Woodridge Medicaid payments for Medicine Services and Procedures reach $244,939 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 Woodridge billed $244,939 for Medicine Services and Procedures, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 3.2% increase over 2023, when local providers submitted $237,355 in claims for this service category.

Medicaid is a public health insurance program managed by states and funded through both federal and state governments. The program serves low-income individuals and families, seniors, children, and people with disabilities, representing a significant portion of the U.S. health care system.

Since taxpayer dollars fund Medicaid payments, shifts in local billing illustrate how public health care funds are distributed within a community.

The "Medicine Services and Procedures" category includes services grouped by the type of care, based on standardized HCPCS and CPT code groupings. For this analysis, each billing code was placed into one service category using set code prefixes and numeric ranges. This approach enables grouping of related services, reduces overlap, and ensures rankings are accurate over time.

While Medicaid spending increased in multiple categories, Medicine Services and Procedures was the third-largest in Woodridge by total Medicaid payments for 2024.

Statewide in Illinois, Medicine Services and Procedures ranked as the fifth-largest Medicaid payment category in 2024.

In the five years leading up to 2024, Medicaid payments for the Medicine Services and Procedures category in Woodridge grew by $48,494, or 24.7%. Growth was more rapid during certain times, with significant year-over-year increases in 2021 and 2023.

While spending for Medicine Services and Procedures occurred throughout the city, payments were heavily focused in a few ZIP codes. For 2024, ZIP code 60517 accounted for $244,939 in Medicaid payments, with that code contributing 100% of all payments for the category in Woodridge that year.

Payments within the Medicine Services and Procedures category tended to be concentrated among just a few individual billing codes.

When comparing payment increases, the Medicine Services and Procedures category in Woodridge grew by 3.2% between 2024 and 2023, while total Medicaid claims across all categories in the city rose 413.9% during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached an estimated $871.7 billion for fiscal year 2023, representing around 18% of national health spending, up from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This represents approximately 40% growth in just a few years, primarily due to increased enrollment and higher utilization during and after the pandemic.

Recent federal budget measures enacted under the Trump administration have proposed substantial reductions to federal Medicaid funding and called for changes to 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 coming decade and includes provisions like work requirements and increased cost-sharing, potentially decreasing coverage and funding for some beneficiaries. These provisions are anticipated to increase financial responsibility for states and restrict the pace of growth in federal Medicaid support, even as the program continues to assist millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $196,445 -16.5%
2021 $229,235 16.7%
2022 $204,802 -10.7%
2023 $237,355 15.9%
2024 $244,939 3.2%
Top Categories by Medicaid Payments in Woodridge, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Pathology and Laboratory Procedures $4,254,916 84.4%
2 Alcohol and Drug Abuse Treatment $247,375 4.9%
3 Medicine Services and Procedures $244,939 4.9%
4 National Codes Established for State Medicaid Agencies $150,485 3%
5 Medical And Surgical Supplies $85,686 1.7%
6 Temporary National Codes (Non-Medicare) $57,371 1.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Woodridge, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
92508 Tx sp lang voice comm group $102,798 11
90791 Psych diagnostic evaluation $73,999 10
92507 Tx sp lang voice comm indiv $23,532 10
96158 Hlth bhv ivntj indiv 1st 30 $21,543 10
96164 Hlth bhv ivntj grp 1st 30 $14,151 10
90832 Psytx w pt 30 minutes $8,914 5

Note: HCPCS codes are included to give context within this category. Totals and rankings in this article rely on standardized service groupings, not individual billing codes.

The information in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be accessed here.


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