Medicaid payments for Temporary National Codes (Non-Medicare) in Wheaton reach $1,089,850 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator | Centers for Medicare & Medicaid Services (CMS)
By R. U. Cooper

According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Wheaton submitted $1,089,850 in claims for services designated under Temporary National Codes (Non-Medicare) in 2024. This total represented a 63.6% rise compared with 2023, when providers billed $666,015 for these services.

Medicaid is a public health insurance initiative operated by the states and funded in partnership by federal and state governments. The program provides coverage for low-income people, seniors, children, and individuals with disabilities and is one of the largest components of the U.S. health care system.

Since Medicaid funding comes from taxpayers, fluctuations in local claims show how health care spending is distributed within a community.

The "Temporary National Codes (Non-Medicare)" classification organizes a subset of Medicaid-billed services, categorized by the type of care rendered per standardized HCPCS and CPT groupings. This analysis assigns each billing code to a single service category using specific code prefixes and number ranges so that related services can be tracked together, without duplication, to ensure accurate year-over-year rankings.

Though Medicaid spending went up for several types of services, Temporary National Codes (Non-Medicare) was the third-largest Medicaid payment category in Wheaton in 2024.

Throughout Illinois, Temporary National Codes (Non-Medicare) ranked as the eighth-largest Medicaid payment category for 2024.

Looking at the five-year period through 2024, Wheaton’s Medicaid payments for the Temporary National Codes (Non-Medicare) category climbed by $717,305, or 192.5%. Growth accelerated during certain periods, with major annual increases noted in 2021 and 2022.

Although public spending in this category was spread across the city, most payments were concentrated in a small number of ZIP codes. In 2024, the 60187 ZIP code alone received $1,089,849, making up 100% of Medicaid payments attributed to the Temporary National Codes (Non-Medicare) category in Wheaton that year.

Payments in the Temporary National Codes (Non-Medicare) category were also focused among a smaller group of individual billing codes.

For context, while Medicaid spending tied to Temporary National Codes (Non-Medicare) rose 63.6% from 2023 to 2024 in Wheaton, all Medicaid claim categories in the city combined saw a 2.5% change through the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached roughly $871.7 billion during fiscal year 2023, making up about 18% of total U.S. health expenses, up significantly from nearly $613.5 billion in 2019, ahead of the COVID-19 pandemic.

This change amounts to growth of about 40% over several years, fueled mainly by expanded enrollment and increased utilization during and after the pandemic.

Legislation passed during the Trump administration introduced significant proposals to reduce federal Medicaid funding and restructure aspects of the program. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to trim more than $1 trillion from federal Medicaid costs over 10 years, implementing measures like work requirements and higher cost-sharing which could cut some coverage and funding. These adjustments are expected to shift greater financial responsibility to states and potentially restrict increases in federal Medicaid support while the program continues to assist millions of Americans.

Medicaid Payments Tied to Temporary National Codes (Non-Medicare) in Wheaton, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $372,544 -40.7%
2021 $543,433 45.9%
2022 $690,674 27.1%
2023 $666,015 -3.6%
2024 $1,089,849 63.6%
Top Categories by Medicaid Payments in Wheaton, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $3,318,613 47.8%
2 Ambulance and Other Transport Services and Supplies $1,487,617 21.4%
3 Temporary National Codes (Non-Medicare) $1,089,849 15.7%
4 National Codes Established for State Medicaid Agencies $647,159 9.3%
5 Medicine Services and Procedures $357,689 5.2%
6 Procedures / Professional Services $25,801 0.4%
7 Dental Services $17,576 0.3%
8 Evaluation and Management $679 <0.1%
9 Pathology and Laboratory Procedures $116 <0.1%
Top 20 HCPCS Codes Within the Temporary National Codes (Non-Medicare) Category in Wheaton, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
S9484 Crisis intervention per hour $1,083,712 12
S9500 Hit antibiotic q24h diem $6,137 3

Note: HCPCS codes are provided for context within the category. Totals and rankings referenced in this article are calculated using standardized service groups, not by individual billing codes.

Information for this article was gathered from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data are available here.


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