Illinois Medicaid Spending
Illinois's Medicaid program paid $3.21B across 11 providers from 2018–2024. 18 providers in Illinois are flagged on our risk watchlist. The top procedure code is A0427 (Ambulance, ALS emergency transport Level 1) at $868.4M.
Total Spending
$3.21B
Total Claims
66.0M
Top Providers
11
Beneficiaries
52.0M
Flagged Providers
18
on risk watchlist
Avg Per Provider
$291.7M
across 11 providers
Yearly Spending Trend
Top Providers in Illinois
City of Chicago
Ambulance · Chicago
$1.23B
1.6M claims
Quest Diagnostics LLC IL
Clinical Medical Laboratory · Wood Dale
$429.8M
29.3M claims
Intelliride LLC
Transportation Broker · Lombard
$297.9M
4.6M claims
Medline Industries, LP
Durable Medical Equipment & Medical Supplies · Grayslake
$233.1M
6.9M claims
Orsini Pharmaceutical Services LLC
Pharmacy Specialty Pharmacy · Elk Grove Village
$187.5M
30K claims
Henry Ford Health St. John Hospital
Clinic/Center, Ambulatory Surgical · Chicago
$159.4M
6.9M claims
Erie Family Health Center, INC
Clinic/Center, Federally Qualified Health Center ( · Chicago
$143.6M
2.8M claims
Trilogy, Inc.
Clinic/Center, Community Health · Chicago
$143.5M
1.4M claims
Byram Healthcare Centers, Inc.
Durable Medical Equipment & Medical Supplies · Downers Grove
$142.3M
2.7M claims
The Board of Education of the City of Chicago
Local Education Agency (LEA) · Chicago
$123.5M
6.9M claims
Access Community Health Network
Clinic/Center, Federally Qualified Health Center ( · Chicago
$122.7M
2.9M claims
Flagged Providers in Illinois
City of Chicago
$1.23B
3 flags
Intelliride LLC
$297.9M
3 flags
Orsini Pharmaceutical Services LLC
$187.5M
2 flags
Quest Diagnostics LLC Il
$429.8M
1 flag
Medline Industries, LP
$233.1M
1 flag
Advantage Nursing Services INC
$80.1M
1 flag
Help at Home, LLC
$67.2M
1 flag
City of Rockford
$63.7M
1 flag
Individual Advocacy Group
$30.2M
1 flag
US Medical Labs INC
$12.5M
1 flag
Showing 10 of 18 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Illinois
| Code | Total Paid |
|---|---|
| A0427 Ambulance, ALS emergency transport Level 1 | $868.4M |
| A0429 Ambulance, BLS emergency transport | $345.4M |
| T1015 Clinic visit/encounter, all-inclusive | $258.0M |
| A0425 Ground mileage, per statute mile | $125.2M |
| J1428 Eteplirsen (Exondys 51) injection, 10 mg | $92.3M |
| A0120 Non-emergency mini-bus transport | $78.6M |
| A0434 Ambulance, specialty care transport | $74.6M |
| J1426 Casimersen (Amondys 45) injection, 10 mg | $65.6M |
| H0039 Assertive community treatment, per diem | $49.1M |
| H2016 Comprehensive community support services, per 15 min | $31.3M |
| G0480 Drug test, definitive, 1-7 drug classes | $29.0M |
| U0003 Infectious disease detection (COVID-19) | $27.4M |
| 87491 Chlamydia detection, nucleic acid, amplified probe | $26.8M |
| 87591 Neisseria gonorrhoeae detection, nucleic acid, amplified probe | $26.7M |
| 80307 Drug test, presumptive, by chemistry analyzers | $26.5M |