In 2024, Medicaid providers in Takoma Park billed $482,240 for services under the Alcohol and Drug Abuse Treatment category, according to data available from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 22.5% uptick from 2023, when claims for this category totaled $393,541.
Medicaid serves as a public health insurance program that states run and the federal and state governments jointly finance. It provides coverage to low-income individuals and families, as well as seniors, children, and people with disabilities, making it a significant component of the U.S. health care infrastructure.
Because taxpayer dollars fund Medicaid payments, trends in local billing help illustrate how a community allocates public health care resources.
The “Alcohol and Drug Abuse Treatment” category includes a group of Medicaid-billed services, classified by the nature of care using standardized HCPCS and CPT code groupings. Billing codes were matched to a service category for these figures using consistent code prefixes and ranges, enabling associated services to be tracked without overlap and ensuring accuracy in ranking over time.
While Medicaid spending went up in multiple service areas, Alcohol and Drug Abuse Treatment placed eighth for total Medicaid payments in Takoma Park during 2024.
Statewide across Maryland, the Alcohol and Drug Abuse Treatment category held the top spot for Medicaid payments in 2024.
From the five years before 2024, Medicaid payments for the Alcohol and Drug Abuse Treatment category in Takoma Park rose by $115,841, a growth of 31.6%. Certain intervals saw faster increases, with especially notable jumps reported in 2022 and 2022.
Spending for Alcohol and Drug Abuse Treatment was present across the city but concentrated in select ZIP codes. In 2024, ZIP code 20912 made up $482,239 of the total Medicaid payments linked to this category, meaning the leading ZIP code accounted for 100% of such payments in Takoma Park for the year.
Within Alcohol and Drug Abuse Treatment, Medicaid outlays were primarily focused on a small set of individual billing codes.
In comparison, the 22.5% increase for the Alcohol and Drug Abuse Treatment category between 2024 and 2023 outpaced the 15% growth seen across all Medicaid claim categories in the city during that timeframe.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, representing about 18% of total U.S. health expenditures. This figure is up sharply from $613.5 billion in 2019, before the COVID-19 crisis.
The increase amounts to around 40% growth in just a few years, primarily the result of higher enrollment numbers and greater utilization during and following the pandemic.
Recent federal budget legislation introduced during the Trump administration brought substantial proposed reductions to federal Medicaid funds alongside a restructuring of parts of the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid outlays by more than $1 trillion over the next 10 years. The law also introduces work requirements and higher out-of-pocket costs, which could affect coverage and funding for a segment of recipients, shifting more responsibility onto states and slowing the expansion of federal Medicaid support, even as the program serves tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $366,398 | -8.4% |
| 2021 | $351,732 | -4% |
| 2022 | $431,309 | 22.6% |
| 2023 | $393,540 | -8.8% |
| 2024 | $482,239 | 22.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $11,218,826 | 43.1% |
| 2 | National Codes Established for State Medicaid Agencies | $7,185,246 | 27.6% |
| 3 | Surgery | $2,241,324 | 8.6% |
| 4 | Dental Services | $1,947,259 | 7.5% |
| 5 | Medicine Services and Procedures | $1,292,579 | 5% |
| 6 | Temporary National Codes (Non-Medicare) | $982,333 | 3.8% |
| 7 | Temporary Codes | $507,311 | 2% |
| 8 | Alcohol and Drug Abuse Treatment | $482,239 | 1.9% |
| 9 | Pathology and Laboratory Procedures | $53,439 | 0.2% |
| 10 | Radiology Procedures | $51,316 | 0.2% |
| 11 | Drugs Administered Other than Oral Method | $30,241 | 0.1% |
| 12 | Coronavirus Diagnostic Panel | $5,821 | <0.1% |
| 13 | Procedures / Professional Services | $3,325 | <0.1% |
| 14 | Orthotic Procedures and services | $1,278 | <0.1% |
| 15 | Medical And Surgical Supplies | $429 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0020 | Alcohol and/or drug services | $426,605 | 12 |
| H0004 | Alcohol and/or drug services | $52,633 | 12 |
| H0005 | Alcohol and/or drug services | $3,001 | 2 |
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.

