Kirkland Medicaid payments for Medicine Services and Procedures climb to $104,831 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Kirkland billed a total of $104,831 for services included in the Medicine Services and Procedures category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 65.5% increase from the $63,340 reported for the same services in 2023.

Medicaid is a state-administered public health insurance program jointly financed by federal and state governments. It provides coverage to low-income individuals and families, older adults, children, and people with disabilities, making it a significant component of the U.S. health care framework.

Since Medicaid funding is sourced from taxpayers, changes in billing at the local level highlight how community health care resources are distributed.

The “Medicine Services and Procedures” category includes a variety of Medicaid-billed services defined by the specific care provided, organized by standardized HCPCS and CPT code groupings. Each billing code used in this analysis was sorted into a single service category based on consistent code prefixes and numerical ranges, enabling accurate year-to-year comparisons and eliminating duplicate counts.

Several service categories saw increases in Medicaid spending, but Medicine Services and Procedures led all Medicaid payment categories in Kirkland in 2024.

Statewide, the Medicine Services and Procedures category ranked fifth by total Medicaid spending in Illinois for 2024.

From 2019 to 2024, Kirkland Medicaid spending for Medicine Services and Procedures rose by $102,553, totaling a 4502.7% increase. This growth was especially pronounced during certain years, with significant annual spending jumps noted in both 2022 and 2023.

While Medicaid payments for services in this category spanned much of Kirkland, a small number of ZIP codes dominated overall expenditures. In 2024, ZIP code 60146 accounted for the entire $104,831 in Medicaid payments for Medicine Services and Procedures within Kirkland, making up 100% of total payments in the category.

Within the Medicine Services and Procedures category itself, most Medicaid reimbursements were concentrated in a small subset of billing codes.

When compared with citywide Medicaid payments across all categories, spending related to Medicine Services and Procedures in Kirkland increased by 65.5% from 2023 to 2024, closely mirroring the 65.3% increase seen in total Medicaid claims during the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in the 2023 fiscal year, making up nearly 18% of national health spending and rising sharply from about $613.5 billion in 2019, before the impact of the COVID-19 pandemic.

This surge amounts to around 40% growth over just a few years, largely fueled by increased enrollment and greater utilization during and in the aftermath of the pandemic.

Recent federal budget actions under the Trump administration have put forward major changes to lower federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is anticipated to reduce federal Medicaid outlays by more than $1 trillion over 10 years, implementing measures such as work requirements and greater cost-sharing that could lead to reduced coverage or funding for some recipients. These adjustments are expected to shift more financial responsibility to states and cap the expansion of federal Medicaid aid, even as millions continue to rely on the program.

Medicaid Payments Tied to Medicine Services and Procedures in Kirkland, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,277 -67.2%
2021 $2,830 24.3%
2022 $20,042 608%
2023 $63,340 216%
2024 $104,831 65.5%
Top Categories by Medicaid Payments in Kirkland, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $104,831 10<0.1%
Top 20 HCPCS Codes Within the Medicine Services and Procedures Category in Kirkland, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
97530 Therapeutic activities $104,831 43

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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