Urbana health care providers submitted $190,458 in Medicaid claims for the Medicine Services and Procedures category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 21.6% increase in dollars billed over 2023, when $156,679 in claims for this category were recorded.
Medicaid is a publicly funded health insurance program, jointly supported by federal and state governments. The program serves a broad range of participants, including low-income families and individuals, seniors, children, and people with disabilities, making it a central part of the U.S. health care landscape.
Because Medicaid disbursements are taxpayer-funded, variations in local billing can illuminate how public health resources are deployed in a given community.
The “Medicine Services and Procedures” designation includes several Medicaid-billed services, categorized by care type under standardized HCPCS and CPT codes. In carrying out this analysis, each billing code was assigned to one service grouping, following standard numerical and prefix ranges. This minimized any overlap, supported accurate trend tracking, and enabled direct comparisons over time.
While Medicaid outlays grew in a range of service groups, Medicine Services and Procedures stood as the third-highest category by payment total in Urbana in 2024.
At the state level in Illinois, the Medicine Services and Procedures category placed fifth in terms of Medicaid dollars paid out in 2024.
Between 2019 and 2024, Urbana saw Medicaid payments tied to Medicine Services and Procedures grow by $968,024—a rise of 83.6%. Some of the sharpest increases appeared in year-over-year comparisons within 2022 and 2023.
Though spending for Medicine Services and Procedures occurred citywide, payment amounts in 2024 were focused in a small number of ZIP codes. That year, ZIP code 61801 had the highest total at $190,457, representing 100% of citywide Medicaid payments in this category.
Within the category, a handful of specific billing codes made up the majority of Medicaid payments.
Comparatively, Urbana’s 21.6% growth in Medicine Services and Procedures billing from 2023 to 2024 outpaced the citywide average for all Medicaid service groups, which experienced a 12% increase during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together was approximately $871.7 billion for fiscal year 2023. This made up about 18% of overall U.S. health care expenditures, rising steeply from about $613.5 billion in 2019, before the COVID-19 pandemic started.
This growth marks a roughly 40% jump within several years, mainly attributable to higher enrollment and greater utilization amid the COVID-19 pandemic and subsequent period.
Recent federal budget policy enacted during the Trump administration includes significant proposed reductions for Medicaid’s federal funding structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid over the next 10 years while imposing new rules like work requirements and increased cost-sharing for some beneficiaries. The changes could reduce federal support while shifting greater responsibility to states, even as Medicaid remains critical for millions nationwide.
| 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.
