaneous and Investigational | $24,920 | <0.1% |
| 23 | Outpatient PPS | $17,164 | <0.1% |
| 24 | Pathology and Laboratory Services | $16,606 | <0.1% |
| 25 | Coronavirus Diagnostic Panel | $10,977 | <0.1% |
| 26 | Diagnostic Radiology Services | $5,637 | <0.1% |
| 27 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S0215 | Nonemerg transp mileage | $5,339,839 | 129 |
| S9484 | Crisis intervention per hour | $2,066,492 | 21 |
| S1040 | Cranial remolding orthosis | $567,667 | 12 |
| S0209 | Wc van mileage per mi | $226,138 | 18 |
| S5130 | Homaker service nos per 15m | $180,967 | 6 |
| S5190 | Wellness assessment by nonph | $69 | 35 |
| S4993 | Contraceptive pills for bc | $0 | 1 |
| S9443 | Lactation class | $0 | 1 |
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.
