Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Monroe billed a total of $908,787 for Alcohol and Drug Abuse Treatment services in 2024. This amount represents a 48.7% jump from 2023, when claims for this category totaled $611,241.
Medicaid, administered by states and funded by both federal and state governments, insures eligible low-income individuals, including families, seniors, children, and people with disabilities. The program is among the largest components of the nation’s health care system.
Medicaid payments, derived from taxpayer funding, reflect how a community allocates its public health dollars as billing levels fluctuate.
The “Alcohol and Drug Abuse Treatment” classification encompasses services billed to Medicaid, organized by care type and standardized under select HCPCS and CPT codes. For this analysis, service categories were assigned based on consistent billing code prefixes and numeric ranges to group related services together without duplication and to maintain accurate rankings over time.
Among several growing service categories, Alcohol and Drug Abuse Treatment held the second-highest Medicaid payment ranking in Monroe in 2024.
Statewide, Alcohol and Drug Abuse Treatment was ranked fourth by Medicaid payments in Washington in 2024.
From five years prior to 2024, Monroe’s Medicaid payments for Alcohol and Drug Abuse Treatment rose by $896,516, a 7306.2% surge. Significant increases occurred during select years, notably in 2023 and 2022.
While these Medicaid payments covered care throughout Monroe, a small number of ZIP codes received the bulk of allocations. In 2024, ZIP code 98272 alone was responsible for $908,786, with the top 1 ZIP codes making up 100% of Monroe’s Medicaid payments for Alcohol and Drug Abuse Treatment that year.
Most Medicaid payments within this category focused on a few specific billing codes.
Between 2024 and 2023, Medicaid payments tied to Alcohol and Drug Abuse Treatment in Monroe grew by 48.7%, compared with 4.6% growth across all Medicaid claim types citywide during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined totaled about $871.7 billion in fiscal year 2023—approximately 18% of all national health expenditures—and sharply increased from nearly $613.5 billion in 2019, before the COVID-19 pandemic.
This lift marks about 40% growth over a few years, largely attributed to greater enrollment and increased usage through and following the pandemic.
Recent federal budget acts during the Trump administration have included plans for major reductions in federal Medicaid funding and structural changes to the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to decrease federal Medicaid spending by more than $1 trillion over 10 years and instate policies such as work requirements and more cost sharing, which could limit coverage and funding for some enrollees. These provisions are anticipated to shift additional costs to states and curb the growth of federal Medicaid support, while the program continues to cover tens of millions of people in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $12,270 | 722% |
| 2021 | $3,570 | -70.9% |
| 2022 | $30,553 | 755.8% |
| 2023 | $611,240 | 1900.6% |
| 2024 | $908,786 | 48.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $2,214,336 | 40.5% |
| 2 | Alcohol and Drug Abuse Treatment | $908,786 | 16.6% |
| 3 | National Codes Established for State Medicaid Agencies | $717,149 | 13.1% |
| 4 | Medicine Services and Procedures | $594,240 | 10.9% |
| 5 | Dental Services | $352,360 | 6.4% |
| 6 | Radiology Procedures | $338,021 | 6.2% |
| 7 | Ambulance and Other Transport Services and Supplies | $166,533 | 3% |
| 8 | Pathology and Laboratory Procedures | $137,756 | 2.5% |
| 9 | Procedures / Professional Services | $23,802 | 0.4% |
| 10 | Drugs Administered Other than Oral Method | $8,669 | 0.2% |
| 11 | Surgery | $4,230 | 0.1% |
| 12 | Medical And Surgical Supplies | $2,730 | <0.1% |
| 13 | Temporary Codes | $1,585 | <0.1% |
| 14 | Coronavirus Diagnostic Panel | $865 | <0.1% |
| 15 | Temporary National Codes (Non-Medicare) | $14 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $1 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0018 | Alcohol and/or drug services | $903,983 | 10 |
| H0046 | Mental health service, nos | $2,816 | 8 |
| H0004 | Alcohol and/or drug services | $1,987 | 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.