Kane reports $298,518 in Medicaid spending on Procedures / Professional Services for 2024

In 2024, Medicaid providers in Kane billed $298,518 for services classified under the Procedures / Professional Services category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 71.8% rise from 2023, when providers billed $173,770 for the same services.

Medicaid, a public health insurance program managed by the states and funded jointly by federal and state governments, covers low-income individuals and families, seniors, children, and people with disabilities. The program is one of the largest segments of the U.S. health care system.

As Medicaid payments are funded by taxpayers, trends in local billing levels reflect how public health care funds are distributed in a given community.

The “Procedures / Professional Services” category includes a set of services billed to Medicaid defined by the nature of care provided, based on standardized HCPCS and CPT code groupings. Each billing code was mapped to a single service category for this analysis, using specific code prefixes and number ranges to group similar services together, prevent duplicate counts, and maintain data consistency over time.

While Medicaid payments increased across various service categories, Procedures / Professional Services ranked second in Kane for total Medicaid spending in 2024.

Statewide in Pennsylvania, Procedures / Professional Services ranked fifth by total Medicaid payments in 2024.

For the five years leading up to 2024, Medicaid payments for Procedures / Professional Services in Kane grew by $298,073, or 66972.1%. Certain periods, such as 2023 and 2021, saw steeper annual growth rates.

Payment data showed that spending for Procedures / Professional Services, while present throughout the city, was concentrated among only a few ZIP codes. In 2024, ZIP code 16735 led with $298,517 in Medicaid payments under this category. In total, the top 1 ZIP codes represented 100% of all Medicaid payments tied to Procedures / Professional Services in Kane for the year.

Payments within the Procedures / Professional Services category were also focused among relatively few billing codes.

Comparatively, Medicaid spending in Kane on Procedures / Professional Services rose 71.8% between 2024 and 2023, exceeding the 62.5% increase seen across all Medicaid claim categories in the city during the same interval.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, which represented about 18% of total national health spending—up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This marks an increase of about 40% in a few years, mainly resulting from expanded enrollment and greater utilization in response to and following the pandemic.

Major federal budget legislation during the Trump administration has introduced measures to reduce federal Medicaid contributions and alter its structure. The “One Big Beautiful Bill Act,” passed in 2025, is expected to cut more than $1 trillion from federal Medicaid funding in the coming decade and adds provisions like work requirements and higher cost-sharing that may reduce both coverage and funding for some Medicaid recipients. These changes could push more costs to state governments and restrict the pace of federal Medicaid funding growth, even as millions of Americans continue to rely on the program.

Note: HCPCS codes are provided for context within the category. The totals and rankings in this article rely on standardized service groupings instead of on individual billing codes.

The information in this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.