Villa Park Medicaid billing for Medicine Services and Procedures climbs to $380,002 in 2024

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

In Villa Park, Medicaid providers billed $380,002 for services listed under Medicine Services and Procedures in 2024, per data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This is a 44.9% rise from 2023, when $262,179 in claims were recorded for the same services.

Medicaid operates as a state-run public health insurance program, jointly funded by federal and state governments, covering low-income families and individuals, seniors, children, and those with disabilities, making it a major part of the nation’s health care framework.

Adjustments in Medicaid billing locally reflect how taxpayer-funded health care dollars are distributed across communities.

The "Medicine Services and Procedures" group refers to Medicaid-billed services categorized by the type of care, using standardized HCPCS and CPT coding. This analysis groups each billing code within a single service category based on code prefixes and number ranges, supporting consistent tracking of related services without duplications and ensuring accurate year-to-year comparisons.

Medicine Services and Procedures was the second-largest Medicaid payment category in Villa Park for 2024, even as spending rose in multiple service areas.

Statewide in Illinois, Medicine Services and Procedures placed fifth by total Medicaid payments in 2024.

Over the five years ending in 2024, Villa Park saw an increase of $140,800, or 58.9%, in Medicaid payments for the Medicine Services and Procedures category. Spending accelerated in select years, with significant jumps noted in 2022 and 2020.

Payments for Medicine Services and Procedures were distributed citywide but were concentrated within a small number of ZIP codes. In 2024, ZIP code 60181 accounted for all $380,002 in Medicaid payments for this service category. This means the top ZIP code, 60181, made up 100% of these payments for Villa Park in the year.

Within this category, a small number of billing codes represented the bulk of Medicaid payments.

For context, Medicine Services and Procedures-related Medicaid payments in Villa Park jumped 44.9% from 2023 to 2024. By comparison, total Medicaid payments across all claim categories in the city grew by 14.8% during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending approached $871.7 billion in fiscal year 2023, or about 18% of all national health care expenditures, rising sharply from roughly $613.5 billion in 2019, prior to the onset of COVID-19.

This increase reflects growth of about 40% in just a few years, largely linked to expanded enrollment and higher use of services during and after the pandemic.

Recent federal budget measures enacted under the Trump administration include significant proposals for cutting federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid outlays by more than $1 trillion over the next decade and introduce policies such as work requirements and increased cost-sharing that may limit coverage or funding for some users. These changes aim to shift more responsibility to states and place constraints on the growth of federal Medicaid support, while the program continues to cover tens of millions of people.

Medicaid Payments Tied to Medicine Services and Procedures in Villa Park, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $239,202 7.8%
2021 $154,478 -35.4%
2022 $258,971 67.6%
2023 $262,179 1.2%
2024 $380,002 44.9%
Top Categories by Medicaid Payments in Villa Park, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Ambulance and Other Transport Services and Supplies $856,959 53.2%
2 Medicine Services and Procedures $380,002 23.6%
3 National Codes Established for State Medicaid Agencies $348,945 21.6%
4 Medical And Surgical Supplies $14,991 0.9%
5 Vision Services $10,574 0.7%
6 Evaluation and Management $394 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Villa Park, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
92507 Tx sp lang voice comm indiv $118,053 23
92508 Tx sp lang voice comm group $114,343 21
97110 Therapeutic exercises $80,349 12
96158 Hlth bhv ivntj indiv 1st 30 $35,104 19
96164 Hlth bhv ivntj grp 1st 30 $27,245 20
96165 Hlth bhv ivntj grp ea addl $2,930 12
96159 Hlth bhv ivntj indiv ea addl $1,171 4
92551 Pure tone hearing test air $803 3

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.