Burr Ridge sees 18.4% rise in Medicaid spending for hearing services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator

In 2024, Burr Ridge Medicaid providers billed a total of $1,589,527 for services in the Hearing Services category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. That figure is up 18.4% from 2023, when $1,342,032 in claims were made for the same service category.

Medicaid, a state-administered public health insurance program supported by joint federal and state funding, provides coverage for low-income individuals and families, seniors, children, and people with disabilities. This makes it a key component of the United States health care system.

Since Medicaid payments are funded by taxpayers, fluctuations in local billing reflect how publicly funded health care resources are allocated within communities.

The “Hearing Services” classification represents a set of Medicaid services defined by provided care types, organized through standardized HCPCS and CPT code groups. Each billing code in this analysis was uniquely assigned to a service category using consistent prefixes and numeric ranges to facilitate accurate aggregation and trend assessment without double counting.

While Medicaid outlays increased in various service groups, Hearing Services held the second-largest amount for total Medicaid payments in Burr Ridge in 2024.

Statewide in Illinois, Hearing Services ranked 14th in total Medicaid payments for 2024.

Between 2019 and 2024, Medicaid payments linked to Burr Ridge Hearing Services climbed by $833,854 (110.3%). Several periods, especially in 2021 and 2023, saw particularly strong annual increases.

Though spending for Hearing Services was spread across the city, the majority of payments were made within a small set of ZIP codes. In 2024, all $1,589,527 in Medicaid payments within the Hearing Services category came from ZIP code 60527, which represented 100% of such payments in Burr Ridge that year.

Most Medicaid payments within the Hearing Services category were assigned to a small number of individual billing codes.

For reference, the 18.4% uptick in Burr Ridge Medicaid payments tied to Hearing Services between 2023 and 2024 compares to a 32.7% increase across all Medicaid claim categories citywide for the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending hit approximately $871.7 billion in fiscal year 2023, representing about 18% of total national health expenditures, a substantial increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This increase represents about 40% growth over several years, largely driven by higher enrollment and utilization through and after the pandemic years.

Recent federal budget proposals signed under the Trump administration have aimed to decrease federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and introduces new policies such as work requirements and greater cost-sharing, which could affect beneficiary coverage and funding. These legislative changes are expected to transfer more costs to states and place constraints on federal Medicaid growth, even as enrollment remains high.

Medicaid Payments Tied to Hearing Services in Burr Ridge, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $755,673 -17.4%
2021 $941,894 24.6%
2022 $1,099,731 16.8%
2023 $1,342,032 22%
2024 $1,589,527 18.4%
Top Categories by Medicaid Payments in Burr Ridge, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Drugs Administered Other than Oral Method $3,919,426 51%
2 Hearing Services $1,589,527 20.7%
3 Evaluation and Management $1,022,453 13.3%
4 Temporary Codes $685,202 8.9%
5 Pathology and Laboratory Procedures $288,624 3.8%
6 Medicine Services and Procedures $157,125 2%
7 Orthotic Procedures and services $18,536 0.2%
8 Surgery $2,322 <0.1%
9 Procedures / Professional Services $10 <0.1%
Top 20 HCPCS Codes Within the Hearing Services Category in Burr Ridge, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
V5140 Behind ear binaur hearing ai $766,209 14
V5160 Dispensing fee binaural $492,740 15
V5014 Hearing aid repair/modifying $123,458 12
V5264 Ear mold/insert $96,148 15
V5266 Battery for hearing device $77,881 16
V5260 Hearing aid, digit, bin, ite $33,088 2

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.



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