Providers in Red Lion billed Medicaid a total of $1,555,301 in 2024 for services listed under the Alcohol and Drug Abuse Treatment category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an increase of 23.4% over 2023, when $1,259,879 was billed for these services.
Medicaid is a state-administered health insurance program supported by both federal and state governments. The program serves low-income individuals and families, children, seniors and people with disabilities, making it a significant component of the U.S. health care system.
Because Medicaid is funded by taxpayers, shifts in local billing levels illustrate changes in how public health care resources are distributed within the community.
The “Alcohol and Drug Abuse Treatment” service category includes a range of Medicaid-billed treatments, identified by specific HCPCS and CPT code groupings. During this review, billing codes were matched to a single category using aligned code prefixes and number ranges. This standardization ensured services were grouped together properly, avoiding duplication and providing accurate longitudinal rankings.
While Medicaid expenditures rose across multiple categories, Alcohol and Drug Abuse Treatment was the city’s second-largest service category by payment volume in 2024.
Statewide in Pennsylvania, Alcohol and Drug Abuse Treatment was the top Medicaid service category by total billing in 2024.
In the five years through 2024, Medicaid spending for Alcohol and Drug Abuse Treatment in Red Lion grew by $996,204, or 178.2%. Notable year-over-year growth was recorded in 2021 and 2023, indicating periods of faster increase.
Although care spending in this category occurred citywide, a few ZIP codes saw the highest concentration of payments. For 2024, the 17356 ZIP code was responsible for the entire $1,555,301 billed under Alcohol and Drug Abuse Treatment. Overall, the top ZIP code accounted for 100% of the payments for this service type in Red Lion that year.
Within the category, a small subset of designated billing codes received most of the Medicaid payment volume.
Between 2024 and 2023, Medicaid payments for Alcohol and Drug Abuse Treatment in Red Lion rose by 23.4%, a sharper increase than the 1.1% change seen across all Medicaid categories in the city over that time.
The Centers for Medicare & Medicaid Services reports that total Medicaid spending by states and the federal government reached around $871.7 billion in fiscal year 2023, making up about 18% of national health spending and rising significantly from $613.5 billion in 2019, preceding the COVID-19 pandemic.
This marks an increase of approximately 40% in a few years, primarily driven by greater program enrollment and higher service use during and after the pandemic period.
Recent federal budget laws enacted under President Trump featured significant measures to trim federal Medicaid support and alter program structure. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is estimated to decrease federal Medicaid funding by over $1 trillion during the next decade and brings policy changes such as work requirements and increased cost-sharing, potentially limiting coverage and support for some participants. These changes are set to shift additional costs onto states and could restrain federal growth, even as Medicaid continues to aid tens of millions of individuals.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $559,097 | – |
| 2021 | $1,150,767 | 105.8% |
| 2022 | $663,271 | -42.4% |
| 2023 | $1,259,879 | 89.9% |
| 2024 | $1,555,301 | 23.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $2,539,192 | 57.8% |
| 2 | Alcohol and Drug Abuse Treatment | $1,555,301 | 35.4% |
| 3 | Evaluation and Management | $173,718 | 4% |
| 4 | Ambulance and Other Transport Services and Supplies | $125,884 | 2.9% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0032 | Mh svc plan dev by non-md | $828,131 | 12 |
| H2021 | Com wrap-around sv, 15 min | $407,135 | 12 |
| H2030 | Mh clubhouse svc, per 15 min | $214,600 | 11 |
| H2019 | Ther behav svc, per 15 min | $83,709 | 11 |
| H0034 | Med trng & support per 15min | $15,827 | 7 |
| H0031 | Mh health assess by non-md | $5,896 | 8 |
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.
