Elgin Medicaid spending on Medicine Services and Procedures surges 3410.4% to $90,357 in 2024

In 2024, Medicaid providers in Elgin billed $90,357 for services under the Medicine Services and Procedures category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 3410.4% jump compared with 2023, when claims reached $2,574 for this service type.

Medicaid, a public health insurance initiative managed by each state and funded through a partnership between federal and state governments, provides coverage for low-income families and individuals, children, seniors, and people with disabilities, making it a key component of the nation’s health care landscape.

Because Medicaid uses taxpayer funding, shifts in billing levels locally indicate how community health care resources are used.

The “Medicine Services and Procedures” designation includes a set of Medicaid-billed services grouped by type of care, using standard HCPCS and CPT code groupings. In this analysis, billing codes were organized into single service categories according to code prefixes and numerical ranges, making it possible to track comparable services together and ensure rankings remained valid over time.

Overall Medicaid spending in Elgin increased for several service categories, with Medicine Services and Procedures placing third by total Medicaid payments in 2024.

Statewide in Oklahoma, Medicine Services and Procedures ranked fourth among all Medicaid spending categories for the same year.

From 2019 through 2024, Medicaid payments associated with Medicine Services and Procedures in Elgin rose by $28,494, or 46.1%. Certain years saw accelerated growth, with significant increases recorded in both 2022 and 2023.

Although these services occurred in locations throughout Elgin, Medicaid payments for Medicine Services and Procedures were mostly concentrated in a small number of ZIP codes. In 2024, ZIP code 73538 comprised $90,356 of payments, and the top ZIP code accounted for 100% of Elgin’s total for this service category that year.

Payments within the Medicine Services and Procedures category remained focused on a small range of individual billing codes.

To compare, Elgin’s Medicaid spending on Medicine Services and Procedures rose by 3410.4% from 2023 to 2024, while citywide Medicaid claims in all categories grew by 16.1% in the same span.

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

This represents around 40% growth in several years, primarily due to enrollment expansion and increased patient utilization during and after the pandemic.

Federal budget legislation enacted during the Trump administration proposed deep Medicaid funding cuts and program changes. The “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over 10 years and introduces work requirements and higher cost-sharing, potentially affecting coverage and funding for certain beneficiaries. These adjustments are expected to pass on more costs to states and slow increases in federal Medicaid support, though the program continues to cover tens of millions nationwide.

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.