In 2024, Medicaid providers in Albion received $592,831 for services under the National Codes Established for State Medicaid Agencies category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This figure represents a 17.5% climb from 2023, when local providers claimed $504,610 for this category.
Medicaid is operated by states and funded in partnership between federal and state governments. It provides coverage to low-income groups, including families, older adults, children, and people with disabilities, making it one of the nation’s largest health care programs.
As Medicaid spending draws on taxpayer sources, local billing trends help illustrate how public health care funds are spent in communities.
The “National Codes Established for State Medicaid Agencies” group consists of Medicaid-billed services defined by the type of care, using unified HCPCS and CPT code ranges. For this research, each billing code fell into a single service group based on its prefix and number, allowing related services to be analyzed together, avoiding overlap and supporting accurate year-to-year comparisons.
Spending on Medicaid services grew in several categories, but National Codes Established for State Medicaid Agencies led all categories in Albion by total payments in 2024.
On a statewide basis, the National Codes Established for State Medicaid Agencies category also held the top spot for total payments in Illinois in 2024.
From 2019 to 2024, Medicaid payments for the National Codes Established for State Medicaid Agencies category in Albion rose by $63,087, or 11.9%. Certain years saw faster growth, with large increases noted for both 2023 and 2020 periods.
Spending for this category occurred throughout the city but was concentrated in a small set of ZIP codes. For 2024, ZIP code 62806 accounted for $592,830. Combined, the top 1 ZIP code represented 100% of Medicaid payments in this category citywide for the year.
Among National Codes Established for State Medicaid Agencies services, most payments were linked to a small proportion of specific billing codes.
Comparing all Medicaid claim categories, the National Codes Established for State Medicaid Agencies category in Albion saw payments jump 17.5% from 2023 to 2024, versus a 13% overall increase across all Medicaid services in the city during the same timeframe.
The Centers for Medicare & Medicaid Services report total federal and state Medicaid expenditures rose to roughly $871.7 billion in fiscal year 2023, about 18% of national health spending, a substantial rise from $613.5 billion in 2019, before COVID-19.
This jump equates to nearly 40% growth in a few years, largely tied to increased enrollment and higher usage through and after the pandemic.
Under recent federal budget legislation advanced during the Trump administration, major moves have been proposed to reduce federal Medicaid allocations and alter the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is set to decrease federal Medicaid spending by more than $1 trillion over 10 years and introduces measures such as work requirements and higher cost-sharing, which could trim benefits and funding for some recipients. These shifts may increase state responsibility for Medicaid costs and curb the pace of federal support, while the program continues to serve tens of millions of people in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $529,744 | 3.2% |
| 2021 | $364,126 | -31.3% |
| 2022 | $288,150 | -20.9% |
| 2023 | $504,609 | 75.1% |
| 2024 | $592,830 | 17.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $592,830 | 97.5% |
| 2 | Ambulance and Other Transport Services and Supplies | $7,665 | 1.3% |
| 3 | Medicine Services and Procedures | $7,626 | 1.3% |
| 4 | Evaluation and Management | $0 | <0.1% |
| 4 | Pathology and Laboratory Procedures | $0 | <0.1% |
| 4 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| T1015 | Clinic service | $592,830 | 24 |
Note: HCPCS codes are given for reference within the group. Category payments and rankings in this article rely on standardized service groupings, not individual codes.
Details in this article come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data source is available here.
