Northlake Medicaid payments for Durable Medical Equipment climb to $2,921 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Northlake submitted $2,921 in claims for services under the Durable Medical Equipment category in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 61.8% higher than in 2023, when $1,805 in similar claims were filed.

Medicaid, a public health insurance initiative managed by the states and funded by both federal and state governments, serves low-income residents, seniors, children and people with disabilities. It plays a significant role within the overall U.S. health care landscape.

Because Medicaid relies on taxpayer funding, shifts in local billing illustrate how public health care funds are distributed in a given community.

The “Durable Medical Equipment” category includes services grouped by care type under standardized HCPCS and CPT codes. This reporting assigns each code to a single service category through standardized prefixes and numeric bands, enabling a review of services together while preventing duplicate counts and maintaining consistent rankings over time.

Among many Medicaid service groupings in 2024, Durable Medical Equipment held the sixth spot by total Medicaid payments in Northlake.

Statewide in Illinois, Durable Medical Equipment was ranked seventh in total 2024 Medicaid payments.

From five years prior to 2024, Northlake’s Medicaid payments for Durable Medical Equipment rose by $2,895 or 49.8%. The largest single-year increases came in 2023 and 2022, marking periods of accelerated growth within the category.

While funds for Durable Medical Equipment were spent citywide, activity was primarily concentrated within select ZIP codes. In 2024, ZIP code 60164 saw the highest Medicaid payments for this category, totaling $2,920. This one ZIP code represented 100% of Northlake’s total Medicaid expenditures for Durable Medical Equipment that year.

Within the category, the majority of Medicaid payments were grouped within a small set of billing codes.

For context, between 2024 and 2023, Northlake’s Medicaid spending on Durable Medical Equipment increased by 61.8%, compared to a 24.5% rise across all Medicaid claim categories in the city for the same time frame.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenses reached about $871.7 billion in fiscal 2023, making up nearly 18% of all national health expenditures and growing substantially from around $613.5 billion in 2019 before the COVID-19 pandemic.

This represents an approximate 40% increase in just a few years, mainly fueled by higher enrollment and utilization during and following the pandemic.

Major proposals in recent federal budget legislation under the Trump administration aim to reduce federal Medicaid support and reorganize the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to lower federal Medicaid spending by more than $1 trillion over the next decade and introduce policies like work requirements and expanded cost-sharing that may reduce coverage and funding for some recipients. These provisions are anticipated to shift increased expenses to states and could slow federal Medicaid growth, despite continual service to tens of millions.

Medicaid Payments Tied to Durable Medical Equipment in Northlake, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $5,816 -65.9%
2021 $5,641 -3%
2022 $2,722 -51.7%
2023 $1,805 -33.7%
2024 $2,920 61.8%
Top Categories by Medicaid Payments in Northlake, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $627,833 58.5%
2 Ambulance and Other Transport Services and Supplies $339,653 31.6%
3 Vision Services $79,544 7.4%
4 Medical And Surgical Supplies $19,286 1.8%
5 Durable medical equipment (DME) Medicare administrative contractors (MACs) $4,217 0.4%
6 Durable Medical Equipment $2,920 0.3%
Top 20 HCPCS Codes Within the Durable Medical Equipment Category in Northlake, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
E0240 Bath/shower chair $1,381 1
E0143 Walker folding wheeled w/o s $1,285 1
E0156 Walker seat attachment $253 1

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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