Sayre Medicaid providers billed $2,024,823 for alcohol and drug abuse treatment in 2024

Sayre Medicaid providers billed $2,024,823 in 2024 for services categorized as Alcohol and Drug Abuse Treatment, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was up 6363.1% from 2023, when the total for these services was $31,329.

Medicaid is a state-run public health insurance program funded jointly by federal and state governments. The program provides coverage to low-income people and families, seniors, children, and individuals with disabilities, making it one of the largest components of the U.S. health care system.

Because taxpayer dollars finance Medicaid payments, variations in local billing highlight how public health care resources are distributed in a given community.

The Alcohol and Drug Abuse Treatment group includes services billed to Medicaid based on care type, classified by standardized HCPCS and CPT code groupings. For this report, each billing code was assigned to one service category using set code prefixes and ranges, ensuring related services are evaluated together, avoiding duplication and maintaining consistent rankings over time.

While multiple service categories reported higher Medicaid spending, Alcohol and Drug Abuse Treatment was the third-largest category by total payments in Sayre for 2024.

Statewide, in Pennsylvania, Alcohol and Drug Abuse Treatment led all categories by total Medicaid payments in 2024.

In the five years through 2024, Medicaid payments for the Alcohol and Drug Abuse Treatment category in Sayre rose by $2,006,742, or 11098.6%. Some years, such as 2023 and 2021, saw especially large increases in spending.

Although the payments covered care across Sayre, the majority were concentrated in a few ZIP codes. In 2024, 18840 accounted for the full $2,024,823 in Medicaid payments for this treatment category. The top 1 ZIP code represented 100% of Alcohol and Drug Abuse Treatment Medicaid spending in Sayre for the year.

Medicaid payments for Alcohol and Drug Abuse Treatment services were also focused on a small number of billing codes.

To compare, Medicaid payments for this service category in Sayre surged by 6363.1% between 2024 and 2023, while total claims for all Medicaid services in the city rose 24.3% during the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled approximately $871.7 billion in fiscal year 2023—about 18% of total national health costs—which is a sharp increase from $613.5 billion in 2019, before the COVID-19 pandemic.

This represents roughly 40% growth over a few years, largely the result of increased enrollment and higher utilization during and after the pandemic.

Recent federal budget measures under the Trump administration included major proposals to trim federal Medicaid spending and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to decrease federal Medicaid outlays by more than $1 trillion over the next decade and introduces work requirements and cost-sharing measures, which may reduce benefits and funding for some recipients. These policies are expected to shift costs to the states and restrict growth in federal Medicaid support, even as the program continues to serve tens of millions nationwide.

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.