Oakbrook Terrace Medicaid Evaluation and Management payments climb to $34,245 in 2024

Oakbrook Terrace Medicaid providers received $34,245 for Evaluation and Management services in 2024, according to data reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 268.9% from 2023, when providers submitted claims totaling $9,282 for the same category.

Medicaid is a public health insurance program overseen by states and funded in partnership by federal and state governments. It provides health coverage to low-income people and families, seniors, children, and individuals with disabilities, making it a major segment of the U.S. health care system.

Since taxpayer money supports Medicaid, fluctuations in local payment volumes show how the community’s public health resources are distributed.

The "Evaluation and Management" category encompasses a set of Medicaid-billed services organized by the type of care using established HCPCS and CPT code groupings. For this report, each billing code was placed into one service category based on standardized prefixes and number ranges for consistency, which enables comparative analysis and prevents overlapping counts and ranking inaccuracies over time.

Medicaid expenditures rose in several areas, but Evaluation and Management placed second for total Medicaid payments in Oakbrook Terrace in 2024.

Statewide, the Evaluation and Management group held the 13th position in Illinois for total payments in 2024.

Over the five-year period ending in 2024, local Medicaid payments for Evaluation and Management in Oakbrook Terrace increased by $33,922, amounting to 10,506.4% growth. Notable jumps in spending were observed in specific years, with particularly elevated year-over-year gains in 2023 and 2020.

Spending on Evaluation and Management services was distributed throughout Oakbrook Terrace but was most concentrated in select ZIP codes. For 2024, ZIP code 60181 accounted for $34,244 in such Medicaid payments. Collectively, the top 1 ZIP code attributed to 100% of Evaluation and Management Medicaid spending in Oakbrook Terrace that year.

Within the Evaluation and Management category, a small number of specific billing codes represented the bulk of Medicaid payments.

In comparison, local Medicaid payments for Evaluation and Management services in Oakbrook Terrace grew by 268.9% between 2024 and 2023, while total Medicaid claims for all service groups in the city rose by 67.4% over the same period.

Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023—representing about 18% of national health spending—up from around $613.5 billion in 2019 prior to the COVID-19 pandemic.

This represents a roughly 40% rise over several years, with much of the growth attributed to greater enrollment and higher use of services during and after the pandemic.

Recent federal budget legislation under the Trump administration featured major proposals to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, introducing requirements like work mandates and increased out-of-pocket costs for some recipients. These changes may shift financial responsibility to states and restrict federal Medicaid support growth as the program continues to cover millions of Americans.

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.