Medicine Services and Procedures account for $26,191 in Herscher Medicaid payments for 2024

In 2024, providers in Herscher billed $26,191 to Medicaid for services grouped under the Medicine Services and Procedures category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 2.2% uptick versus 2023, when providers filed $25,631 of claims for these services.

Medicaid is a public health insurance initiative administered at the state level and funded by both federal and state governments. The program covers eligible individuals including low-income families, seniors, children, and people with disabilities and makes up a significant portion of the U.S. health care system.

Because taxpayer funds support Medicaid, changes in local billing can reveal how a community’s public health dollars are used.

The “Medicine Services and Procedures” classification includes a range of Medicaid-billed services determined by the type of care provided and based on standardized HCPCS and CPT codes. The analysis placed each billing code under a single service category using unified code prefixes and numbered groupings, which allowed related services to be examined collectively, avoiding double counting while keeping historical rankings consistent.

While Medicaid spending rose across different service types, Medicine Services and Procedures led Herscher in total Medicaid payments for 2024.

Across Illinois, Medicine Services and Procedures ranked fifth by total Medicaid payments for the year.

Between 2019 and 2024, Medicaid payments in Herscher for Medicine Services and Procedures grew by $9,450, or 56.4%. Some periods saw more rapid increases, especially in 2021 and 2022.

Spending for care in this category was distributed throughout the city but concentrated in a small number of ZIP codes. In 2024, ZIP code 60941 saw the highest billings for these services, totaling $26,191 alone. This accounted for 100% of Herscher’s Medicaid payments for Medicine Services and Procedures that year.

A limited number of individual billing codes captured the bulk of payments within the Medicine Services and Procedures category.

To put this in perspective, Medicaid payments for this category in Herscher increased 2.2% from 2023 to 2024, matching the 2.2% rise seen in overall Medicaid claim payments across the city for all categories during the same period.

The Centers for Medicare & Medicaid Services reports total Medicaid spending from federal and state sources reached about $871.7 billion in fiscal year 2023, making up roughly 18% of national health expenditures. This is a significant jump from approximately $613.5 billion in 2019 prior to the COVID-19 pandemic.

This rise marks nearly 40% growth in just a few years, primarily due to broader enrollment and higher service use through and after the pandemic period.

Federal budget changes enacted under the Trump administration proposed major rollbacks to Medicaid funding and revised program structure. 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 measures like work requirements and greater cost sharing, which may decrease access and coverage for certain participants. These moves are set to increase the financial responsibility borne by states and may constrain federal Medicaid growth, though the program continues to serve tens of millions of Americans.

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.