Beaver Medicaid payments for alcohol and drug abuse treatment reach $793,162 in 2024

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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Beaver Medicaid providers billed $793,162 for services identified within the Alcohol and Drug Abuse Treatment category during 2024, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount marked a 0.9% rise from 2023, when claims for the same services totaled $786,128.

Medicaid operates as a public health insurance initiative managed by the states with joint funding from both federal and state governments. It serves low-income people and families, older adults, children, and people with disabilities, making it one of the largest sectors in the United States health care landscape.

Since Medicaid funding is sourced from taxpayers, trends in local billing levels reflect how community health care funds are being spent.

The “Alcohol and Drug Abuse Treatment” category entails multiple Medicaid-billed services grouped by the nature of care using standardized HCPCS and CPT code clusters. In this reporting, every billing code was exclusively assigned to a certain service category by relying on consistent code prefixes and numerical patterns. This approach enables grouped service evaluation without double counting, ensuring accurate tracking and ranking over time.

Although there was growth in Medicaid spending across numerous service categories, Alcohol and Drug Abuse Treatment placed eighth in Beaver for total Medicaid disbursements in 2024.

Statewide in Pennsylvania, Alcohol and Drug Abuse Treatment ranked at the top for aggregate Medicaid payments in 2024.

From 2019 to 2024, Medicaid payments linked to Alcohol and Drug Abuse Treatment in Beaver grew by $612,164, or 338.2%. Spending quickened in specific years, particularly during 2020 and 2021, with significant jumps year over year.

Medicaid spending for Alcohol and Drug Abuse Treatment was present citywide, but most payments came from a few ZIP codes. In 2024, ZIP code 15009 generated $793,162 in Medicaid claims for this category. This single ZIP code represented 100% of such Medicaid payments in Beaver for the year.

Paid claims for Alcohol and Drug Abuse Treatment primarily involved a small collection of individual billing codes.

To compare, Medicaid spending on the Alcohol and Drug Abuse Treatment category in Beaver rose by 0.9% from 2023 to 2024. In that same span, all Medicaid claim categories in the city increased by 18.7%.

According to the Centers for Medicare & Medicaid Services, combined spending by federal and state governments for Medicaid hit roughly $871.7 billion in fiscal year 2023. That represented about 18% of all national health expenditures and marked a steep increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This roughly 40% increase over a few years was driven largely by higher enrollment and utilization rates during and after the pandemic.

Recent federal budget changes under the Trump administration brought forward major proposals to scale back federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is forecast to trim more than $1 trillion in federal Medicaid outlays over 10 years. The act introduces polices like work requirements and greater cost-sharing, which could decrease coverage and payments for some individuals. These measures are expected to transfer more financial responsibility to states and restrict federal support growth, even as Medicaid continues to serve millions across America.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Beaver, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $180,998 1212.4%
2021 $1,212,409 569.8%
2022 $1,047,865 -13.6%
2023 $786,128 -25%
2024 $793,162 0.9%
Top Categories by Medicaid Payments in Beaver, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Medical And Surgical Supplies $9,046,115 40.9%
2 National Codes Established for State Medicaid Agencies $3,401,907 15.4%
3 Ambulance and Other Transport Services and Supplies $2,049,229 9.3%
4 Medicine Services and Procedures $2,026,223 9.2%
5 Durable Medical Equipment $1,994,317 9%
6 Evaluation and Management $1,204,973 5.5%
7 Administrative, Miscellaneous and Investigational $901,918 4.1%
8 Alcohol and Drug Abuse Treatment $793,162 3.6%
9 Procedures / Professional Services $441,624 2%
10 Pathology and Laboratory Procedures $167,092 0.8%
11 Radiology Procedures $55,786 0.3%
12 Vision Services $14,225 0.1%
13 Surgery $5,315 <0.1%
14 Dental Services $4,430 <0.1%
15 Enteral and Parenteral Therapy $1,957 <0.1%
16 Temporary National Codes (Non-Medicare) $720 <0.1%
17 Drugs Administered Other than Oral Method $0 <0.1%
17 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Beaver, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
H0036 Comm psy face-face per 15min $268,180 11
H0032 Mh svc plan dev by non-md $233,587 12
H0034 Med trng & support per 15min $188,283 12
H2021 Com wrap-around sv, 15 min $103,110 9

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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