Clarendon Hills Medicaid payments for medicine services rise to $28,785 in 2024

In 2024, Clarendon Hills Medicaid providers billed $28,785 for services in the Medicine Services and Procedures category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 3.7% rise from 2023, when $27,766 was billed for the same category of care.

Medicaid, managed by the states and funded through a federal-state partnership, insures low-income individuals and families, older adults, children, and people with disabilities, making it one of the nation's largest health care programs.

Because Medicaid draws on taxpayer dollars, shifts in local billing provide insight into community distribution of public health funds.

The Medicine Services and Procedures category covers a set of Medicaid-billed services grouped by care type, according to standardized HCPCS and CPT codes. For this report, each billing code was linked to a specific service category using standardized code ranges and prefixes, which allowed for related services to be analyzed together, helped avoid double counting, and preserved comparative rankings over time.

While Medicaid expenditures climbed in a number of service categories, Medicine Services and Procedures ranked as the third-largest by total Medicaid payments in Clarendon Hills for 2024.

Statewide in Illinois, Medicine Services and Procedures placed fifth among all payment categories for Medicaid in 2024.

During the five years ending in 2024, Medicaid payments for the Medicine Services and Procedures category in Clarendon Hills increased $9,642, or 25.1%. Some of the most significant yearly increases occurred in 2020 and 2023.

Although these Medicaid payments supported care throughout the city, spending was concentrated in a small number of ZIP codes. In 2024, ZIP code 60514 saw the entire $28,785 total for Clarendon Hills, accounting for 100% of such payments during the year.

Spending within the Medicine Services and Procedures category was further concentrated among just a few individual billing codes.

For reference, the 3.7% increase in Medicine Services and Procedures payments between 2023 and 2024 is compared to a 75.3% change seen across all Medicaid claim categories in Clarendon Hills in that timeframe.

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

This jump reflects an increase of about 40% over several years, largely attributed to expanded enrollment and greater service use during and after the pandemic.

Recent federal budget measures under the Trump administration have included major proposals to cut Medicaid funding and change the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid funding by more than $1 trillion over the next 10 years and introduces policies including work requirements and higher cost-sharing. These measures could reduce coverage and funding for some recipients and are expected to shift greater financial responsibility to the states, limiting the growth of federal Medicaid assistance while the program continues to serve tens of 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.