Highland Park sees $99,309 Medicaid spend for medicine services and procedures in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Highland Park Medicaid providers billed a total of $99,309 for Medicine Services and Procedures, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 32.1% rise compared with the prior year, when claims for the same services totaled $75,157.

Medicaid is managed at the state level and financed through a federal-state partnership. It serves low-income individuals and families, seniors, children, and people with disabilities, remaining one of the most significant elements of the U.S. health care framework.

Since Medicaid payments utilize taxpayer funding, shifts in local billing provide insight into how public health funds are distributed within a community.

The “Medicine Services and Procedures” group outlines Medicaid-billed services according to care type, determined by standardized HCPCS and CPT code sets. For this report, billings were assigned a service category using consistent code prefixes and ranges, allowing for evaluation of related services without overlap, thereby maintaining ranking accuracy year over year.

Even as Medicaid expenditures climbed across various categories, Medicine Services and Procedures placed third in total Medicaid payments in Highland Park for 2024.

On a statewide basis, the Medicine Services and Procedures category was ranked fifth in Illinois for total Medicaid payments in 2024.

From 2019 through 2024, Highland Park Medicaid payments for this category increased by $18,413, or 22.8%. Certain years, such as 2023 and 2021, saw faster growth rates as spending accelerated during specific periods.

While spending spanned the city, Medicaid payments for medicine services and procedures were heavily concentrated in a small number of ZIP codes. For 2024, ZIP code 60035 alone reported payments totaling $99,308, accounting for 100% of Medicaid spending for this category in Highland Park.

Medicaid payments within the Medicine Services and Procedures group were further concentrated in just a few select billing codes.

In comparison, Medicaid payments for this category in Highland Park grew 32.1% from 2023 to 2024, whereas overall Medicaid claim categories citywide increased 24.6% during that period.

The Centers for Medicare & Medicaid Services reported that joint federal and state Medicaid spending reached roughly $871.7 billion during fiscal 2023, making up about 18% of total national health expenditures, up significantly from approximately $613.5 billion in 2019 before the COVID-19 pandemic.

This shift reflects around 40% growth in just a few years, which has been fueled mainly by expanded Medicaid enrollment and increased use following the pandemic period.

Recently, federal budget measures passed during the Trump administration have involved major proposals to reduce federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid funds by more than $1 trillion over the next 10 years and adds requirements such as mandatory work and higher cost-sharing, which could affect coverage and funding for certain participants. These changes will likely shift further financial responsibility onto the states while limiting the rise in federal Medicaid contributions, even as enrollment remains in the tens of millions.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $80,895 -40.8%
2021 $92,844 14.8%
2022 $60,701 -34.6%
2023 $75,157 23.8%
2024 $99,308 32.1%
Top Categories by Medicaid Payments in Highland Park, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $409,938 48.9%
2 Ambulance and Other Transport Services and Supplies $229,745 27.4%
3 Medicine Services and Procedures $99,308 11.9%
4 Dental Services $55,739 6.7%
5 Alcohol and Drug Abuse Treatment $38,738 4.6%
6 Evaluation and Management $3,888 0.5%
7 Diagnostic Radiology Services $132 <0.1%
8 Temporary Codes $74 <0.1%
9 Pathology and Laboratory Procedures $0 <0.1%
9 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Highland Park, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
92508 Tx sp lang voice comm group $39,960 10
92507 Tx sp lang voice comm indiv $22,503 8
96164 Hlth bhv ivntj grp 1st 30 $17,630 10
96158 Hlth bhv ivntj indiv 1st 30 $14,651 9
96159 Hlth bhv ivntj indiv ea addl $2,222 5
96165 Hlth bhv ivntj grp ea addl $1,828 7
92551 Pure tone hearing test air $467 3
96127 Brief emotional/behav assmt $43 6
90471 Immunization admin $0 1
90619 Menacwy-tt vaccine im $0 2
90620 Menb-4c vaccine im $0 1
90651 9vhpv vaccine 2/3 dose im $0 2
90656 Iiv3 vacc no prsv 0.5 ml im $0 3
90686 Iiv4 vacc no prsv 0.5 ml im $0 6
90791 Psych diagnostic evaluation $0 8
90832 Psytx w pt 30 minutes $0 9
96110 Developmental screen w/score $0 6

Note: HCPCS codes are provided for category context. Totals and rankings reflect standardized groupings of services, not individual billing codes.

This article is based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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