Elmhurst sees 4.4% uptick in Medicaid payments for Medical And Surgical Supplies in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator | Centers for Medicare & Medicaid Services (CMS)
By Y. S. Wenger

In 2024, Elmhurst Medicaid providers billed $8,237,053 for Medical And Surgical Supplies services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 4.4% compared with 2023, when $7,889,177 was submitted for these services.

Medicaid, operated by states and funded jointly by federal and state governments, insures low-income people, seniors, children, and those with disabilities. It is a major pillar of the national health care system.

Because taxpayer dollars fund Medicaid payments, variations in local billing reflect how public health resources are allocated in specific communities.

The Medical And Surgical Supplies group encompasses services billed through Medicaid identified by set HCPCS and CPT code groupings. For this evaluation, distinct code prefixes and number ranges were applied so that each billing code aligns with one service category, supporting data accuracy by preventing double counting of services across categories.

Spending for Medicaid increased across several service groups, with Medical And Surgical Supplies ranking fourth in Elmhurst for total Medicaid outlays in 2024.

Statewide, Medical And Surgical Supplies ranked ninth in Illinois for overall Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments in Elmhurst for Medical And Surgical Supplies rose by $1,880,318, or 29.6%. Periods of faster growth included 2020 and 2021, which saw higher increases from the prior years.

Medicaid payments for these services were issued throughout Elmhurst, but were particularly concentrated in a few ZIP codes. In 2024, the 60126 ZIP code recorded $8,237,053 in Medicaid payments for Medical And Surgical Supplies, making up 100% of the city's total in this category for the year.

Within the Medical And Surgical Supplies group, most Medicaid payments were attributed to a small subset of billing codes.

For context, Elmhurst Medicaid payments for Medical And Surgical Supplies advanced 4.4% from 2023 to 2024, while all Medicaid categories in the city saw a 23% shift over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, roughly 18% of total national health expenses. This marked a steep climb from nearly $613.5 billion in 2019, before the COVID-19 pandemic.

This growth, about 40% over several years, stemmed in large part from increased enrollment and greater utilization during and after the pandemic era.

Recent budget initiatives under the Trump administration introduced proposals reducing federal Medicaid funding and altering the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over a decade and implements measures such as work requirements and higher cost-sharing. These changes may curtail coverage and lower funding for some beneficiaries, shifting further costs to states and restraining federal Medicaid expansion, even as the program continues to serve millions.

Medicaid Payments Tied to Medical And Surgical Supplies in Elmhurst, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $6,356,735 19.2%
2021 $6,944,786 9.3%
2022 $7,273,644 4.7%
2023 $7,889,176 8.5%
2024 $8,237,053 4.4%
Top Categories by Medicaid Payments in Elmhurst, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $18,109,983 28.3%
2 National Codes Established for State Medicaid Agencies $11,264,380 17.6%
3 Enteral and Parenteral Therapy $11,111,152 17.4%
4 Medical And Surgical Supplies $8,237,053 12.9%
5 Durable Medical Equipment $7,088,020 11.1%
6 Procedures / Professional Services $2,922,993 4.6%
7 Pathology and Laboratory Procedures $2,415,790 3.8%
8 Medicine Services and Procedures $1,890,044 3%
9 Administrative, Miscellaneous and Investigational $548,334 0.9%
10 Orthotic Procedures and services $211,740 0.3%
11 Durable medical equipment (DME) Medicare administrative contractors (MACs) $93,510 0.1%
12 Prosthetic Procedures $6,552 <0.1%
13 Evaluation and Management $219 <0.1%
14 Surgery $58 <0.1%
Top 20 HCPCS Codes Within the Medical And Surgical Supplies Category in Elmhurst, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
A4624 Tracheal suction tube $974,917 20
A4605 Trach suction cath close sys $943,057 12
A4353 Intermittent urinary cath $759,604 13
A7507 Integrated filter & holder $640,868 14
A4927 Non-sterile gloves $546,952 25
A7030 Cpap full face mask $408,908 13
A7526 Tracheostomy tube collar $299,112 25
A6211 Foam drg > 48 sq in w/o brdr $252,880 17
A4629 Tracheostomy care kit $243,373 14
A7521 Trach/laryn tube cuffed $223,694 12
A6210 Foam drg >16<=48 sq in w/o b $218,341 18
A7520 Trach/laryn tube non-cuffed $205,700 12
A4604 Tubing with heating element $203,516 12
A7034 Nasal application device $179,263 19
A4351 Straight tip urine catheter $165,221 22
A7035 Pos airway press headgear $129,596 22
A7031 Replacement facemask interfa $129,003 13
A6234 Hydrocolld drg <=16 w/o bdr $118,127 24
A7032 Replacement nasal cushion $112,085 21
A6402 Sterile gauze <= 16 sq in $103,893 42

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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