Medicaid providers in Rockford submitted claims totaling $1,021,153 for Temporary National Codes (Non-Medicare) services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 113.8% increase compared to 2023, when $477,567 was billed for the same services.
Medicaid, a public health insurance program overseen by states and funded by both federal and state governments, covers low-income residents, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care system.
Since public funding supports Medicaid payments, trends in local claims levels provide insight into how publicly funded health dollars are distributed within a community.
The “Temporary National Codes (Non-Medicare)” service category encompasses Medicaid-billed services organized by care type, based on standardized HCPCS and CPT codes. Each billing code in this analysis was placed in a single category using standardized prefixes and number ranges, ensuring related services could be grouped, with accurate counts and consistent ranking year over year.
Temporary National Codes (Non-Medicare) placed sixth among all service categories in Rockford in total Medicaid payments for 2024, despite spending rising across multiple groups.
On a statewide level in Illinois, these codes ranked eighth by total Medicaid expenditures in 2024.
From 2019 to 2024, payments in Rockford for the Temporary National Codes (Non-Medicare) category rose by $554,349, or 118.8%. Some periods saw accelerated growth, including recognizable jumps in 2023 and 2021.
Spending for Temporary National Codes (Non-Medicare) services varied throughout Rockford, but was concentrated in certain ZIP codes. In 2024, ZIP code 61103 had $713,448 in such claims, 61108 accounted for $307,703, and 61102 recorded $0. These top 3 ZIP codes made up all recorded Medicaid payments for this service category in Rockford for the year.
Expenditures within Temporary National Codes (Non-Medicare) were also focused on a select number of individual billing codes.
To compare, Medicaid payments tied to this category in Rockford increased by 113.8% from 2023 to 2024, while all Medicaid claim categories citywide had an overall change of 1.4% during the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays were about $871.7 billion for fiscal 2023, representing approximately 18% of national health expenditures—significantly up from $613.5 billion in 2019 before the COVID-19 pandemic.
This growth totals roughly 40% over a few years, driven mainly by expanded Medicaid enrollment and higher health care utilization during and following the pandemic.
Major federal budget legislation during the Trump administration introduced substantial cuts and proposals to restructure Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, calls for cutting more than $1 trillion from federal Medicaid payments over the next decade, introducing policies including work requirements and greater cost-sharing likely to affect coverage and state funding. These changes aim to increase the state’s financial responsibility and moderate the growth of federal support, despite Medicaid continuing to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $466,804 | -53.3% |
| 2021 | $541,755 | 16.1% |
| 2022 | $399,753 | -26.2% |
| 2023 | $477,566 | 19.5% |
| 2024 | $1,021,152 | 113.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $22,270,272 | 39.3% |
| 2 | Alcohol and Drug Abuse Treatment | $16,017,877 | 28.3% |
| 3 | Ambulance and Other Transport Services and Supplies | $12,425,103 | 21.9% |
| 4 | Medicine Services and Procedures | $1,425,150 | 2.5% |
| 5 | Dental Services | $1,296,211 | 2.3% |
| 6 | Temporary National Codes (Non-Medicare) | $1,021,152 | 1.8% |
| 7 | Durable Medical Equipment | $811,909 | 1.4% |
| 8 | Medical And Surgical Supplies | $582,918 | 1% |
| 9 | Orthotic Procedures and services | $312,735 | 0.6% |
| 10 | Procedures / Professional Services | $157,477 | 0.3% |
| 11 | Enteral and Parenteral Therapy | $87,828 | 0.2% |
| 12 | Evaluation and Management | $70,615 | 0.1% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $41,685 | 0.1% |
| 14 | Vision Services | $29,035 | 0.1% |
| 15 | Temporary Codes | $28,910 | 0.1% |
| 16 | Surgery | $16,201 | <0.1% |
| 17 | Drugs Administered Other than Oral Method | $15,908 | <0.1% |
| 18 | Pathology and Laboratory Procedures | $9,087 | <0.1% |
| 19 | Radiology Procedures | $3,117 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9484 | Crisis intervention per hour | $713,448 | 10 |
| S1040 | Cranial remolding orthosis | $307,703 | 11 |
| S5190 | Wellness assessment by nonph | $0 | 25 |
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.
