Medical and surgical supplies Medicaid payments in Carol Stream reach $88,773 in 2024
In 2024, Medicaid providers in Carol Stream billed a total of $88,773 for Medical and Surgical Supplies services, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 4.1% rise compared to 2023, when providers billed $85,292 for the same service category.
Administered by states and financed jointly by federal and state governments, Medicaid is a public health insurance program covering low-income residents, seniors, children, and individuals with disabilities, making it a major element of the U.S. health care infrastructure.
Because taxpayer funding supports Medicaid payments, shifts in billing levels locally help reveal how public health resources are distributed within a community.
The Medical and Surgical Supplies designation groups together Medicaid-billed services based on standardized HCPCS and CPT coding frameworks. For this reporting, each code was placed into a single category according to recurrent code prefixes and number ranges, ensuring accurate tracking of related services without duplication and facilitating clear category rankings over time.
While spending rose in several categories, Medical and Surgical Supplies ranked as the fourth-largest Medicaid payment category in Carol Stream for 2024.
Statewide in Illinois, Medical and Surgical Supplies was the ninth-highest category for Medicaid payments in 2024.
Between 2019 and 2024, payments assigned to Medical and Surgical Supplies in Carol Stream increased by $64,112, or 260%. Certain years, notably 2020 and 2021, saw significant annual increases in spending.
Although spending on Medical and Surgical Supplies spanned the city, most payments were concentrated in a small number of ZIP codes. The highest payment total in 2024 was recorded in ZIP code 60188, which made up the full $88,773 billed under this category for the year. Taken together, the top ZIP code comprised 100% of Medicaid payments linked to Medical and Surgical Supplies in Carol Stream in 2024.
Payments within the Medical and Surgical Supplies category were also focused within a select group of service billing codes.
From 2023 to 2024, payments in this category grew by 4.1% in Carol Stream, compared with a 14.5% change observed across all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending at both the state and federal levels reached about $871.7 billion for fiscal year 2023, representing around 18% of all national health expenditures. This is up considerably from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.
This marks an increase of roughly 40% in only a few years, driven primarily by expanded program enrollment and increased use of services during and after the pandemic period.
Recent federal budget legislation under the Trump administration has contained notable measures to cut federal Medicaid funding and restructure program policy. The “One Big Beautiful Bill Act,” signed in 2025, is forecasted to reduce federal Medicaid spending by over $1 trillion over the coming decade, while adding provisions for work requirements and increased cost-sharing that could affect coverage and resources for certain recipients. These adjustments are expected to increase the share of Medicaid costs assumed by states and slow federal funding growth, while Medicaid remains central to national health care for tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $24,660 | 337.7% |
| 2021 | $44,090 | 78.8% |
| 2022 | $66,986 | 51.9% |
| 2023 | $85,291 | 27.3% |
| 2024 | $88,773 | 4.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Ambulance and Other Transport Services and Supplies | $891,128 | 38.5% |
| 2 | Durable Medical Equipment | $721,051 | 31.1% |
| 3 | National Codes Established for State Medicaid Agencies | $614,473 | 26.5% |
| 4 | Medical And Surgical Supplies | $88,773 | 3.8% |
| 5 | Evaluation and Management | $388 | <0.1% |
| 6 | Medicine Services and Procedures | $111 | <0.1% |
| 7 | Pathology and Laboratory Procedures | $21 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| A7030 | Cpap full face mask | $25,325 | 12 |
| A4604 | Tubing with heating element | $16,319 | 12 |
| A7034 | Nasal application device | $14,633 | 11 |
| A7035 | Pos airway press headgear | $10,083 | 12 |
| A7032 | Replacement nasal cushion | $6,309 | 10 |
| A7031 | Replacement facemask interfa | $5,645 | 10 |
| A7038 | Pos airway pressure filter | $4,595 | 12 |
| A7046 | Repl water chamber, pap dev | $4,308 | 12 |
| A7033 | Replacement nasal pillows | $1,551 | 4 |
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.