Westmont Medicaid spending for Medicine Services and Procedures rises to $30,487 in 2024

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

In 2024, Medicaid providers in Westmont billed a total of $30,487 for services categorized under Medicine Services and Procedures, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 22.5% rise from 2023, when $24,894 in claims were submitted for the same group of services.

Medicaid, a public health insurance program jointly funded by federal and state governments and administered by the states, provides coverage for low-income individuals and families, seniors, children and those with disabilities. It remains one of the main pillars of the U.S. health care system.

Because Medicaid is publicly funded through taxes, changes in local billing highlight how a community allocates health care resources from public funds.

The "Medicine Services and Procedures" classification groups together specific Medicaid-billed services by type of care, based on standardized HCPCS and CPT code ranges and prefixes. Each code was mapped to a single category for this analysis, which allows for consistent tracking and comparison while ensuring accurate totals and rankings without overlap.

Medicaid spending in Westmont rose across several categories, with Medicine Services and Procedures ranking fifth by total Medicaid payments for 2024.

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

From 2019 through 2024, Medicaid payments for Medicine Services and Procedures in Westmont grew by $214,735, or an 87.6% increase. The rate of spending change was higher during some years, with notable year-on-year gains in both 2020 and 2023.

Although services in this category were provided across Westmont, the majority of Medicaid payments were concentrated in only a few ZIP codes. For 2024, ZIP code 60559 accounted for $30,487, making up 100% of Medicaid payments in this category in Westmont during the year.

A small number of individual billing codes contributed most to total Medicaid spending within the Medicine Services and Procedures category.

Comparatively, Medicaid payments for Medicine Services and Procedures in Westmont climbed 22.5% between 2023 and 2024, compared to a 27% overall increase across all Medicaid claim categories in the city during that span.

Centers for Medicare & Medicaid Services data show combined state and federal Medicaid expenditures totaled about $871.7 billion for fiscal year 2023, comprising approximately 18% of total national health spending, up significantly from $613.5 billion in 2019 before the COVID-19 pandemic.

This surge marks nearly 40% growth over several years, with expanded eligibility and increased use following the pandemic as major contributors.

Recent federal budget changes under the Trump administration featured major proposals to reduce Medicaid funding at the federal level and change the program's structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to lower federal Medicaid spending by over $1 trillion over 10 years and introduce measures like work requirements and more cost-sharing, potentially reducing coverage and federal support for some enrollees. These adjustments could shift greater Medicaid costs to states and place new constraints on federal Medicaid growth while the program continues to serve millions nationwide.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $245,221 6.6%
2021 $30,414 -87.6%
2022 $24,613 -19.1%
2023 $24,894 1.1%
2024 $30,487 22.5%
Top Categories by Medicaid Payments in Westmont, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $1,657,814 47.7%
2 Pathology and Laboratory Procedures $975,058 28%
3 Ambulance and Other Transport Services and Supplies $639,206 18.4%
4 National Codes Established for State Medicaid Agencies $160,688 4.6%
5 Medicine Services and Procedures $30,487 0.9%
6 Procedures / Professional Services $8,657 0.2%
7 Pathology and Laboratory Services $3,899 0.1%
8 Surgery $425 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Westmont, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
96110 Developmental screen w/score $17,220 11
92508 Tx sp lang voice comm group $7,494 5
90734 Menacwyd/menacwycrm vacc im $1,938 3
90677 Pcv20 vaccine im $1,324 5
90715 Tdap vaccine 7 yrs/> im $668 2
90651 9vhpv vaccine 2/3 dose im $637 2
90633 Hepa vacc ped/adol 2 dose im $434 2
90619 Menacwy-tt vaccine im $317 1
90620 Menb-4c vaccine im $250 1
90686 Iiv4 vacc no prsv 0.5 ml im $200 1

Note: HCPCS codes are listed to provide context within this category. All category totals and rankings are based on consistent groupings of services instead of by single billing codes.

Source information for this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.


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