Mount Hope Medicaid providers submitted $924,245 in claims for Alcohol and Drug Abuse Treatment services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 161.8% compared to 2023, when $353,100 was billed for these services.
Medicaid, a state-administered public health insurance program funded jointly by federal and state governments, covers low-income individuals and families, older adults, children, and people with disabilities. It is among the nation’s largest health care programs.
Because taxpayer dollars fund Medicaid, shifts in local billing levels reflect the way public health care funds are spent in a given community.
The “Alcohol and Drug Abuse Treatment” category consists of Medicaid-billed services identified by type of care and are grouped using standardized HCPCS and CPT codes. For this report, each billing code was matched to a single service category through consistent code prefixes and numeric ranges, allowing related services to be evaluated collectively while preventing double counting and maintaining ranking accuracy over time.
Medicaid spending saw gains in a number of categories, but Alcohol and Drug Abuse Treatment generated the highest Medicaid payments in Mount Hope for 2024.
Across West Virginia, Alcohol and Drug Abuse Treatment ranked as the third largest Medicaid payment category by total in 2024.
Analyzing the five-year period up to 2024, Medicaid payments connected to Alcohol and Drug Abuse Treatment services in Mount Hope climbed by $924,245, or 0%. There were periods of faster growth, particularly in 2023 and 2022, which saw significant year-over-year increases.
Expenditures for Alcohol and Drug Abuse Treatment services were spread out in the city, but the majority of Medicaid payments were reported in a small number of ZIP codes. In 2024, ZIP code 25880 accounted for $924,245, making up 100% of Alcohol and Drug Abuse Treatment Medicaid payments in Mount Hope that year.
Within this service category, Medicaid payments were primarily reported on a limited selection of individual billing codes.
Mount Hope’s Medicaid payments for Alcohol and Drug Abuse Treatment rose by 161.8% from 2023 to 2024; this outpaced the 42.2% change reported across all Medicaid claim categories during the same period in the city.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures were approximately $871.7 billion for fiscal year 2023, or roughly 18% of all health care spending nationally. That number rose sharply from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents an increase of about 40% over just a few years, driven by expanded program enrollment and higher service use during and after the pandemic.
Recent federal budget measures undertaken during the Trump administration included sweeping proposals impacting federal Medicaid support. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years and introduces steps like work requirements and increased cost-sharing, which could impact coverage and overall program funding for certain groups. Such changes are poised to shift additional costs to states and place constraints on federal contributions, even as Medicaid continues serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $353,100 | – |
| 2024 | $924,245 | 161.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $924,245 | 68.8% |
| 2 | Durable Medical Equipment | $341,316 | 25.4% |
| 3 | Ambulance and Other Transport Services and Supplies | $64,056 | 4.8% |
| 4 | Medical And Surgical Supplies | $11,836 | 0.9% |
| 5 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,641 | 0.2% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2036 | A/d tx program, per diem | $924,245 | 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.
