Alcohol and drug treatment Medicaid costs surge to $205,763 in Menands for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Menands reported $205,763 in claims for Alcohol and Drug Abuse Treatment, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 44,150.1% surge over 2023, when providers filed just $465 in claims for the same services.

Medicaid is a state-administered health insurance initiative supported through a partnership between state and federal funding. Serving low-income residents, children, seniors, and people with disabilities, it constitutes a core component of American health care.

Since Medicaid relies on taxpayer funding, shifts in local Medicaid billing provide a snapshot of how health care resources are being distributed within the community.

The “Alcohol and Drug Abuse Treatment” classification encompasses Medicaid claims attached to particular care types, organized according to established HCPCS and CPT codes. The analysis assigned each billing code to a distinct service category, using clear code prefixes and range groupings. This approach keeps related treatments together while preventing double-counting and maintaining accurate trend comparisons.

Although several service categories saw rising Medicaid spending, Alcohol and Drug Abuse Treatment stood as the second-highest category in Menands by overall payments for 2024.

On a statewide scale in New York, Alcohol and Drug Abuse Treatment ranked fifth by Medicaid disbursements for the year.

From 2019 through 2024, Menands saw Medicaid payments for Alcohol and Drug Abuse Treatment rise by $160,684, an increase of 43.8%. Certain calendar periods recorded steep jumps—for example, in 2020 and 2022, there were marked year-over-year increases.

Payments for Alcohol and Drug Abuse Treatment services spanned different parts of the city, but in 2024, the payments were heavily centered in certain ZIP codes. Medicaid claims tied to this category totaled $205,763 solely in ZIP code 12204, with this area accounting for 100% of local Medicaid disbursements for such care in Menands that year.

A small group of billing codes accounted for most Medicaid expenditures within the Alcohol and Drug Abuse Treatment designation.

Evaluation of other categories found a 44,150.1% increase for Menands in this group from 2023 to 2024, compared to a 2,557.3% rise in Medicaid claims across all categories citywide during the same timeframe.

The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid expenditures climbed to approximately $871.7 billion in fiscal year 2023. This equaled about 18% of the nation’s overall health spending—a steep rise from the $613.5 billion spent in 2019, prior to the COVID-19 pandemic.

The data reflects around 40% growth in a short time frame, largely due to heightened enrollment and higher service use during and following the pandemic.

Federal budget measures under the Trump administration have included notable proposals aimed at lowering federal Medicaid allocations and reshaping the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid spending by over $1 trillion over 10 years. It introduces new policies such as work requirements and added cost-sharing that may reduce benefit access for some and place greater cost burdens on states—even as Medicaid continues to support tens of millions of Americans.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Menands, New York Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $366,447 264.1%
2023 $464 -99.9%
2024 $205,763 44155.9%
Top Categories by Medicaid Payments in Menands, New York, 2024

Rank Category Medicaid Payments Share of City Total
1 Procedures / Professional Services $788,417 65.6%
2 Alcohol and Drug Abuse Treatment $205,763 17.1%
3 Medicine Services and Procedures $118,173 9.8%
4 Evaluation and Management $88,778 7.4%
5 Surgery $1,027 0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Menands, New York, 2024

HCPCS Code Description Medicaid Payments Claims
H0020 Alcohol and/or drug services $165,800 11
H0002 Alcohol and/or drug screenin $20,392 6
H0004 Alcohol and/or drug services $15,482 10
H0038 Self-help/peer svc per 15min $4,088 4

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.



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