In 2024, Medicaid providers in Omar billed $215,842 for services within the Alcohol and Drug Abuse Treatment category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount reflected a 590.9% jump compared with 2023, when claims for this category totaled $31,240.
Medicaid is a public health insurance program administered by states with funding from both federal and state governments. It provides coverage to low-income individuals, families, seniors, children, and people with disabilities, making it a core part of the U.S. health care system.
Since Medicaid funding comes from taxpayers, fluctuations in local billing levels indicate how public resources for health care are distributed in a community.
The “Alcohol and Drug Abuse Treatment” designation groups Medicaid-billed services by type of care, using standardized HCPCS and CPT code groupings. For this report, each billing code was matched with one service category by applying consistent code prefixes and number ranges, ensuring related services can be evaluated together, with no double counting and consistent ranking over time.
Alcohol and Drug Abuse Treatment represented the leading service category by total Medicaid payments in Omar in 2024, while statewide in West Virginia it was the third-highest by overall payments.
Medicaid spending on Alcohol and Drug Abuse Treatment in Omar rose by $215,842 over the five years through 2024, or 0%. Some periods saw especially strong year-over-year growth, especially in 2022 and 2023.
Payments for Alcohol and Drug Abuse Treatment were distributed throughout the city, but concentrated in a few ZIP codes. In 2024, ZIP code 25638 accounted for $215,842 in Medicaid payments for this care. The top 1 ZIP codes made up 100% of the city’s Medicaid payments for Alcohol and Drug Abuse Treatment during the year.
Within this category, most Medicaid payments concentrated in a small set of specific billing codes.
The rise in Medicaid payments tied to Alcohol and Drug Abuse Treatment in Omar was 590.9% between 2024 and 2023, compared with a 364.6% increase across all Medicaid claims categories in the community for the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures together were about $871.7 billion in fiscal 2023, or 18% of total national health spending. That’s up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents nearly 40% growth in just a few years, largely due to expanded enrollment and higher service utilization during and following the pandemic.
Recent federal budget measures under the Trump administration have brought forward major ideas for reducing federal Medicaid funding and changing the program structure. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. It introduces policies like work requirements and greater cost-sharing that could limit funding and coverage for some participants and shift more program costs to states, even as Medicaid continues to cover millions across the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $31,239 | – |
| 2024 | $215,842 | 590.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $215,842 | 99.2% |
| 2 | Medicine Services and Procedures | $1,791 | 0.8% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0004 | Alcohol and/or drug services | $215,842 | 12 |
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.
