Sussex Medicaid claims for Temporary National Codes hit $260,999 in 2024, rising 61.9%

In 2024, Medicaid providers in Sussex billed $260,999 for services under the Temporary National Codes (Non-Medicare) category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total showed a 61.9% rise compared to 2023, which saw $161,202 billed for the same category of services.

Medicaid is a government health insurance initiative managed by individual states with funding from both federal and state sources. It serves low-income individuals and families, seniors, children and people with disabilities. Medicaid is a significant component of the U.S. health care system.

Since Medicaid relies on taxpayer contributions, shifts in local billing levels reflect how public funding for medical care is distributed within communities.

The “Temporary National Codes (Non-Medicare)” group includes Medicaid-billed services identified by care type, organized based on standardized HCPCS and CPT code groupings. This analysis assigned each billing code to a single service category by matching consistent prefixes and numeric ranges, allowing similar services to be grouped, ensuring accurate rankings over time and eliminating duplicate counting.

Temporary National Codes (Non-Medicare) was the top-ranked Medicaid payment category in Sussex for 2024, as overall Medicaid payments increased in several categories.

Statewide in Wisconsin, this category ranked sixth by Medicaid payment total in 2024.

Between 2019 and 2024, Sussex saw Medicaid payments for the Temporary National Codes (Non-Medicare) category climb $260,999, with an overall percent change of 0%. Periods of faster growth occurred, with notably strong annual increases in 2023 and 2022.

Most of the spending on Temporary National Codes (Non-Medicare) was focused in a small selection of ZIP codes within Sussex. In 2024, ZIP code 53089 accounted for $260,999 — the full amount for this service group in that year. The top ZIP code represented 100% of Medicaid payments for this category in Sussex.

Payments within the Temporary National Codes (Non-Medicare) category were also centered on a limited range of billing codes.

From 2023 to 2024, Sussex saw its Medicaid payments for this category grow by 61.9%. This compares with an overall increase of 22.1% for all Medicaid claims in the city in the same time frame.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, which was approximately 18% of nationwide health spending. This figure was up from around $613.5 billion in 2019, before the COVID-19 pandemic.

This jump of almost 40% over several years resulted primarily from increased enrollment and greater demand during and after the pandemic.

Recent federal budget laws adopted during the Trump administration featured major changes to Medicaid financing and structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over ten years. The law introduces work requirements and expanded cost-sharing, aimed at cutting coverage and federal funding for some recipients. These measures are expected to increase financial responsibility for states and restrict growth in federal support for Medicaid, even as the program remains crucial for millions of Americans.

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.