In 2024, Medicaid providers in Silver Spring billed a total of $21,252,401 for Alcohol and Drug Abuse Treatment services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represented a 7% rise compared with 2023, when submitted claims for this services group totaled $19,866,367.
Medicaid is a state-administered public health insurance program funded jointly by state and federal governments. The program provides coverage for low-income residents, children, seniors, and individuals with disabilities and makes up a significant portion of the U.S. health care system.
Since Medicaid is taxpayer-funded, shifts in local billing levels reflect how public health spending is distributed within a community.
The “Alcohol and Drug Abuse Treatment” grouping includes Medicaid-billed care classified according to the type of services delivered, as outlined by specific HCPCS and CPT code groupings. This analysis assigned each code to a single category using systematic code prefixes and ranges, making it possible to study related services together while avoiding duplication and ensuring accurate tracking over time.
While Medicaid expenditures rose across several care groupings, Alcohol and Drug Abuse Treatment ranked fourth by total Medicaid payments in Silver Spring for 2024.
Statewide in Maryland, Alcohol and Drug Abuse Treatment was the top-ranked category by Medicaid spending in 2024.
Between 2019 and 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Silver Spring increased by $10,302,628, or 94.1%. The growth in spending accelerated during select years, with notable annual rises recorded in 2020 and again in 2023.
Though care in the Alcohol and Drug Abuse Treatment category was available citywide, a majority of Medicaid payments were concentrated in several ZIP codes. For 2024, the ZIP codes with the largest Medicaid reimbursements in this category included 20910 at $9,040,826, 20902 at $8,901,346, and 20904 at $3,259,249. Collectively, these 3 ZIP codes represented 99.8% of Medicaid payments for Alcohol and Drug Abuse Treatment in Silver Spring during the year.
Within the Alcohol and Drug Abuse Treatment services, most Medicaid spending was linked to a small selection of billing codes.
To compare, Medicaid payments specific to Alcohol and Drug Abuse Treatment in Silver Spring rose 7% from 2023 to 2024, while total Medicaid claims citywide increased by 6.5% over the same time period.
According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, making up about 18% of total national health spending. This number was up significantly from about $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This increase represents growth of about 40% in only a few years, primarily driven by higher enrollment and increased use of services during and after the pandemic.
Federal budget legislation enacted under the Trump administration has included notable plans to reduce Medicaid funding at the federal level and modify the structure of the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to reduce federal Medicaid outlays by over $1 trillion over the coming decade. The act also introduces work requirements and raises cost-sharing levels, steps that may decrease coverage and funding for certain participants. The resulting changes are likely to increase state fiscal responsibility and cap federal Medicaid growth, even as millions of Americans continue to depend on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $10,949,773 | 29.2% |
| 2021 | $12,998,411 | 18.7% |
| 2022 | $15,744,440 | 21.1% |
| 2023 | $19,866,366 | 26.2% |
| 2024 | $21,252,400 | 7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $53,954,486 | 36.4% |
| 2 | Medicine Services and Procedures | $23,737,744 | 16% |
| 3 | Evaluation and Management | $23,641,890 | 15.9% |
| 4 | Alcohol and Drug Abuse Treatment | $21,252,400 | 14.3% |
| 5 | Temporary National Codes (Non-Medicare) | $9,735,463 | 6.6% |
| 6 | Radiology Procedures | $6,498,553 | 4.4% |
| 7 | Dental Services | $4,405,799 | 3% |
| 8 | Procedures / Professional Services | $1,884,754 | 1.3% |
| 9 | Surgery | $1,065,734 | 0.7% |
| 10 | Pathology and Laboratory Procedures | $902,271 | 0.6% |
| 11 | Medical And Surgical Supplies | $616,006 | 0.4% |
| 12 | Enteral and Parenteral Therapy | $249,380 | 0.2% |
| 13 | Vision Services | $141,938 | 0.1% |
| 14 | Administrative, Miscellaneous and Investigational | $121,281 | 0.1% |
| 15 | Drugs Administered Other than Oral Method | $75,557 | 0.1% |
| 16 | Temporary Codes | $56,682 | <0.1% |
| 17 | Orthotic Procedures and services | $11,056 | <0.1% |
| 18 | Chemotherapy Drugs | $2,539 | <0.1% |
| 19 | Diagnostic Radiology Services | $1,195 | <0.1% |
| 20 | Durable Medical Equipment | $850 | <0.1% |
| 21 | Other Services | $3 | <0.1% |
| 22 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0031 | Mh health assess by non-md | $7,702,642 | 53 |
| H2016 | Comp comm supp svc, per diem | $6,186,051 | 21 |
| H0025 | Alcohol and/or drug preventi | $3,022,529 | 23 |
| H0044 | Supported housing, per month | $1,369,370 | 26 |
| H2036 | A/d tx program, per diem | $1,171,556 | 12 |
| H0040 | Assert comm tx pgm per diem | $761,991 | 11 |
| H0015 | Alcohol and/or drug services | $411,205 | 15 |
| H0032 | Mh svc plan dev by non-md | $406,042 | 54 |
| H0001 | Alcohol and/or drug assess | $72,901 | 12 |
| H0005 | Alcohol and/or drug services | $63,676 | 15 |
| H2018 | Psysoc rehab svc, per diem | $48,757 | 6 |
| H0004 | Alcohol and/or drug services | $30,272 | 7 |
| H1000 | Prenatal care atrisk assessm | $2,804 | 3 |
| H2012 | Behav hlth day treat, per hr | $1,786 | 1 |
| H1003 | Prenatal at risk education | $813 | 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.
