In Maquoketa, Medicaid providers billed $17,038,716 for services categorized under Temporary National Codes (Non-Medicare) in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 24.5% increase from 2023, when providers submitted $13,680,692 in claims for the same category.
Medicaid is a state-managed, federally and state-funded public health insurance program. It provides coverage to low-income people and families, children, seniors, and individuals with disabilities, making it a significant portion of the U.S. health care sector. Additional details are available from the Commonwealth Fund.
Changes in Medicaid billing levels indicate how local publicly funded health care dollars are allocated throughout the community, since Medicaid payments rely on taxpayer support.
The “Temporary National Codes (Non-Medicare)” grouping includes Medicaid services defined by the nature of care provided and standardized under HCPCS and CPT code ranges. Codes in this analysis were assigned by consistent prefixes and numerical spans, grouping related services together to avoid double counting and maintain proper ranking comparisons over different years.
Temporary National Codes (Non-Medicare) stood as the second-largest Medicaid payment category in Maquoketa in 2024, as spending rose across a range of service groups.
This service category was also the second-highest by total Medicaid payments at the state level in Iowa during 2024.
Between 2019 and 2024, Medicaid payments connected to Temporary National Codes (Non-Medicare) in Maquoketa grew by $5,544,371, or 48.2%. Some periods, specifically 2020 and 2023, saw especially strong year-over-year gains.
Most care in this service category was billed within a small number of ZIP codes in the city. In 2024, ZIP code 52060 accounted for $17,038,715—the entire total tied to Temporary National Codes (Non-Medicare) services in Maquoketa for the year.
Within this category, Medicaid payments were further concentrated among a handful of specific billing codes.
Looking at trends from 2023 to 2024, Medicaid payments for this category rose 24.5% in Maquoketa, compared with a 7.1% change among all Medicaid claim categories citywide during that span.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of overall national health expenditures—up from $613.5 billion in 2019, before the COVID-19 pandemic hit.
This marks an increase of about 40% in only a few years, prompted mainly by greater enrollment and increased use during and after the pandemic.
Recent federal budget laws under the Trump administration have featured substantial proposals to decrease federal Medicaid funding and restructure its framework. The “One Big Beautiful Bill Act,” signed in 2025, is projected to slash over $1 trillion from federal Medicaid expenditures in the coming decade and adds policies such as work requirements and higher cost-sharing, possibly reducing coverage and funding for certain beneficiaries. These measures are expected to push more costs onto states and slow the growth of federal Medicaid assistance, even as the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $11,494,344 | 30.4% |
| 2021 | $12,456,213 | 8.4% |
| 2022 | $12,569,274 | 0.9% |
| 2023 | $13,680,691 | 8.8% |
| 2024 | $17,038,715 | 24.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $34,716,627 | 60.8% |
| 2 | Temporary National Codes (Non-Medicare) | $17,038,715 | 29.9% |
| 3 | National Codes Established for State Medicaid Agencies | $4,645,669 | 8.1% |
| 4 | Evaluation and Management | $532,358 | 0.9% |
| 5 | Ambulance and Other Transport Services and Supplies | $51,100 | 0.1% |
| 6 | Dental Services | $33,841 | 0.1% |
| 7 | Pathology and Laboratory Procedures | $33,014 | 0.1% |
| 8 | Medicine Services and Procedures | $14,778 | <0.1% |
| 9 | Coronavirus Diagnostic Panel | $8,033 | <0.1% |
| 10 | Surgery | $1,307 | <0.1% |
| 11 | Procedures / Professional Services | $619 | <0.1% |
| 12 | Medical And Surgical Supplies | $8 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S5136 | Adult companioncare per diem | $17,038,715 | 11 |
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.
