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