In 2024, Medicaid providers in Statesville submitted $11,101,319 in claims for services included within the Alcohol and Drug Abuse Treatment category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure is up 19.9% from 2023, when providers billed $9,255,006 for these services.
Medicaid is a government health insurance program overseen by states and funded jointly by federal and state sources. It provides health coverage for those with low incomes, including families, seniors, children, and people with disabilities, making it a significant portion of the U.S. health care landscape.
Since Medicaid is financed through taxpayer money, variations in local billing levels indicate how public health spending is distributed within communities.
The “Alcohol and Drug Abuse Treatment” service group reflects selected Medicaid-billed services grouped by care type, with definitions based on standardized HCPCS and CPT code ranges. To conduct this analysis, each billing code was grouped into a single service category using systematic prefix and number assignments, which enabled consistent reporting by service type and rank without overlap or double counting.
Although multiple Medicaid categories saw increased spending, Alcohol and Drug Abuse Treatment finished 2024 as the second highest service category by total Medicaid payments in Statesville.
Statewide in North Carolina, Alcohol and Drug Abuse Treatment ranked as the fourth largest Medicaid category by total payment in 2024.
Looking over the five years leading up to 2024, total Medicaid payments related to this treatment category in Statesville climbed by $5,171,791—a rise of 87.2%. The rate of growth accelerated during certain times, with marked year-over-year jumps in both 2023 and 2021.
Medicaid expenditures for Alcohol and Drug Abuse Treatment services were distributed throughout Statesville but relied heavily on just a few ZIP codes. In 2024, ZIP code 28625 reported $5,774,126 and 28677 saw $5,327,192 in Medicaid payments for this service type. Combined, these top 2 ZIP codes accounted for 100% of the area’s Medicaid payments for alcohol and drug abuse treatment during the year.
A limited set of individual billing codes represented most Medicaid payments for this treatment category.
Year over year, Statesville saw a 19.9% uptick in Alcohol and Drug Abuse Treatment-affiliated Medicaid payments between 2024 and 2023, outpacing the 3.7% change observed across all Medicaid claim types in the city during the same interval.
According to the Centers for Medicare & Medicaid Services, combined Medicaid spending at the federal and state levels reached around $871.7 billion for fiscal year 2023, roughly 18% of all national health expenditures, up from $613.5 billion in 2019 before the COVID-19 pandemic.
This represents total growth of about 40% over a few years, mainly attributed to increased enrollment and service use during and since the pandemic period.
Federal budget legislation recently enacted under the Trump administration includes broad proposals targeting Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid contributions by over $1 trillion for the coming decade and includes provisions such as work requirements and greater cost-sharing, potentially reducing benefits and funding for certain groups. These measures may increase cost burdens on states and further limit the future growth of federal Medicaid outlays as the program continues serving millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,929,528 | 17.1% |
| 2021 | $7,002,835 | 18.1% |
| 2022 | $6,913,176 | -1.3% |
| 2023 | $9,255,005 | 33.9% |
| 2024 | $11,101,319 | 19.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $25,409,384 | 43.1% |
| 2 | Alcohol and Drug Abuse Treatment | $11,101,319 | 18.8% |
| 3 | National Codes Established for State Medicaid Agencies | $7,478,093 | 12.7% |
| 4 | Temporary National Codes (Non-Medicare) | $7,451,148 | 12.6% |
| 5 | Medicine Services and Procedures | $3,522,188 | 6% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,130,975 | 1.9% |
| 7 | Dental Services | $767,819 | 1.3% |
| 8 | Pathology and Laboratory Procedures | $756,264 | 1.3% |
| 9 | Procedures / Professional Services | $551,991 | 0.9% |
| 10 | Radiology Procedures | $303,975 | 0.5% |
| 11 | Surgery | $127,596 | 0.2% |
| 12 | Drugs Administered Other than Oral Method | $82,891 | 0.1% |
| 13 | Anesthesia | $75,825 | 0.1% |
| 14 | Durable Medical Equipment | $75,690 | 0.1% |
| 15 | Temporary Codes | $42,037 | 0.1% |
| 16 | Medical And Surgical Supplies | $36,820 | 0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $3,457 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0020 | Alcohol and/or drug services | $4,565,390 | 24 |
| H0040 | Assert comm tx pgm per diem | $2,860,403 | 35 |
| H2015 | Comp comm supp svc, 15 min | $1,087,494 | 23 |
| H2022 | Com wrap-around sv, per diem | $980,698 | 17 |
| H2012 | Behav hlth day treat, per hr | $885,973 | 12 |
| H0038 | Self-help/peer svc per 15min | $319,904 | 21 |
| H2025 | Supp maint employ, 15 min | $193,397 | 12 |
| H2011 | Crisis interven svc, 15 min | $112,761 | 12 |
| H0036 | Comm psy face-face per 15min | $95,295 | 12 |
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.
