Oak Brook Medicaid payments for Enteral and Parenteral Therapy climb to $443,397 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator | Centers for Medicare & Medicaid Services (CMS)
By R. U. Cooper

Providers in Oak Brook billed a total of $443,397 to Medicaid for services in the Enteral and Parenteral Therapy category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount reflects an 82.1% increase from 2023, when claims for these services totaled $243,528.

Medicaid is operated by states but receives joint funding from federal and state governments, according to the Commonwealth Fund. The program provides health insurance to low-income individuals, families, children, seniors, and people with disabilities, making it a significant component of the U.S. health system.

Because Medicaid is funded by taxpayers, local shifts in spending give insight into how public health care dollars are used in different communities.

The "Enteral and Parenteral Therapy" grouping includes Medicaid-billed services identified by their type of treatment, classified using standardized HCPCS and CPT code groupings. For this analysis, each billing code was included in only one category, assigned through consistent code prefixes and numerical ranges, to prevent overlap and ensure accurate comparisons across years.

While multiple Medicaid service groups saw increased spending, Enteral and Parenteral Therapy ranked sixth in Oak Brook for total Medicaid payments during 2024.

Statewide, Enteral and Parenteral Therapy ranked as the 12th largest Medicaid payment category in Illinois in 2024.

From 2019 to 2024, Medicaid payments tied to Enteral and Parenteral Therapy in Oak Brook grew by $288,865, equaling a 186.9% increase. Spending growth accelerated at certain points, notably with year-over-year jumps in 2022 and 2020.

Although spending was distributed citywide, Medicaid payments for Enteral and Parenteral Therapy were concentrated in a few ZIP codes. In 2024, ZIP code 60523 accounted for all $443,397 in Oak Brook, making up 100% of the Medicaid payments for this category within the city.

Payments within the Enteral and Parenteral Therapy category were also focused among a small set of specific billing codes.

To compare, Medicaid spending for Enteral and Parenteral Therapy in Oak Brook jumped 82.1% between 2024 and 2023, while all claim categories combined saw a 15.1% change during that period in the city.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, making up approximately 18% of total U.S. health spending—an increase from around $613.5 billion in 2019, before the COVID-19 pandemic.

This growth represents about a 40% rise in just a few years, fueled primarily by higher enrollment and greater utilization during and after the pandemic.

Recent federal budget legislation during the Trump administration brought significant proposals to reduce federal Medicaid funding and overhaul the program. Notably, the “One Big Beautiful Bill Act,” passed in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over the next decade and introduce changes, such as work requirements and elevated cost-sharing, that may reduce both coverage and funding for some recipients. These changes are likely to shift more financial responsibility to states and may limit federal Medicaid spending growth, even while the program continues supporting millions of Americans.

Medicaid Payments Tied to Enteral and Parenteral Therapy in Oak Brook, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $154,532 13%
2021 $156,369 1.2%
2022 $229,018 46.5%
2023 $243,527 6.3%
2024 $443,397 82.1%
Top Categories by Medicaid Payments in Oak Brook, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $5,137,461 46%
2 Medicine Services and Procedures $2,652,009 23.7%
3 Procedures / Professional Services $1,308,763 11.7%
4 Durable Medical Equipment $900,633 8.1%
5 Medical And Surgical Supplies $601,013 5.4%
6 Enteral and Parenteral Therapy $443,397 4%
7 Ambulance and Other Transport Services and Supplies $60,934 0.5%
8 Administrative, Miscellaneous and Investigational $54,188 0.5%
9 Orthotic Procedures and services $9,875 0.1%
10 Evaluation and Management $2,204 <0.1%
11 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Enteral and Parenteral Therapy Category in Oak Brook, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
B4035 Enteral feed supp pump per d $200,468 12
B4161 Ef ped hydrolyzed/amino acid $135,104 10
B4152 Ef calorie dense>/=1.5kcal $38,651 8
B4088 Gastro/jejuno tube, low-pro $23,835 10
B4149 Ef blenderized foods $14,338 4
B4150 Ef complet w/intact nutrient $13,218 3
B9002 Enter nutr inf pump any type $11,365 6
B4160 Ef ped caloric dense>/=0.7kc $6,414 2

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.