Spring City Medicaid providers bill $3,436,083 for alcohol and drug abuse treatment in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In Spring City, Medicaid providers billed $3,436,083 for services falling under the Alcohol and Drug Abuse Treatment category in 2024, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This represented a 10.5% increase from 2023, when claims for this category reached $3,110,501.

Medicaid is the public health insurance program administered by states and funded by both federal and state governments. Its provisions cover low-income people, individuals with disabilities, seniors, and children—making it a cornerstone of the U.S. health care system.

Fluctuations in Medicaid billing locally reflect shifts in public health funding for communities, as these benefits are provided through taxpayer dollars.

The “Alcohol and Drug Abuse Treatment” category encompasses groups of Medicaid-billed services as defined by type of care and standardized through specific HCPCS and CPT code groupings. Each billing code in this dataset was consistently organized into one category using set prefixes and numeric ranges. This grouping helps prevent service overlap and supports reliable rankings over time.

Among all service categories, Alcohol and Drug Abuse Treatment had the highest total Medicaid payments in Spring City for 2024.

Statewide in Pennsylvania, Alcohol and Drug Abuse Treatment also took the top spot for Medicaid payments in the same year.

Medicaid payments related to Alcohol and Drug Abuse Treatment in Spring City rose $3,193,744—or 1317.9%—over the five years ending in 2024. Certain periods, such as in 2021 and 2022, saw marked annual spending increases in this category.

Although Medicaid spending was present across Spring City, these payments were heavily concentrated in just a few ZIP codes. In 2024, ZIP code 19475 recorded the highest Medicaid payments assigned to Alcohol and Drug Abuse Treatment, totaling $3,436,082. Altogether, the top ZIP code made up 100% of payments in this service category for the area that year.

Spending within Alcohol and Drug Abuse Treatment was also concentrated among a small number of individual billing codes.

Between 2024 and 2023, Medicaid payments for alcohol and drug abuse in Spring City rose by 10.5%. For comparison, all Medicaid claim categories in the city showed a 12.1% change over the same period.

Data from the Centers for Medicare & Medicaid Services indicate that federal and state Medicaid spending reached an estimated $871.7 billion in fiscal 2023, accounting for roughly 18% of national health expenses and jumping from about $613.5 billion in 2019, before the COVID-19 pandemic.

The roughly 40% spending jump over several years stems largely from increased enrollment and health care use during and following the pandemic.

Recent federal budget measures from the Trump administration have contained significant changes to Medicaid funding and structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid funding by more than $1 trillion over a decade, introducing policies like work requirements and higher cost-sharing. These adjustments could decrease the level of federal support and coverage, pushing a greater share of costs onto states as Medicaid continues to assist tens of millions of Americans.

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

Year Total Medicaid Payments % Change From Previous Year
2020 $242,338 –
2021 $2,238,109 823.5%
2022 $3,453,003 54.3%
2023 $3,110,501 -9.9%
2024 $3,436,082 10.5%
Top Categories by Medicaid Payments in Spring City, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $3,436,082 65.2%
2 National Codes Established for State Medicaid Agencies $1,513,306 28.7%
3 Medicine Services and Procedures $319,415 6.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Spring City, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
H0004 Alcohol and/or drug services $2,141,852 12
H0032 Mh svc plan dev by non-md $547,546 12
H0046 Mental health service, nos $513,221 12
H2019 Ther behav svc, per 15 min $233,462 11

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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