Elmhurst Medicaid payments reach $11,264,381 for national codes category in 2024

Providers in Elmhurst billed a total of $11,264,381 for services grouped under the National Codes Established for State Medicaid Agencies category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 12.2% uptick from 2023, when claims in this category reached $10,038,434.

Medicaid is a public insurance program operated by each state and funded jointly by state and federal governments. The program covers low-income people and families, senior citizens, children, and individuals with disabilities, making it a major part of the U.S. health care system.

Since taxpayer money funds Medicaid payments, shifts in local billing levels indicate how community public health dollars are distributed.

The "National Codes Established for State Medicaid Agencies" category identifies services that fit standardized HCPCS and CPT billing code definitions. This analysis groups each billing code into a single service category by using their code prefixes and number ranges, facilitating accurate year-to-year comparisons and ranking while preventing double counting.

Although Medicaid spending increased across various categories, payments for National Codes Established for State Medicaid Agencies placed second in Elmhurst by total value in 2024.

Statewide in Illinois, this category ranked first for total Medicaid payments in 2024.

Looking at the five years prior to 2024, Medicaid payments tied to this category rose by $1,357,014—a 13.7% increase. Certain periods saw especially sharp annual growth, particularly in 2020 and 2023.

Even though the services were billed citywide, most Medicaid payments for this category in 2024 were concentrated in a small set of ZIP codes. ZIP code 60126 accounted for $11,264,380 out of the total, meaning the top 1 ZIP code represented 100% of payments for this service group in Elmhurst last year.

Within this service category, Medicaid payments were primarily linked to a small subset of individual billing codes.

Comparing categories, Elmhurst’s Medicaid payments for this group went up 12.2% from 2023 to 2024, while all Medicaid claim categories together saw a 23% change over the same span in the city.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures combined reached approximately $871.7 billion in fiscal year 2023, about 18% of all national health care spending. In 2019, before the COVID-19 pandemic, the figure stood at around $613.5 billion.

This growth represents about a 40% increase in just a few years, prompted mainly by enrollment surges and increased utilization during the pandemic and afterward.

In recent federal budget agreements, the Trump administration included substantial proposals to reduce federal Medicaid funding and modify program structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is estimated to trim federal Medicaid spending by more than $1 trillion over a decade and introduces new policies such as work requirements and greater cost-sharing, which may reduce both coverage and funding for some recipients. These changes are projected to shift additional costs to states and limit future growth in federal Medicaid support, even as the program serves tens of millions nationwide.

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.