Williamson Medicaid spending for Alcohol and Drug Abuse Treatment services climbs to $7,179,377 in 2024

In 2024, Medicaid providers in Williamson billed $7,179,377 for Alcohol and Drug Abuse Treatment services, as reported by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 7.7% rise from 2023, when claim submissions for these services reached $6,668,313.

Medicaid, a major U.S. health insurance initiative funded together by federal and state sources and operated by states, provides coverage to low-income families, elderly adults, children, and individuals with disabilities. The program is one of the largest in the national health care system.

Because taxpayer funds support Medicaid, fluctuations in local billing patterns reflect the allocation of public health care resources in different communities.

The “Alcohol and Drug Abuse Treatment” classification refers to services billed to Medicaid that are defined by the type of care, grouped according to HCPCS and CPT code standards. For this analysis, each billing code was placed in a single category based on common code prefixes and number ranges. This method ensures related services are analyzed together, accurate rankings are maintained, and double-counting is avoided.

Alcohol and Drug Abuse Treatment had the highest Medicaid payment total among service categories in Williamson for 2024, even as Medicaid spending rose across several areas.

Statewide, within West Virginia, Alcohol and Drug Abuse Treatment ranked third by total Medicaid payments in 2024.

From 2019 to 2024, Medicaid payments in Williamson for Alcohol and Drug Abuse Treatment expanded by $5,388,734, marking a 300.9% gain. Peripheral periods, particularly 2020 and 2021, saw pronounced year-over-year increases in spending growth.

While Alcohol and Drug Abuse Treatment payments covered facilities throughout Williamson, they were heavily concentrated within a single ZIP code. In 2024, ZIP code 25661 accounted for the largest share, with payments totaling $7,179,377. Combined, the top ZIP code represented 100% of Williamson’s Medicaid payments for this services category that year.

Spending in the Alcohol and Drug Abuse Treatment group was also concentrated in only a few individual billing codes.

By comparison, the 7.7% increase in Alcohol and Drug Abuse Treatment payments between 2024 and 2023 trailed the 13.1% uptick across all Medicaid claim types in Williamson during that timeframe.

The Centers for Medicare & Medicaid Services reports that federal and state Medicaid funding reached roughly $871.7 billion in fiscal year 2023. This made up an estimated 18% of the nation’s health care expenditures, up from about $613.5 billion in 2019—preceding the COVID-19 pandemic.

This represents an approximate 40% increase within a few years, largely driven by the pandemic’s impact on program expansion and service utilization.

Federal budget actions under the Trump administration have included measures to scale back federal Medicaid spending and modify program funding structures. The “One Big Beautiful Bill Act,” signed in 2025, is forecasted to decrease federal Medicaid expenditures by more than $1 trillion over a decade and introduces elements such as work mandates and heightened cost sharing, which could alter coverage and funding for some participants. These changes are expected to shift greater responsibility to states and curb federal funding growth, even as Medicaid continues serving 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.