Alcohol and drug abuse treatment Medicaid reimbursements more than double in Troutman for 2024

In 2024, Medicaid providers in Troutman billed a total of $413,916 for services under the Alcohol and Drug Abuse Treatment category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects an increase of 104.2% from 2023, when Medicaid claims for these services totaled $202,744.

Medicaid, a public health insurance initiative, is managed by each state and receives joint funding from federal and state governments together. The program serves low-income people and families, seniors, children, and individuals with disabilities, making it a major segment of the U.S. health care system.

Because Medicaid is financed by taxpayers, changes in local billing help demonstrate how public health care funding is spent at the community level.

The “Alcohol and Drug Abuse Treatment” category includes a collection of Medicaid-eligible services, defined by specific care standards and grouped using consistent HCPCS and CPT code ranges. Each billing code for this analysis was assigned to a particular service category based on its code prefix and numeric sequence. This method ensures that only directly related services are grouped, eliminates duplication, and allows payment comparisons over time.

Although Medicaid expenditures increased in several service areas, Alcohol and Drug Abuse Treatment was the second largest category for Medicaid reimbursements in Troutman for 2024.

Statewide in North Carolina, the Alcohol and Drug Abuse Treatment category ranked fourth by total Medicaid payments during 2024.

Over the five-year period preceding 2024, Troutman saw a $396,701 or 2304.5% increase in Medicaid payments for Alcohol and Drug Abuse Treatment services. Certain years, including 2022 and 2023, saw more rapid growth.

While Alcohol and Drug Abuse Treatment spending occurred throughout Troutman, most payments were tied to just a few ZIP codes. ZIP code 28166 alone accounted for $413,915 in Medicaid dollars for this service category in 2024. The leading ZIP code represented 100% of Medicaid spending in Troutman for these services for the year.

Medicaid disbursements within the Alcohol and Drug Abuse Treatment field were largely concentrated among a handful of specific billing codes.

To compare, the 104.2% Medicaid payment increase tied to Alcohol and Drug Abuse Treatment in Troutman between 2024 and 2023 contrasted with a 7.8% growth rate observed across all Medicaid claim categories in the city.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, accounting for about 18% of all national health spending, a sharp rise from nearly $613.5 billion in 2019, before the COVID-19 pandemic hit.

This growth totals around 40% over just a few years, attributed mainly to rising enrollment and greater service use during and following the pandemic era.

Recent federal budget actions under the Trump administration have put forward notable plans to reduce Medicaid funding and restructure the system. For instance, the “One Big Beautiful Bill Act,” which became law in 2025, seeks to cut more than $1 trillion in federal Medicaid funding over 10 years. It implements requirements such as mandated work participation and higher cost-sharing, changes expected to reduce both coverage and funding for some beneficiaries. As these new policies take effect, states may shoulder a greater share of costs even as Medicaid continues to provide coverage for millions.

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.