Elmhurst Medicaid spending on Enteral and Parenteral Therapy up 17.6% in 2024

Elmhurst saw Medicaid providers bill $11,111,153 for Enteral and Parenteral Therapy services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 17.6% rise compared to 2023, when $9,448,782 was claimed for these services.

Medicaid is a public program managed by individual states with combined federal and state funding from both levels of government. The program serves low-income people, families, older adults, children, and individuals with disabilities, accounting for a major part of the U.S. health care system.

Since Medicaid is taxpayer-funded, trends in local billing reflect how public health care dollars are distributed in the community.

The Enteral and Parenteral Therapy category groups Medicaid-billed services by specific types of care, with standardized HCPCS and CPT code assignments. For this analysis, each billing code was placed in one service category based on coding conventions, preventing double counting and supporting consistent comparisons over time.

Spending went up across multiple Medicaid categories, with Enteral and Parenteral Therapy ranking third in Elmhurst for total payments in 2024.

Statewide, Enteral and Parenteral Therapy placed 12th in Illinois by total Medicaid payment amount in 2024.

Between 2019 and 2024, Medicaid payments for Enteral and Parenteral Therapy services in Elmhurst grew by $3,971,881, or 55.6%. Accelerated growth was seen during certain intervals, including sharp year-over-year increases in 2023 and 2020.

Although funds for Enteral and Parenteral Therapy services were distributed citywide, much of the payment activity was limited to a few ZIP codes. In 2024, ZIP code 60126 accounted for $11,111,152 in Medicaid payments for this category—representing 100% of Elmhurst's total for the year.

Within this service category, a small set of billing codes accounted for most Medicaid expenditure.

For context, the 17.6% year-over-year rise in Elmhurst’s Medicaid payments for Enteral and Parenteral Therapy between 2024 and 2023 compared with a 23% overall increase for all Medicaid claims in the city during the same period.

The Centers for Medicare & Medicaid Services report that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023. This accounted for roughly 18% of national health outlays, up from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This increase reflects a growth of about 40% over several years, driven mainly by enrollment expansions and higher use during and after the pandemic period.

Recent federal budgets during the Trump administration have included major proposals to scale back federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion in federal Medicaid expenditures over the next decade. The law also introduces measures like work requirements and greater cost-sharing, which could reduce access and funding for some participants. The anticipated result is a shift of more costs to state governments and limitations on federal Medicaid growth, even as the program serves tens of millions across the country.

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.