Downers Grove Medicaid COVID-19 claims reach $127,697 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator | Centers for Medicare & Medicaid Services (CMS)
By R. U. Cooper

In 2024, Medicaid claims linked to HCPCS codes specifically designated for COVID-19 in Downers Grove reached at least $127,697, according to records from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, one of the largest components of the U.S. health care system, is a state-administered health insurance initiative for low-income individuals and families, seniors, children, and those with disabilities, funded jointly by federal and state governments.

Since Medicaid is financed by taxpayers, fluctuations in local claim volumes indicate changes in how public health funds are distributed within communities.

For this report, analysts identified services as COVID-19–related if HCPCS billing codes or descriptions clearly labeled them as linked to "COVID-19" or "coronavirus." These numbers only reflect services directly identified as COVID-related in claims data and exclude services potentially related to the pandemic that were billed under more general codes.

By comparison, Chicago had the highest value of Medicaid claims connected to COVID-19 services in Illinois in 2024, amounting to $5,867,303 in virus-specific billing.

Records indicate that Augustus Labs LLC was the lone provider in Downers Grove submitting COVID-19–related Medicaid claims during the year.

During the years marked by the pandemic, COVID-19–specific billing played a notable role in the overall rise of Medicaid expenditures in Downers Grove.

Altogether, Medicaid payments for all other categories climbed by $6,958,876 from 2020 to 2024, a 32.9% gain.

Average annual Medicaid disbursements for the two years before the pandemic in Downers Grove were $16,447,931.

According to the Centers for Medicare & Medicaid Services, total federal and state spending on Medicaid was about $871.7 billion in fiscal 2023, nearly 18% of national health care costs, and up significantly from $613.5 billion in 2019, before the pandemic.

This roughly 40% increase resulted mainly from expanded enrollment and greater service use during and following the COVID-19 period.

Recent federal budget measures signed under the Trump administration have brought major plans to scale back federal support for Medicaid, aiming to restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid funding by over $1 trillion over the next 10 years. It adds new work mandates and cost-sharing provisions that could cut coverage and funding for certain recipients, shifting more expenses to states and restricting the future growth of federal support, even as the program remains vital to millions.

Medicaid Payments in Downers Grove Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $127,697 -98.9% $28,247,557
2023 $11,400,582 621.3% $39,053,198
2022 $1,580,569 602.2% $30,126,948
2021 $225,077 489.9% $27,943,049
2020 $38,155 N/A $21,199,139
2019 $0 N/A $18,098,842
2018 $0 N/A $14,797,020
Top COVID-19–Related HCPCS Codes in Downers Grove
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $113,516 2,505
87811 Immunoassay $14,180 388

Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.

This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying source data is available here.