In 2024, Mount Airy Medicaid providers invoiced $1,637,503 for Alcohol and Drug Abuse Treatment services, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 25% rise from 2023, when claims for these services totaled $1,310,466.
Medicaid, operated by states with federal and state funding, supports health care for low-income individuals, seniors, children, and people with disabilities. The program is a major component of the national health care structure. For additional details, see this explainer.
As Medicaid expenditures rely on taxpayer funding, shifts in local billing amounts indicate how public health dollars are directed within Mount Airy.
The “Alcohol and Drug Abuse Treatment” category encompasses services defined by care type, based on HCPCS and CPT code groupings. Billing codes were each assigned to a distinct category using consistent prefixes and numerical ranges, allowing for targeted service analysis and ensuring there is no double counting while maintaining appropriate timing comparisons.
Overall Medicaid expenditures rose for several service groups. In 2024, Alcohol and Drug Abuse Treatment was the third-largest category by Medicaid payments in Mount Airy.
Across North Carolina, this category placed fourth in total Medicaid expenditures for 2024.
From 2019 to 2024, Medicaid spending attributed to the Alcohol and Drug Abuse Treatment category in Mount Airy increased by $869,346, or 113.2%. The pace of spending was elevated at certain intervals, including notable jumps in 2021 and 2022.
While services in this category were provided throughout Mount Airy, a significant share of Medicaid expenditures was concentrated in just a few ZIP codes. In 2024, ZIP code 27030 accounted for all $1,637,503 in Alcohol and Drug Abuse Treatment Medicaid payments. This single ZIP code collectively represented 100% of Mount Airy payments for these services in that year.
Within the Alcohol and Drug Abuse Treatment group, payments clustered among select billing codes.
To compare, payments for Alcohol and Drug Abuse Treatment in Mount Airy rose 25% from 2023 to 2024, while total Medicaid spending across all categories increased only 0.2% locally during this time.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending nationally—funded by federal and state governments—approached $871.7 billion in the 2023 fiscal year, making up around 18% of all U.S. health expenditures, and marking a substantial jump from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This near 40% increase over several years stemmed largely from enrollment expansion and higher service usage amid and after the pandemic.
Recent federal budget laws enacted under the Trump administration featured significant plans to decrease federal Medicaid contributions and revise the program structure. The “One Big Beautiful Bill Act,” passed in 2025, is set to cut federal Medicaid funding by more than $1 trillion over a decade, with rule changes such as work mandates and increased cost-sharing, which may reduce both coverage and funds for some enrollees. As a result, additional expenses could shift to state governments and place constraints on the growth of federal Medicaid aid, even as the program continues to cover tens of millions of people nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $768,157 | -25.2% |
| 2021 | $1,089,462 | 41.8% |
| 2022 | $1,235,613 | 13.4% |
| 2023 | $1,310,466 | 6.1% |
| 2024 | $1,637,503 | 25% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $4,263,486 | 33.1% |
| 2 | Medicine Services and Procedures | $2,313,950 | 17.9% |
| 3 | Alcohol and Drug Abuse Treatment | $1,637,503 | 12.7% |
| 4 | Temporary National Codes (Non-Medicare) | $1,283,078 | 1<0.1% |
| 5 | Pathology and Laboratory Procedures | $973,155 | 7.5% |
| 6 | Radiology Procedures | $873,119 | 6.8% |
| 7 | National Codes Established for State Medicaid Agencies | $505,449 | 3.9% |
| 8 | Dental Services | $439,585 | 3.4% |
| 9 | Ambulance and Other Transport Services and Supplies | $406,554 | 3.2% |
| 10 | Procedures / Professional Services | $88,394 | 0.7% |
| 11 | Temporary Codes | $50,930 | 0.4% |
| 12 | Drugs Administered Other than Oral Method | $33,826 | 0.3% |
| 13 | Surgery | $25,676 | 0.2% |
| 14 | Administrative, Miscellaneous and Investigational | $97 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0040 | Assert comm tx pgm per diem | $1,179,703 | 12 |
| H2015 | Comp comm supp svc, 15 min | $239,257 | 18 |
| H0038 | Self-help/peer svc per 15min | $109,997 | 7 |
| H0015 | Alcohol and/or drug services | $69,324 | 7 |
| H2023 | Supported employ, per 15 min | $39,145 | 1 |
| H0033 | Oral med adm direct observe | $75 | 4 |
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.
