In 2024, Medicaid providers in Lincoln submitted $8,427,405 in claims for services categorized under Alcohol and Drug Abuse Treatment, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 1.9% rise from 2023, when billing for these services totaled $8,271,350.
Medicaid, a public health insurance initiative overseen by states with joint federal and state funding, covers low-income individuals, seniors, children, and people with disabilities. The program accounts for a significant portion of the U.S. health care system.
Since Medicaid draws on taxpayer dollars, shifts in local billing reflect how public health funds are distributed within communities.
The “Alcohol and Drug Abuse Treatment” category encompasses Medicaid-billed services grouped by specific care types, relying on standardized HCPCS and CPT code assignments. Each code was mapped to a single service category for this analysis, ensuring related services were grouped accurately and avoiding double counting for consistent rankings over time.
Alcohol and Drug Abuse Treatment represented the highest Medicaid payment category in Lincoln for 2024, despite increases seen in various categories.
Statewide in Rhode Island, Alcohol and Drug Abuse Treatment placed third by total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Lincoln climbed by $4,567,790, or 118.3%. Growth was particularly strong during certain years, including 2021 and 2023, as illustrated by notable year-over-year jumps.
Payments for services in the Alcohol and Drug Abuse Treatment category, while distributed throughout Lincoln, were primarily concentrated in a small number of ZIP codes. In 2024, ZIP code 02865 accounted for $8,427,404 of these Medicaid payments, making up 100% of the total for the city within this category.
Medicaid disbursements within Alcohol and Drug Abuse Treatment relied on just a few specific billing codes.
From 2023 to 2024, Lincoln’s Medicaid payments for Alcohol and Drug Abuse Treatment climbed 1.9%, compared with a broader 4.8% increase across all categories in the city over the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, or about 18% of nationwide health spending. This is a substantial rise from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This increase marks about 40% growth in several years, spurred mainly by increased enrollment and greater program utilization during and after the pandemic.
Recent federal budgeting decisions during the Trump administration have included major proposals to reduce federal Medicaid funding and alter program structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut over $1 trillion from federal Medicaid spending over a decade, instituting measures like work requirements and cost-sharing that may reduce coverage and funding for some recipients. Such changes are anticipated to shift more of the financial burden to the states and curb the expansion of federal Medicaid aid, even as the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,859,615 | -22.9% |
| 2021 | $6,597,160 | 70.9% |
| 2022 | $6,421,289 | -2.7% |
| 2023 | $8,271,349 | 28.8% |
| 2024 | $8,427,404 | 1.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $8,427,404 | 58.2% |
| 2 | Temporary National Codes (Non-Medicare) | $2,422,836 | 16.7% |
| 3 | Medicine Services and Procedures | $1,307,447 | 9% |
| 4 | National Codes Established for State Medicaid Agencies | $1,059,767 | 7.3% |
| 5 | Evaluation and Management | $904,038 | 6.2% |
| 6 | Procedures / Professional Services | $166,092 | 1.1% |
| 7 | Ambulance and Other Transport Services and Supplies | $108,349 | 0.7% |
| 8 | Pathology and Laboratory Procedures | $65,001 | 0.4% |
| 9 | Administrative, Miscellaneous and Investigational | $3,430 | <0.1% |
| 10 | Radiology Procedures | $3,394 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $399 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0019 | Alcohol and/or drug services | $3,754,855 | 12 |
| H0040 | Assert comm tx pgm per diem | $2,794,535 | 25 |
| H0037 | Comm psy sup tx pgm per diem | $801,741 | 11 |
| H2018 | Psysoc rehab svc, per diem | $571,884 | 12 |
| H2017 | Psysoc rehab svc, per 15 min | $221,095 | 13 |
| H0038 | Self-help/peer svc per 15min | $108,051 | 10 |
| H0034 | Med trng & support per 15min | $86,332 | 12 |
| H0036 | Comm psy face-face per 15min | $85,104 | 15 |
| H0004 | Alcohol and/or drug services | $3,805 | 5 |
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.
