Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Medicaid providers in League City billed $2,675,279 in 2024 for Alcohol and Drug Abuse Treatment services. This was a 2.4% increase over 2023, when providers billed $2,612,442 for similar services.
Medicaid, a public health insurance program operated by the states and funded jointly by federal and state governments, serves low-income individuals and families, seniors, children and people with disabilities. It stands as one of the largest sectors of the U.S. health care system.
Because taxpayers fund Medicaid payments, fluctuations in local billing reflect how community health care resources are allocated.
The Alcohol and Drug Abuse Treatment service category comprises Medicaid-billed care, defined by specific HCPCS and CPT code groupings. For this analysis, billing codes were systematically assigned to single service categories using code prefixes and numeric ranges, providing a way to assess related services while preventing duplicate counts and supporting consistent rankings.
Although Medicaid spending increased in several service categories, Alcohol and Drug Abuse Treatment ranked second in League City for total Medicaid payments in 2024.
Statewide in Texas, this category was the fourth largest by payment totals in 2024.
Between 2019 and 2024, League City’s Medicaid payments for Alcohol and Drug Abuse Treatment grew by $2,551,224, an increase of 2056.5%. Certain years, particularly 2022 and 2021, saw larger year-over-year increases.
Spending in the Alcohol and Drug Abuse Treatment category was distributed across the city, though the majority was concentrated in a small number of ZIP codes. For 2024, ZIP code 77573 accounted for all $2,675,279 in related Medicaid payments, making up 100% of the city’s total for this category.
Within this category, Medicaid spending centered on a narrow set of billing codes.
From 2023 to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in League City rose 2.4%, compared with a 1.9% shift across all Medicaid service categories in the city during the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in fiscal year 2023, representing nearly 18% of all national health expenditures and up sharply from $613.5 billion in 2019 before the COVID-19 pandemic.
The increase amounts to about 40% growth over a few years, mainly due to expanded enrollment and increased utilization during and following the pandemic.
Recent federal budget laws from the Trump administration included significant Medicaid funding proposals. The “One Big Beautiful Bill Act,” passed in 2025, is projected to decrease federal Medicaid spending by over $1 trillion in the coming decade and implements changes such as work requirements and higher cost-sharing, which could affect access and funding for many beneficiaries. This policy is expected to transfer greater costs to states and restrain federal Medicaid funding even as the program serves tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $124,055 | -2.8% |
| 2021 | $266,339 | 114.7% |
| 2022 | $1,309,662 | 391.7% |
| 2023 | $2,612,441 | 99.5% |
| 2024 | $2,675,279 | 2.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Enteral and Parenteral Therapy | $3,393,487 | 26.1% |
| 2 | Alcohol and Drug Abuse Treatment | $2,675,279 | 20.6% |
| 3 | National Codes Established for State Medicaid Agencies | $1,990,048 | 15.3% |
| 4 | Medical And Surgical Supplies | $955,059 | 7.3% |
| 5 | Durable Medical Equipment | $890,800 | 6.8% |
| 6 | Pathology and Laboratory Procedures | $778,893 | 6% |
| 7 | Evaluation and Management | $645,160 | 5% |
| 8 | Dental Services | $617,701 | 4.7% |
| 9 | Temporary National Codes (Non-Medicare) | $430,085 | 3.3% |
| 10 | Surgery | $344,713 | 2.6% |
| 11 | Vision Services | $84,406 | 0.6% |
| 12 | Medicine Services and Procedures | $81,225 | 0.6% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $58,800 | 0.5% |
| 14 | Radiology Procedures | $37,698 | 0.3% |
| 15 | Ambulance and Other Transport Services and Supplies | $16,112 | 0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $12,049 | 0.1% |
| 17 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $1,589,143 | 12 |
| H2014 | Skills train and dev, 15 min | $668,588 | 40 |
| H2017 | Psysoc rehab svc, per 15 min | $275,242 | 12 |
| H2011 | Crisis interven svc, 15 min | $50,980 | 10 |
| H0004 | Alcohol and/or drug services | $39,347 | 13 |
| H0005 | Alcohol and/or drug services | $33,844 | 5 |
| H0038 | Self-help/peer svc per 15min | $11,809 | 9 |
| H2019 | Ther behav svc, per 15 min | $6,323 | 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.
