In 2024, Medicaid providers in Rhinelander billed $3,730,880 for services in the National Codes Established for State Medicaid Agencies category, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This was a 384.6% increase over 2023, when providers claimed $769,923 for the same service type.
Medicaid, a joint state and federal health insurance program, covers low-income individuals and families, seniors, children and people with disabilities, making it one of the nation’s largest health care programs. Program funding comes from both state and federal government contributions.
Because Medicaid is funded by taxpayers, shifts in billing locally provide insight into how public health funds are distributed in each community.
The “National Codes Established for State Medicaid Agencies” category refers to a range of Medicaid-billed services based on standardized HCPCS and CPT code groupings. For this analysis, each billing code fell under one service category using fixed code prefixes and values, enabling direct examination of similar services without double counting, which helped maintain consistent rankings over time.
Medicaid spending rose across different categories, yet National Codes Established for State Medicaid Agencies was the highest-ranked service for total payments in Rhinelander during 2024.
Statewide, in 2024, the National Codes Established for State Medicaid Agencies category also ranked first by total Medicaid payments in Wisconsin.
Over the five years leading to 2024, payments for this category in Rhinelander rose by $3,257,899—a 688.8% increase. Certain years, including 2021 and 2023, posted significant year-over-year spending jumps.
Spending was seen citywide, but Medicaid payments for National Codes Established for State Medicaid Agencies were especially concentrated in certain ZIP codes. In 2024, ZIP code 54501 accounted for $3,730,879 of associated Medicaid payments, representing 100% of the city’s payments in this service category for the year.
Within this service category, payments were also focused among a small number of individual billing codes.
From 2023 to 2024, Medicaid payments related to National Codes Established for State Medicaid Agencies in Rhinelander climbed 384.6%, compared with a 50% shift across all Medicaid claim categories in the city during the same timeframe.
The Centers for Medicare & Medicaid Services report that federal and state spending on Medicaid totaled approximately $871.7 billion in fiscal year 2023, or about 18% of all national health care expenditures. This reflects a jump from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This total highlights around 40% growth in a span of a few years, mainly because of higher enrollment and increased use of services tied to pandemic impacts and their aftermath.
Federal budget provisions under the Trump administration have included major proposals aimed at cutting federal Medicaid funding and adjusting program structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is projected to reduce federal Medicaid outlays by more than $1 trillion over 10 years, introducing initiatives like work requirements and more cost-sharing, which could limit funding and coverage for certain groups. Such changes would likely lead to states shouldering more expenses and slowing federal Medicaid assistance, even as the program remains critical for millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $472,981 | 9% |
| 2021 | $617,346 | 30.5% |
| 2022 | $646,055 | 4.7% |
| 2023 | $769,922 | 19.2% |
| 2024 | $3,730,879 | 384.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,730,879 | 51.7% |
| 2 | Evaluation and Management | $1,232,946 | 17.1% |
| 3 | Alcohol and Drug Abuse Treatment | $781,588 | 10.8% |
| 4 | Medicine Services and Procedures | $574,103 | 8% |
| 5 | Pathology and Laboratory Procedures | $416,688 | 5.8% |
| 6 | Radiology Procedures | $156,527 | 2.2% |
| 7 | Temporary National Codes (Non-Medicare) | $155,234 | 2.2% |
| 8 | Medical And Surgical Supplies | $47,862 | 0.7% |
| 9 | Procedures / Professional Services | $35,563 | 0.5% |
| 10 | Durable Medical Equipment | $35,269 | 0.5% |
| 11 | Ambulance and Other Transport Services and Supplies | $28,146 | 0.4% |
| 12 | Surgery | $9,518 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $5,572 | 0.1% |
| 14 | Vision Services | $1,527 | <0.1% |
| 15 | Temporary Codes | $1,297 | <0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $1,005 | <0.1% |
| 17 | Dental Services | $917 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $12 | <0.1% |
| 19 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $2,671,984 | 43 |
| T1016 | Case management | $583,550 | 24 |
| T2021 | Day habil waiver per 15 min | $207,232 | 8 |
| T2015 | Habil prevoc waiver per hr | $134,110 | 8 |
| T1999 | Noc retail items andsupplies | $65,616 | 12 |
| T2003 | N-et; encounter/trip | $50,974 | 15 |
| T1017 | Targeted case management | $17,411 | 9 |
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.
