Medicaid payments for Procedures / Professional Services in Hillside reached $367,767 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In Hillside, Medicaid providers submitted $367,767 in claims under the Procedures / Professional Services category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This reflects a 185.5% rise from 2023, when providers filed $128,821 in claims for the same services.

Medicaid serves as a public health insurance program managed at the state level and funded by both federal and state governments. The program supports low-income individuals and families, seniors, children, and people with disabilities, ranking among the largest sectors of the U.S. health care system.

Since Medicaid funding derives from taxpayers, shifts in local billing help indicate how health care funds are distributed within communities.

The Procedures / Professional Services category includes a set of Medicaid-billed services grouped by care type, utilizing standardized HCPCS and CPT code groupings. For this report, each billing code was placed into a single service group by matching code prefixes and ranges, ensuring like services could be tracked without overlap and that category rankings remained accurate over time.

While overall Medicaid expenditures grew across several categories, Procedures / Professional Services ranked third in Hillside by total Medicaid payments for 2024.

Statewide in Illinois, Procedures / Professional Services placed 10th by total payments in 2024.

Between 2019 and 2024, Medicaid payments linked to Procedures / Professional Services in Hillside climbed by $238,635, or 184.8%. Certain years, such as 2021 and 2022, saw especially strong year-over-year growth in spending.

Care expenses in the Procedures / Professional Services category were distributed citywide, but most payments were localized within a few ZIP codes. In 2024, ZIP code 60162 accounted for $367,766, comprising 100% of Hillside’s Medicaid payments in this category for the year.

Payments within Procedures / Professional Services were further concentrated in only a small set of specific billing codes.

For additional context, while the Procedures / Professional Services category in Hillside increased by 185.5% from 2023 to 2024, spending across all Medicaid claim categories in the city rose just 2.8% during that time.

Centers for Medicare & Medicaid Services data indicate combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, which represented roughly 18% of all national health spending. This was up sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This growth represents an increase of about 40% over a few years, mainly a result of larger enrollment figures and higher service use during and following the pandemic.

Recent federal budget measures under the Trump administration have proposed notable cuts to Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and includes requirements like work mandates and increased cost-sharing. These policies could lower both funding and coverage for some recipients, shifting more responsibility to the states while federal support growth slows, even as Medicaid continues serving tens of millions nationwide.

Medicaid Payments Tied to Procedures / Professional Services in Hillside, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $129,132 -23.5%
2021 $265,692 105.8%
2022 $495,348 86.4%
2023 $128,821 -74%
2024 $367,766 185.5%
Top Categories by Medicaid Payments in Hillside, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Pathology and Laboratory Procedures $5,277,861 8<0.1%
2 Ambulance and Other Transport Services and Supplies $815,866 12.4%
3 Procedures / Professional Services $367,766 5.6%
4 Alcohol and Drug Abuse Treatment $100,897 1.5%
5 National Codes Established for State Medicaid Agencies $22,718 0.3%
6 Surgery $6,543 0.1%
7 Vision Services $1,299 <0.1%
8 Medicine Services and Procedures $344 <0.1%
Top 20 HCPCS Codes Within the Procedures / Professional Services Category in Hillside, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
G0481 Drug test def 8-14 classes $251,481 17
G0483 Drug test def 22+ classes $68,928 10
G0480 Drug test def 1-7 classes $47,356 19

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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