In 2024, Medicaid providers in Pekin charged $314,100 for services grouped under Temporary National Codes (Non-Medicare), the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a gain of 33.8% from 2023, when such claims reached $234,830 for the same service category.
The Medicaid program, run by individual states and supported by both federal and state funding, covers low-income people and families, seniors, children, and individuals with disabilities. It is a significant segment of the U.S. health care system.
Because taxpayer funding supports Medicaid, shifts in local claims reflect how communities allocate public health funds.
The “Temporary National Codes (Non-Medicare)” group encompasses Medicaid-billed services classified by care type, relying on standardized HCPCS and CPT code structures. For this breakdown, each billing code falls into a single service group by set prefixes and numeric ranges, which ensures related services can be tracked together without double counting or losing rank accuracy over time.
Temporary National Codes (Non-Medicare) had the third highest Medicaid payout among service categories in Pekin for 2024, despite several categories seeing increases in funds.
On a statewide level in Illinois, the same category ranked eighth by total Medicaid payments during 2024.
Over the five years prior to 2024, Medicaid payments for services under Temporary National Codes (Non-Medicare) in Pekin rose by $314,100, or 0%. Certain spans saw faster increases, including marked year-over-year rises observed in 2023 and 2022.
While spending for services under Temporary National Codes (Non-Medicare) was spread across different areas within the city, most of these funds were focused in a few ZIP codes. For 2024, ZIP code 61554 accounted for $314,099, or all Medicaid claims in this category in Pekin that year.
Within this category, Medicaid dollars were primarily sent to a small selection of billing codes.
By comparison, the 33.8% increase for the category in Pekin from 2023 to 2024 significantly outpaced the 7.1% rate seen across all Medicaid categories citywide for the same timeframe.
The Centers for Medicare & Medicaid Services report that in fiscal year 2023, Medicaid’s combined federal and state expenditures were about $871.7 billion, or around 18% of the nation’s health costs, a sharp increase from $613.5 billion in 2019 before the pandemic.
This jump reflects an estimated 40% rise in recent years, mainly due to growing enrollment and greater service usage during and following the COVID-19 pandemic.
Recent budget reforms under the Trump administration included notable attempts to cut federal Medicaid payments and change managed care. The “One Big Beautiful Bill Act,” which became law in 2025, aims to reduce federal Medicaid spending by more than $1 trillion over a decade and sets new work requirements and higher beneficiary costs that could lead to narrower coverage. These updates are expected to pass more financial responsibility to states and curb federal Medicaid growth, even as millions continue to rely on the program for coverage.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $113,205 | – |
| 2023 | $234,829 | 107.4% |
| 2024 | $314,099 | 33.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $1,724,963 | 52.3% |
| 2 | National Codes Established for State Medicaid Agencies | $1,033,159 | 31.3% |
| 3 | Temporary National Codes (Non-Medicare) | $314,099 | 9.5% |
| 4 | Medicine Services and Procedures | $217,477 | 6.6% |
| 5 | Vision Services | $5,107 | 0.2% |
| 6 | Surgery | $2,485 | 0.1% |
| 7 | Evaluation and Management | $0 | <0.1% |
| 7 | Pathology and Laboratory Procedures | $0 | <0.1% |
| 7 | Radiology Procedures | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| S9484 | Crisis intervention per hour | $314,099 | 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.
