Urbana providers billed $190,458 to Medicaid for services in the Medicine Services and Procedures category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 21.6% increase from 2023, when local providers filed $156,679 in claims for the same category.
Medicaid is a public health insurance initiative managed by the states with joint federal and state funding. It provides coverage for low-income individuals and families, seniors, children and people with disabilities, and is one of the largest elements of the U.S. health care system.
Oversight of Medicaid payments reflects how taxpayer-funded health care dollars are distributed in a given community.
The Medicine Services and Procedures category groups Medicaid-billed services by care type, using standardized HCPCS and CPT coding systems. In this report, each billing code was matched to one service category using code prefixes and number ranges to ensure that related services are accurately compared and not double-counted through changing rankings.
Medicine Services and Procedures ranked third among service categories in Urbana for total Medicaid payments in 2024, amid overall growth in several categories.
At the state level in Illinois, Medicine Services and Procedures ranked fifth by total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for Medicine Services and Procedures in Urbana climbed by $968,024, or 83.6%. The data show accelerated growth in some years, with particularly strong increases reported for 2023 and 2022.
Spending for the Medicine Services and Procedures category, though located citywide, was heavily concentrated in a few ZIP codes. In 2024, area code 61801 recorded $190,457 in Medicaid payments—making up 100% of Urbana’s total in this service category for the year.
Additionally, a small number of individual billing codes saw a disproportionate share of those Medicaid expenditures within Medicine Services and Procedures.
From 2023 to 2024, Urbana’s Medicine Services and Procedures Medicaid payments increased by 21.6%, outpacing the 12% combined increase recorded across all Medicaid service categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together totaled approximately $871.7 billion in fiscal year 2023, encompassing about 18% of all national health expenditures. This represents a major jump from roughly $613.5 billion in 2019, before the pandemic.
This change amounts to about a 40% increase in a few years, influenced by higher enrollment and greater use of services during and after the pandemic.
Federal budget legislation passed under the Trump administration has introduced significant proposals to reduce federal Medicaid spending and revamp the program. For example, the “One Big Beautiful Bill Act,” signed in 2025, is slated to cut more than $1 trillion from federal Medicaid funds over 10 years, adding work requirements and increased cost-sharing—measures that could restrict access or funding for certain beneficiaries. These policies are expected to shift additional costs to states and slow federal Medicaid support, even as tens of millions continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,158,482 | -64.3% |
| 2021 | $146,883 | -87.3% |
| 2022 | $112,786 | -23.2% |
| 2023 | $156,679 | 38.9% |
| 2024 | $190,457 | 21.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $346,686 | 33.3% |
| 2 | Enteral and Parenteral Therapy | $338,265 | 32.5% |
| 3 | Medicine Services and Procedures | $190,457 | 18.3% |
| 4 | National Codes Established for State Medicaid Agencies | $101,860 | 9.8% |
| 5 | Durable Medical Equipment | $58,229 | 5.6% |
| 6 | Procedures / Professional Services | $2,354 | 0.2% |
| 7 | Evaluation and Management | $2,222 | 0.2% |
| 8 | Medical And Surgical Supplies | $1,265 | 0.1% |
| 9 | Vision Services | $713 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 96158 | Hlth bhv ivntj indiv 1st 30 | $71,849 | 9 |
| 92507 | Tx sp lang voice comm indiv | $45,276 | 10 |
| 92508 | Tx sp lang voice comm group | $15,849 | 9 |
| 90832 | Psytx w pt 30 minutes | $14,653 | 7 |
| 96164 | Hlth bhv ivntj grp 1st 30 | $12,952 | 10 |
| 90791 | Psych diagnostic evaluation | $11,516 | 5 |
| 97535 | Self care mngment training | $11,181 | 9 |
| 92551 | Pure tone hearing test air | $7,179 | 7 |
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.
