Perryopolis Medicaid spending jumps to $34,769 for alcohol and drug abuse treatment in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Perryopolis Medicaid providers submitted $34,769 in claims for services classified under the Alcohol and Drug Abuse Treatment category in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total marks a 377.9% rise from 2023, when $7,276 was billed for similar services.

Medicaid is a public health insurance program jointly funded by federal and state governments and administered by the states. It serves low-income individuals, families, children, seniors and those with disabilities, making it a major part of the U.S. health care landscape. More details can be found here.

Because Medicaid funding is taxpayer-supported, fluctuations in local claims data indicate the allocation of public health spending within a community.

The “Alcohol and Drug Abuse Treatment” designation encompasses a set of Medicaid-billed services defined by the care provided, organized through standard HCPCS and CPT codes. Each code is tied to just one service category in this analysis using consistent prefixes and numbering ranges, ensuring accuracy in relative service grouping and rankings without duplicate counting.

Even though multiple Medicaid service categories saw increased spending, Alcohol and Drug Abuse Treatment ranked second for total Medicaid outlays within Perryopolis in 2024.

At the state level, however, Alcohol and Drug Abuse Treatment stood as the category with the highest Medicaid payments in Pennsylvania for the year.

Between 2019 and 2024, Medicaid payments in Perryopolis for Alcohol and Drug Abuse Treatment grew by $23,044, equating to a 196.5% increase. Certain years within this timeframe, notably 2021 and 2022, witnessed sizable year-to-year gains.

Service distribution throughout Perryopolis was uneven, as much of the Alcohol and Drug Abuse Treatment spending in 2024 was focused within a small number of ZIP codes. The highest payments were concentrated in ZIP code 15473, with $34,768 in Medicaid reimbursements for Alcohol and Drug Abuse Treatment. This sole ZIP code represented the entire Medicaid payout in this category in Perryopolis for the year.

Spending within this category was also dominated by a select sample of billing codes.

Comparatively, Alcohol and Drug Abuse Treatment Medicaid payments in Perryopolis increased by 377.9% from 2023 to 2024, while combined billing across all Medicaid categories in the city saw a 14% change over the same span.

According to the Centers for Medicare & Medicaid Services, Medicaid expenditures from federal and state sources amounted to about $871.7 billion for fiscal year 2023, comprising nearly 18% of the nation’s total health expenditures, a notable increase from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This rise of about 40% in a relatively short period is mostly attributed to expanded enrollments and increased use of services during and after the pandemic years.

Budget measures passed under the Trump administration introduced substantial proposals for federal Medicaid funding cuts and program structure changes. The “One Big Beautiful Bill Act,” which became law in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion through the next decade, introduces work requirements and higher cost-sharing, and could limit coverage and funds for some people. These updates are predicted to shift larger funding responsibilities to states and temper federal Medicaid growth, though the program remains vital to tens of millions of Americans.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Perryopolis, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $11,724
2021 $42,284 260.6%
2022 $29,723 -29.7%
2023 $7,276 -75.5%
2024 $34,768 377.8%
Top Categories by Medicaid Payments in Perryopolis, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 National Codes Established for State Medicaid Agencies $943,012 96.4%
2 Alcohol and Drug Abuse Treatment $34,768 3.6%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Perryopolis, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
H0004 Alcohol and/or drug services $34,768 11

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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