According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Media submitted $5,142,198 in claims for Alcohol and Drug Abuse Treatment services in 2024. This reflects a 48.2% growth over 2023, when providers billed $3,470,523 for the same service category.
Medicaid, the public health insurance program funded jointly by state and federal governments and administered by the states, serves low-income individuals and families, children, seniors, and people with disabilities, making it a key component of the U.S. health care system.
Since Medicaid is supported by taxpayer dollars, shifts in local billing volumes highlight how community health care funds are utilized.
The “Alcohol and Drug Abuse Treatment” grouping includes a set of services billed to Medicaid, categorized by the care type using standardized HCPCS and CPT code groupings. For this analysis, each billing code was assigned to one service category through consistent code prefixes and numeric ranges, ensuring related types of care are grouped without overlaps and with accurate rankings over time.
Alcohol and Drug Abuse Treatment was the top Medicaid-spending category in Media in 2024, as overall Medicaid expenditures increased across several service groupings.
At the state level in Pennsylvania, Alcohol and Drug Abuse Treatment also ranked first for total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments related to Alcohol and Drug Abuse Treatment in Media rose by $4,894,248, a 1973.9% increase. The growth rate accelerated in some years, with significant year-over-year increases observed in 2020 and 2022.
Spending on Alcohol and Drug Abuse Treatment was seen throughout the city but was heavily concentrated within a small number of ZIP codes. In 2024, ZIP code 19063 accounted for $5,142,197 in Medicaid payments, representing 100% of payments in this treatment category in Media for the year.
Payments within the Alcohol and Drug Abuse Treatment group were similarly focused on a small selection of billing codes.
In comparison, while Alcohol and Drug Abuse Treatment payments in Media rose 48.2% between 2024 and 2023, overall Medicaid spending in the city for all claim categories rose by 25.2% during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled approximately $871.7 billion in fiscal year 2023, making up about 18% of the nation’s total health expenditures. That amount marked a steep climb from about $613.5 billion in 2019, before the COVID-19 pandemic.
This increase represents roughly 40% growth in just a few years, primarily driven by higher enrollment and increased service use during and after the pandemic period.
Recent federal budget measures under the Trump administration have introduced significant proposals to cut federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to reduce federal Medicaid spending by over $1 trillion over 10 years and includes changes such as work requirements and greater cost-sharing that could decrease coverage and funding for some beneficiaries. These policy shifts are expected to move more cost responsibility to states and restrict federal Medicaid growth, while tens of millions of Americans continue to be served by the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $247,949 | 6269.8% |
| 2021 | $629,662 | 153.9% |
| 2022 | $1,689,201 | 168.3% |
| 2023 | $3,470,522 | 105.5% |
| 2024 | $5,142,197 | 48.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $5,142,197 | 33.5% |
| 2 | Medicine Services and Procedures | $4,268,065 | 27.8% |
| 3 | National Codes Established for State Medicaid Agencies | $2,317,990 | 15.1% |
| 4 | Procedures / Professional Services | $1,750,115 | 11.4% |
| 5 | Evaluation and Management | $1,136,547 | 7.4% |
| 6 | Temporary National Codes (Non-Medicare) | $314,750 | 2.1% |
| 7 | Hearing Services | $184,425 | 1.2% |
| 8 | Dental Services | $183,811 | 1.2% |
| 9 | Ambulance and Other Transport Services and Supplies | $27,171 | 0.2% |
| 10 | Pathology and Laboratory Procedures | $10,796 | 0.1% |
| 11 | Radiology Procedures | $2,467 | <0.1% |
| 12 | Surgery | $1,803 | <0.1% |
| 13 | Temporary Codes | $67 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $3 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0032 | Mh svc plan dev by non-md | $2,063,746 | 23 |
| H0015 | Alcohol and/or drug services | $1,274,664 | 12 |
| H2021 | Com wrap-around sv, 15 min | $1,006,665 | 12 |
| H2019 | Ther behav svc, per 15 min | $338,833 | 23 |
| H0035 | Mh partial hosp tx under 24h | $276,748 | 11 |
| H0038 | Self-help/peer svc per 15min | $104,029 | 20 |
| H0020 | Alcohol and/or drug services | $67,371 | 11 |
| H0031 | Mh health assess by non-md | $6,066 | 6 |
| H0047 | Alcohol/drug abuse svc nos | $4,071 | 1 |
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.
