In 2024, providers in Pineville billed Medicaid $8,680,113 for services under the Alcohol and Drug Abuse Treatment category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. Compared with 2023, when claims totaled $7,496,535 for this service type, this represents an increase of 15.8%.
Medicaid, a state-run and jointly federally funded public health insurance program, covers low-income people and families, as well as seniors, children and individuals with disabilities. It remains one of the nation’s largest health care programs and systems. More details on funding are available from the Commonwealth Fund.
Since Medicaid payments derive from taxpayers, tracking changes in local billing levels helps illuminate how public health financing is distributed in a region.
The Alcohol and Drug Abuse Treatment category represents a collection of Medicaid-billed services grouped by type of care using standardized HCPCS and CPT code frameworks. For this analysis, billing codes were each placed in a defined category through use of code prefixes and numeric ranges, which ensures consistent grouping, prevents double counting, and keeps rankings accurate over time.
Spending for Alcohol and Drug Abuse Treatment was the second-highest Medicaid payment category in Pineville in 2024, though multiple service categories also saw increased spending.
Statewide, Alcohol and Drug Abuse Treatment held the fourth spot among Medicaid payment categories in Louisiana in 2024.
Between 2019 and 2024, Medicaid payments connected to the Alcohol and Drug Abuse Treatment category grew by $5,712,280—or 192.5%—in Pineville. Periods of accelerated spending growth emerged, with notable jumps recorded year over year in 2020 and 2021.
Although spending for Alcohol and Drug Abuse Treatment care was citywide, the bulk of 2024 payments were concentrated within a few ZIP codes. ZIP code 71360 led all others, accounting for $8,680,113, and made up 100% of Pineville’s Medicaid payments for this category during 2024.
Within this category, Medicaid spending focused on a narrow set of billing codes.
For context, the 15.8% gain in Alcohol and Drug Abuse Treatment Medicaid payments in Pineville between 2024 and 2023 far outpaced the 1.7% increase across all Medicaid claim categories locally over the same time frame.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached about $871.7 billion in the 2023 fiscal year, representing approximately 18% of national health expenditures. This is up substantially from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise marks an estimated 40% increase within several years, attributed largely to expansion in enrollment and greater service utilization during the pandemic and its aftermath.
Recent federal budget measures during the Trump administration have put forward major plans to scale back federal Medicaid funding and alter how the program is structured. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut more than $1 trillion from federal Medicaid outlays over the next decade, bringing changes such as work requirements and increased cost-sharing that may reduce coverage and government funding for some participants. Such provisions are likely to shift a greater share of spending to states, restraining federal Medicaid growth even as the program serves millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,967,833 | 207.6% |
| 2021 | $5,953,917 | 100.6% |
| 2022 | $4,310,024 | -27.6% |
| 2023 | $7,496,534 | 73.9% |
| 2024 | $8,680,113 | 15.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $10,298,315 | 36.9% |
| 2 | Alcohol and Drug Abuse Treatment | $8,680,113 | 31.1% |
| 3 | National Codes Established for State Medicaid Agencies | $7,048,079 | 25.2% |
| 4 | Evaluation and Management | $1,658,570 | 5.9% |
| 5 | Pathology and Laboratory Procedures | $184,751 | 0.7% |
| 6 | Dental Services | $40,498 | 0.1% |
| 7 | Medicine Services and Procedures | $13,365 | <0.1% |
| 8 | Surgery | $9,011 | <0.1% |
| 9 | Vision Services | $5,760 | <0.1% |
| 10 | Radiology Procedures | $4,948 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $987 | <0.1% |
| 12 | Durable Medical Equipment | $190 | <0.1% |
| 13 | Medical And Surgical Supplies | $51 | <0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 15 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2036 | A/d tx program, per diem | $7,638,588 | 27 |
| H2020 | Ther behav svc, per diem | $389,100 | 61 |
| H0011 | Alcohol and/or drug services | $385,193 | 12 |
| H0015 | Alcohol and/or drug services | $124,820 | 8 |
| H2017 | Psysoc rehab svc, per 15 min | $97,028 | 13 |
| H0001 | Alcohol and/or drug assess | $33,402 | 23 |
| H0036 | Comm psy face-face per 15min | $11,979 | 5 |
| H0033 | Oral med adm direct observe | $0 | 5 |
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.
