Malvern’s Medicaid providers reported $25,269,011 in claims for Alcohol and Drug Abuse Treatment services during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represented a 1.6% uptick from 2023, when claims for these services totaled $24,863,628.
Medicaid is a public insurance program overseen by individual states and funded jointly by both state and federal governments. It provides health coverage for low-income people, families, children, seniors and individuals with disabilities, standing as one of the nation’s largest health care funding sources.
Since Medicaid spending is supported by taxpayers, fluctuations in local billing levels indicate how community health care resources are spent.
The “Alcohol and Drug Abuse Treatment” category encompasses a range of Medicaid-billed services classified by care type under established HCPCS and CPT codes. For analytical purposes, billing codes were grouped into a single service category using standardized code prefixes and number ranges. This method allowed consistent tracking and ranking of related services while preventing double counting.
Spending in several Medicaid service areas grew over this period, but Alcohol and Drug Abuse Treatment accounted for the highest total Medicaid payments in Malvern in 2024.
Alcohol and Drug Abuse Treatment also ranked as the leading Medicaid payment category statewide in Pennsylvania in 2024.
Medicaid payments for Alcohol and Drug Abuse Treatment in Malvern rose by $22,710,382, or 887.6%, over the five years leading up to 2024. Several strong year-over-year spending gains were recorded, especially in 2021 and 2022.
While Alcohol and Drug Abuse Treatment spending occurred throughout Malvern, the bulk of payments came from a small number of ZIP codes. In 2024, payments tied to ZIP code 19355 reached a total of $25,269,011. This area represented 100% of Medicaid payments for this category in Malvern during the year.
Within the broader Alcohol and Drug Abuse Treatment category, Medicaid spending was focused on a handful of key billing codes.
Between 2023 and 2024, Medicaid payments for Alcohol and Drug Abuse Treatment increased 1.6% in Malvern, compared with a 1.4% overall rise for all Medicaid claim categories locally in the same frame.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled about $871.7 billion in fiscal 2023, making up approximately 18% of total U.S. health spending, a significant jump from $613.5 billion in 2019, prior to COVID-19.
The roughly 40% surge in expenditures over a few years is attributed largely to growth in enrollment and greater utilization prompted by the pandemic and its aftermath.
Federal budget measures passed during the Trump administration incorporated extensive plans for Medicaid restructuring and reductions in federal financing. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid spending by more than $1 trillion across the next decade, instating provisions such as work obligations and greater cost-sharing for beneficiaries. These changes are forecast to transfer higher costs to states and curb federal Medicaid expansions, even as the program remains essential for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,558,628 | – |
| 2021 | $16,040,689 | 526.9% |
| 2022 | $24,087,534 | 50.2% |
| 2023 | $24,863,628 | 3.2% |
| 2024 | $25,269,011 | 1.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $25,269,011 | 62.5% |
| 2 | Medicine Services and Procedures | $13,619,258 | 33.7% |
| 3 | Evaluation and Management | $414,946 | 1% |
| 4 | Enteral and Parenteral Therapy | $355,723 | 0.9% |
| 5 | National Codes Established for State Medicaid Agencies | $297,097 | 0.7% |
| 6 | Surgery | $232,572 | 0.6% |
| 7 | Durable Medical Equipment | $81,168 | 0.2% |
| 8 | Temporary National Codes (Non-Medicare) | $64,389 | 0.2% |
| 9 | Procedures / Professional Services | $63,122 | 0.2% |
| 10 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $28,890 | 0.1% |
| 11 | Ambulance and Other Transport Services and Supplies | $26,035 | 0.1% |
| 12 | Pathology and Laboratory Procedures | $1,023 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2036 | A/d tx program, per diem | $21,999,533 | 24 |
| H0013 | Alcohol and/or drug services | $3,009,066 | 24 |
| H0004 | Alcohol and/or drug services | $260,411 | 8 |
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.
