According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Pearland Medicaid providers charged $12,658,981 in 2024 for services categorized under Alcohol and Drug Abuse Treatment. This amount represents a 3.6% rise compared with 2023, when billings for the same service type stood at $12,220,504.
Medicaid is a state-operated health insurance program, jointly funded by state and federal governments. The program offers coverage for low-income families and individuals, seniors, children, and individuals with disabilities, making it one of the largest segments of the U.S. health care infrastructure.
As Medicaid payments are funded by taxpayers, variations in local billing help illustrate how health care funds are distributed within a community.
The “Alcohol and Drug Abuse Treatment” classification covers Medicaid-billed services organized by care type, defined by specific HCPCS and CPT code ranges. In this analysis, each billing code was mapped to one service category via consistent prefixes and number ranges, placing comparable services together and ensuring there is no double-counting or change in rankings across time.
Alcohol and Drug Abuse Treatment led all categories in Pearland by total Medicaid payments in 2024, outpacing other areas of spending despite overall growth in multiple categories.
At the state level, this service category ranked fourth in Texas for total Medicaid reimbursements in 2024.
From the five years preceding 2024, Medicaid funding tied to Alcohol and Drug Abuse Treatment in Pearland rose by $12,658,981, holding at 0% in cumulative change. Certain years, such as 2023 and 2022, saw accelerated year-over-year spending growth.
In 2024, while Alcohol and Drug Abuse Treatment services were delivered across Pearland, payment volumes were primarily concentrated in a limited set of ZIP codes—especially 77581, where the total reached $12,658,981. The top 1 ZIP code accounted for all Medicaid spending in this category for the city during the period.
The largest shares of Medicaid payments in this group were also consolidated in a small selection of billing codes.
Comparatively, from 2023 to 2024, Alcohol and Drug Abuse Treatment category Medicaid payments in Pearland climbed 3.6%, compared with an 8.7% increase across all local Medicaid billing types in that timespan.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending was about $871.7 billion in the 2023 fiscal year, accounting for approximately 18% of overall U.S. health expenditures. This was a significant rise from around $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.
This growth amounts to an increase of roughly 40% over several years, largely attributed to expanded Medicaid enrollment and greater health service use during and following the COVID-19 period.
The Trump administration’s recent federal budget actions included major proposals to curtail federal Medicaid contributions and alter the structure of the program. Notably, the “One Big Beautiful Bill Act,” signed in 2025, is expected to cut over $1 trillion from federal Medicaid funds over the next decade. The law incorporates new work requirements and higher cost-sharing, which may reduce program coverage and funding for some patients, potentially prompting states to bear more spending obligations even as the Medicaid program continues to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $7,720,855 | – |
| 2023 | $12,220,504 | 58.3% |
| 2024 | $12,658,981 | 3.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $12,658,981 | 39.7% |
| 2 | Medicine Services and Procedures | $6,636,291 | 20.8% |
| 3 | Temporary National Codes (Non-Medicare) | $6,215,022 | 19.5% |
| 4 | Evaluation and Management | $3,439,770 | 10.8% |
| 5 | National Codes Established for State Medicaid Agencies | $1,196,906 | 3.8% |
| 6 | Dental Services | $956,330 | 3% |
| 7 | Ambulance and Other Transport Services and Supplies | $418,902 | 1.3% |
| 8 | Pathology and Laboratory Procedures | $173,189 | 0.5% |
| 9 | Vision Services | $122,490 | 0.4% |
| 10 | Administrative, Miscellaneous and Investigational | $18,878 | 0.1% |
| 11 | Drugs Administered Other than Oral Method | $5,703 | <0.1% |
| 12 | Procedures / Professional Services | $3,724 | <0.1% |
| 13 | Radiology Procedures | $3,016 | <0.1% |
| 14 | Miscellaneous Medical Services | $2,397 | <0.1% |
| 15 | Surgery | $94 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $10,777,304 | 34 |
| H2014 | Skills train and dev, 15 min | $1,803,937 | 24 |
| H2019 | Ther behav svc, per 15 min | $77,582 | 10 |
| H0049 | Alcohol/drug screening | $156 | 1 |
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.
