Hoopeston Medicaid payments for state Medicare codes rise 7.4% in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Hoopeston Medicaid providers billed $903,134 for services in the National Codes Established for State Medicaid Agencies category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 7.4% gain from 2023, when billings for those services reached $840,878.

Medicaid, a state-run program jointly financed by federal and state governments, insures low-income individuals and families, children, seniors, and those with disabilities. It remains a central part of the nation’s health system.

Because taxpayer funds support Medicaid, changes in community billing levels indicate how public health care dollars are spent in local areas.

The National Codes Established for State Medicaid Agencies category includes a range of Medicaid services classified by type of care, with assignments based on standardized HCPCS and CPT code prefixes and numbers. This method ensures similar services are grouped together, removes duplicate counts, and maintains accurate historical rankings.

Among service categories, National Codes Established for State Medicaid Agencies registered the highest total Medicaid payments in Hoopeston in 2024.

Statewide in Illinois, the National Codes Established for State Medicaid Agencies category was also ranked first by total Medicaid payments for 2024.

From 2019 through 2024, Medicaid payments for this category in Hoopeston grew by $139,652, or 18.3%. Certain periods, including 2022 and 2023, saw especially rapid increases from the preceding year.

Most payments for care in this category went to a small group of ZIP codes in the city. In 2024, ZIP code 60942 led with $903,134, accounting for 100% of Medicaid payment volume for this group in Hoopeston that year.

A narrow band of billing codes also received the majority of Medicaid payments within this category in the city.

To compare, Medicaid payments tied to the National Codes Established for State Medicaid Agencies in Hoopeston climbed 7.4% between 2024 and 2023, while all Medicaid claim categories combined increased 6.3% in the city during that period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, representing about 18% of total national health spending, up sharply from $613.5 billion in 2019 prior to the COVID-19 pandemic.

This change amounts to a growth of roughly 40% over just a few years, primarily driven by expanded program enrollment and increased use during and after the pandemic.

Legislation under the Trump administration has brought proposals to restructure Medicaid and reduce federal support. The “One Big Beautiful Bill Act,” signed in 2025, is expected to cut above $1 trillion in federal Medicaid spending during the next decade, introducing work requirements and higher client cost-sharing. These policies could lower coverage levels and funding for some beneficiaries, shifting additional cost obligations to states even as Medicaid remains a critical lifeline for tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $763,481 -33.7%
2021 $693,710 -9.1%
2022 $823,953 18.8%
2023 $840,878 2.1%
2024 $903,134 7.4%
Top Categories by Medicaid Payments in Hoopeston, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $903,134 91.8%
2 Medicine Services and Procedures $80,191 8.2%
3 Evaluation and Management $0 <0.1%
3 Pathology and Laboratory Procedures $0 <0.1%
3 Procedures / Professional Services $0 <0.1%
3 Surgery $0 <0.1%
Top 20 HCPCS Codes Within the National Codes Established for State Medicaid Agencies Category in Hoopeston, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
T1015 Clinic service $903,134 24

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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