In 2024, Medicaid providers in Buffalo Grove billed $1,247,470 for services categorized under National Codes Established for State Medicaid Agencies, U.S. Department of Health and Human Services Medicaid Provider Spending database data shows. This total represents an 8.9% increase from 2023, when claims for this service category amounted to $1,145,006.
Medicaid, managed by states and jointly funded by federal and state governments, serves low-income residents, seniors, children, and people with disabilities, making it a major part of the U.S. health care landscape. More about the funding can be found here.
Public funds support Medicaid, so shifts in local billing help illustrate how public health dollars are distributed locally.
The “National Codes Established for State Medicaid Agencies” category includes a group of Medicaid-billed service types, defined using standard HCPCS and CPT code groupings. Each code was assigned to a distinct service category for the analysis using consistent code ranges and prefixes. This helped keep services organized for accurate groupings and rankings without double counting across time.
Medicaid spending in Buffalo Grove rose across multiple categories, but National Codes Established for State Medicaid Agencies led all others in total Medicaid payments received in 2024.
Statewide, the National Codes Established for State Medicaid Agencies category was also the top Medicaid payment category in Illinois in 2024.
Looking at the five-year period through 2024, Buffalo Grove’s Medicaid payments tied to the National Codes Established for State Medicaid Agencies increased by $226,188, or 22.1%. Spending at times grew more quickly, with significant year-over-year increases noted in both 2020 and 2023.
While these Medicaid payments were distributed across Buffalo Grove, they were mainly concentrated in a few ZIP codes. In 2024, ZIP code 60089 received $1,247,469 in Medicaid payments under the National Codes category. That accounts for 100% of related Medicaid payments in Buffalo Grove for that year across all ZIP codes.
Within the National Codes Established for State Medicaid Agencies category, payments centered on a relatively small group of individual billing codes.
For further context, Medicaid payments in this service category in Buffalo Grove climbed by 8.9% from 2023 to 2024, whereas overall Medicaid claim payments in the city increased 18.1% during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid costs totaled about $871.7 billion in fiscal 2023, making up roughly 18% of all national health spending and rising from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents approximately 40% growth in several years, spurred largely by rising enrollment and higher use during and following the pandemic.
Recent federal budget measures passed under the Trump administration feature proposals for substantial federal Medicaid reductions and restructuring. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next 10 years. This legislation adds policies such as work requirements and expanded cost-sharing, likely reducing coverage and funding for some groups. The changes are expected to place more financial responsibility on states and restrict the rate of federal Medicaid growth, even as the program continues to support millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,021,281 | 9.9% |
| 2021 | $1,058,538 | 3.6% |
| 2022 | $1,064,003 | 0.5% |
| 2023 | $1,145,006 | 7.6% |
| 2024 | $1,247,469 | 8.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $1,247,469 | 51.2% |
| 2 | Ambulance and Other Transport Services and Supplies | $549,489 | 22.6% |
| 3 | Alcohol and Drug Abuse Treatment | $177,368 | 7.3% |
| 4 | Durable Medical Equipment | $128,655 | 5.3% |
| 5 | Medical And Surgical Supplies | $122,651 | 5% |
| 6 | Enteral and Parenteral Therapy | $101,112 | 4.1% |
| 7 | Medicine Services and Procedures | $89,592 | 3.7% |
| 8 | Orthotic Procedures and services | $13,738 | 0.6% |
| 9 | Pathology and Laboratory Procedures | $6,295 | 0.3% |
| 10 | Radiology Procedures | $382 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T4541 | Large disposable underpad | $343,870 | 22 |
| T4535 | Disposable liner/shield/pad | $253,871 | 22 |
| T4527 | Adult size pull-on lg | $241,393 | 10 |
| T4528 | Adult size pull-on xl | $236,712 | 22 |
| T4524 | Adult size brief/diaper xl | $99,594 | 12 |
| T4526 | Adult size pull-on med | $50,118 | 9 |
| T4543 | Adult disp brief/diap abv xl | $19,507 | 7 |
| T4523 | Adult size brief/diaper lg | $2,401 | 2 |
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.


