Medicaid spending for Vision Services grows 24.7% in East Dundee for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, East Dundee Medicaid providers billed $30,886 for Vision Services in 2024. This was a 24.7% increase from 2023, when billing totaled $24,767 for this service category.

Medicaid, a public health insurance program administered by the states and funded by both federal and state governments, provides coverage for low-income individuals and families, seniors, children and people with disabilities. This makes it one of the largest sectors of the U.S. health care system.

Local changes in Medicaid billing levels reflect how public health care funding is directed within communities, since these payments are sourced from taxpayers.

The “Vision Services” category groups Medicaid claims by care type, using standardized HCPCS and CPT code classifications. Each service code for this report was assigned to a specific category through consistent code prefixes and prespecified number ranges. This method examines similar services together while avoiding duplication and maintaining accurate trends over time.

Among service types, Vision Services led Medicaid payments in East Dundee for 2024.

Statewide in Illinois, Vision Services finished 15th among all Medicaid service categories by total payment volume that year.

Between 2020 and 2024, Medicaid disbursements involving Vision Services in East Dundee grew by $24,312, or 369.8%. Some years posted significant increases, especially 2022 and 2023.

Although Vision Services payments were distributed throughout the city, a limited number of ZIP codes received the highest Medicaid amounts for this category in 2024. Notably, ZIP code 60118 accounted for $30,885, capturing 100% of category billing in East Dundee for the year.

Payment activity related to Vision Services was also focused within a small set of billing codes.

Vision Services Medicaid payments in East Dundee rose by 24.7% from 2023 to 2024, while all claim categories citywide saw a collective 22.5% change in the same time frame.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending totaled approximately $871.7 billion during fiscal year 2023, representing about 18% of total U.S. health expenditures—up sharply from $613.5 billion in 2019, before the COVID-19 pandemic.

This surge equates to around 40% growth over several years, mainly driven by expanded enrollment and greater use of services during and following the pandemic.

Recently enacted federal budget legislation during the Trump administration has featured major proposals to decrease federal Medicaid outlays and remodel the program. The “One Big Beautiful Bill Act,” became law in 2025, is poised to cut about $1 trillion from federal Medicaid spending in the next decade and implements measures such as work mandates and more cost-sharing. These provisions may reduce coverage and financial assistance for certain beneficiaries, placing a greater financial burden on states even as Medicaid continues to cover tens of millions of Americans.

Medicaid Payments Tied to Vision Services in East Dundee, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $6,574 -36.9%
2021 $946 -85.6%
2022 $10,375 996.2%
2023 $24,766 138.7%
2024 $30,885 24.7%
Top Categories by Medicaid Payments in East Dundee, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Vision Services $30,885 10<0.1%
Top 20 HCPCS Codes Within the Vision Services Category in East Dundee, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
V2020 Vision svcs frames purchases $19,693 12
V2103 Spherocylindr 4.00d/12-2.00d $7,958 11
V2100 Lens spher single plano 4.00 $2,001 6
V2104 Spherocylindr 4.00d/2.12-4d $1,232 4

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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