La Grange Park sees $1,895,263 in Medicaid payments for National Codes Established for State Medicaid Agencies in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in La Grange Park submitted $1,895,263 in claims for services categorized under National Codes Established for State Medicaid Agencies, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 14.5% growth from 2023, when the total was $1,655,255 for this service classification.

Medicaid, a public insurance program operated by states with funding from both federal and state governments, covers low-income populations, including families, seniors, children, and people with disabilities, and constitutes a significant portion of the U.S. health care sector.

Because taxpayer funds support Medicaid payments, shifts in billing locally reveal how health care spending is distributed throughout the community.

The “National Codes Established for State Medicaid Agencies” category comprises a range of services that are each classified using specific HCPCS and CPT billing code prefixes and number ranges. This analysis assigns each code to only one service group to avoid overlap, ensuring accurate comparisons and rankings through time.

Although Medicaid spending rose in multiple service areas, the National Codes Established for State Medicaid Agencies was the top-ranked category in La Grange Park by total Medicaid payment in 2024.

Statewide in Illinois, the National Codes Established for State Medicaid Agencies category also held the top position by Medicaid payment volume for 2024.

Between 2019 and 2024, Medicaid spending in this category in La Grange Park rose by $681,017, or 56.1%. Periods of rapid growth included significant year-over-year increases in 2023 and 2022.

While Medicaid funds for the National Codes Established for State Medicaid Agencies category supported care throughout La Grange Park, most payments were attributed to a small number of ZIP codes. In 2024, ZIP code 60526 accounted for $1,895,262, representing all recorded payments in this category for La Grange Park that year.

Spending within the National Codes Established for State Medicaid Agencies category also largely occurred among only a subset of assigned billing codes.

When compared with a 14.5% increase in this category between 2023 and 2024, total Medicaid spending across all categories in La Grange Park increased 11.2% over the same period.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023. This was nearly 18% of total U.S. health spending, a notable rise from $613.5 billion in 2019, before the COVID-19 emergency.

This change marks around 40% growth within several years, mainly attributable to higher enrollment and service use during and after the pandemic.

Federal budget measures passed under President Trump have proposed substantial cuts and restructuring of Medicaid at the national level. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid outlays by more than $1 trillion over 10 years by adding requirements for beneficiaries and increasing state responsibilities, which may reduce coverage and impose additional burdens on some recipients. These shifts could decrease federal support for Medicaid as the program continues to serve millions of Americans.

Medicaid Payments Tied to National Codes Established for State Medicaid Agencies in La Grange Park, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,214,245 7.9%
2021 $1,261,371 3.9%
2022 $1,442,845 14.4%
2023 $1,655,254 14.7%
2024 $1,895,262 14.5%
Top Categories by Medicaid Payments in La Grange Park, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $1,895,262 90.8%
2 Dental Services $190,733 9.1%
3 Medicine Services and Procedures $852 <0.1%
4 Ambulance and Other Transport Services and Supplies $686 <0.1%
5 Temporary National Codes (Non-Medicare) $9 <0.1%
6 Evaluation and Management $0 <0.1%
6 Procedures / Professional Services $0 <0.1%
6 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in La Grange Park, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $1,767,425 12
T1040 Comm bh clinic svc per diem $127,836 12

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.



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