In 2024, Medicaid providers in Bradford billed a total of $5,036,674 for Alcohol and Drug Abuse Treatment services, based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 31% jump from the $3,843,534 in claims reported for the category in 2023.
Medicaid, a public health insurance initiative managed by individual states and financed through federal and state government collaboration, covers low-income residents, seniors, children, and individuals with disabilities, making it one of the nation’s largest health care programs.
Because Medicaid funding is taxpayer-supported, changes to billing volumes within a community illustrate how public health resources are allotted locally.
The “Alcohol and Drug Abuse Treatment” category includes services classified by care type under standardized HCPCS and CPT code groups. For this data analysis, each billing code falls within a single service category using predefined code prefixes and numeric ranges, helping organize related services for comparison, while avoiding overlap and enabling precise yearly rankings.
Bradford saw Alcohol and Drug Abuse Treatment top all other Medicaid payment categories in 2024, outpacing growth seen in other segments.
Statewide in Pennsylvania, Alcohol and Drug Abuse Treatment also led all categories in total 2024 Medicaid payments.
From 2019 to 2024, Bradford’s Medicaid payments for Alcohol and Drug Abuse Treatment services rose by $3,997,454, a 384.7% increase. The fastest periods of growth occurred in 2020 and 2021, when year-over-year gains saw notable acceleration.
Although service payments were delivered citywide, the highest concentrations were in select ZIP code areas. For 2024, ZIP code 16701 made up all Medicaid payments in the Alcohol and Drug Abuse Treatment category for Bradford, totaling $5,036,674. Altogether, this ZIP accounted for 100% of spending within the category.
Within this category, payments remained focused on a narrow range of specific billing codes.
Between 2023 and 2024, Medicaid spending for Alcohol and Drug Abuse Treatment in Bradford grew by 31%, which is more than double the 15.1% citywide growth rate across all Medicaid categories during that interval.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, making up about 18% of overall national health expenditures. That is a sharp climb from roughly $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This increase equates to growth of roughly 40% over a few years, driven by expanded Medicaid rolls and greater use of services during and following the pandemic.
Recent federal budget actions during the Trump administration presented major proposals to trim federal Medicaid spending and overhaul its structure. The “One Big Beautiful Bill Act,” signed in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion over the next decade, introducing elements like work mandates and higher cost-sharing, potentially affecting coverage and funding for some enrollees. As a result, costs are likely to shift to states and limit the expansion of federal Medicaid aid, though the program remains critical for tens of millions across the nation.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,039,219 | 113048.1% |
| 2021 | $2,835,013 | 172.8% |
| 2022 | $2,099,816 | -25.9% |
| 2023 | $3,843,534 | 83% |
| 2024 | $5,036,674 | 31% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $5,036,674 | 82.5% |
| 2 | Medicine Services and Procedures | $360,066 | 5.9% |
| 3 | Evaluation and Management | $243,217 | 4% |
| 4 | Ambulance and Other Transport Services and Supplies | $215,013 | 3.5% |
| 5 | National Codes Established for State Medicaid Agencies | $145,841 | 2.4% |
| 6 | Pathology and Laboratory Procedures | $64,918 | 1.1% |
| 7 | Vision Services | $41,064 | 0.7% |
| 8 | Radiology Procedures | $852 | <0.1% |
| 9 | Temporary Codes | $28 | <0.1% |
| 10 | Drugs Administered Other than Oral Method | $15 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0018 | Alcohol and/or drug services | $3,539,256 | 12 |
| H0039 | Asser com tx face-face/15min | $674,704 | 11 |
| H0004 | Alcohol and/or drug services | $531,767 | 10 |
| H2021 | Com wrap-around sv, 15 min | $159,835 | 5 |
| H0032 | Mh svc plan dev by non-md | $130,635 | 11 |
| H0034 | Med trng & support per 15min | $474 | 5 |
| H0036 | Comm psy face-face per 15min | $0 | 11 |
| H0038 | Self-help/peer svc per 15min | $0 | 11 |
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.
