Procedures / Professional Services Medicaid payments in Elmhurst total $2,922,994 in 2024

Elmhurst Medicaid providers submitted $2,922,994 in claims for Procedures / Professional Services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That represents a 136.4% increase over 2023, when providers reported $1,236,438 in claims for these services.

Medicaid is a state-administered health insurance initiative jointly financed by federal and state governments. The program serves low-income residents, seniors, children, and individuals with disabilities, making it a key component of the U.S. health care landscape.

Since Medicaid is taxpayer funded, changes in billing levels at the local level reflect how public health expenditures are distributed in a community.

The "Procedures / Professional Services" classification encompasses a range of Medicaid-billed services based on standardized HCPCS and CPT code categories. For this analysis, each billing code was matched to a single service category using uniform code prefixes and numeric groupings, enabling unified review of related services, avoiding overlap, and maintaining consistent rankings over time.

Although Medicaid spending grew in several categories, Procedures / Professional Services ranked sixth by total Medicaid payments in Elmhurst in 2024.

Statewide, Procedures / Professional Services was the 10th largest Medicaid payment category in Illinois in 2024.

From 2019 through 2024, Medicaid expenditures for Procedures / Professional Services in Elmhurst rose by $1,595,065, a 120.1% gain. Spending increases accelerated in select years, with prominent year-over-year growth observed in 2023 and 2021.

Payments for Procedures / Professional Services in Elmhurst mainly occurred in a small number of ZIP codes. The 60126 ZIP code reported $2,922,993 in this category for 2024. This ZIP code accounted for 100% of Medicaid payments for Procedures / Professional Services in Elmhurst that year.

Within Procedures / Professional Services, most Medicaid payments were attributed to a limited set of billing codes.

Across all Elmhurst Medicaid claim categories, Procedures / Professional Services payments climbed by 136.4% between 2024 and 2023, compared with a 23% increase across all categories in the city for the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion in the 2023 fiscal year, making up approximately 18% of total national health expenditures. This marked a significant rise from roughly $613.5 billion in 2019 before the COVID-19 pandemic.

This growth equals about a 40% increase over a few years, propelled mainly by broader enrollment and greater use of health care services during and after the pandemic.

Recent federal budget actions during the Trump administration included major proposals to lower federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to shrink federal Medicaid funding by over $1 trillion over 10 years, introducing policies like work requirements and higher cost-sharing, measures likely to reduce coverage and funding for some recipients. The new policies are anticipated to shift more expenses to states and restrain the expansion of federal Medicaid support, while the program continues to assist tens of 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.