Richland Medicaid providers billed $4,800,298 in 2024 for services classified under the Alcohol and Drug Abuse Treatment category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount reflects a 10.3% gain over 2023, when claims for this service type totaled $4,352,944.
Medicaid, a joint federal and state health insurance program administered by the states, covers low-income groups, including families, older adults, children, and individuals with disabilities, making it a key component of the nation’s health care system.
Since Medicaid funding comes from taxpayers, fluctuations in local billing highlight how community health care dollars are spent.
The “Alcohol and Drug Abuse Treatment” category includes a variety of Medicaid-billed services defined by the particular type of care, using standardized HCPCS and CPT code groupings. For this analysis, each billing code was mapped to a unique service category through use of standard code prefixes and ranges, allowing for consistent tracking of related services while ensuring accurate rankings and preventing duplicate counting.
Among all categories, Alcohol and Drug Abuse Treatment was the third-highest by total Medicaid payments in Richland during 2024.
Statewide, the Alcohol and Drug Abuse Treatment category ranked fourth for Medicaid payments in Washington that year.
Over the five years preceding 2024, Medicaid payments associated with the Alcohol and Drug Abuse Treatment category in Richland rose by $3,399,025, marking a 242.6% increase. The rate of growth accelerated at several points, particularly in 2023 and 2021.
While payments for Alcohol and Drug Abuse Treatment were dispersed across Richland, a limited group of ZIP codes accounted for the largest shares. In 2024, ZIP code 99354 received $2,557,413 and 99352 received $2,242,884 in Medicaid payments for these services. Combined, these two ZIP codes made up 100% of Medicaid payments for this category in Richland for the year.
Within the Alcohol and Drug Abuse Treatment category, a small number of individual billing codes generated the majority of Medicaid payments.
Medicaid payments tied to the Alcohol and Drug Abuse Treatment category in Richland climbed 10.3% from 2023 to 2024. During the same period, all Medicaid claim categories citywide saw an 8.4% increase.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, representing approximately 18% of all U.S. health care spending—a steep rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This nearly 40% growth over several years has been attributed largely to higher enrollment and increased use of services during and after the pandemic.
Recent federal budget measures under the Trump administration have introduced proposals cutting federal Medicaid funding and changing its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid spending by over $1 trillion over the next decade and adopts measures like work requirements and increased cost-sharing, potentially shrinking coverage and funding for certain beneficiaries. Such changes are anticipated to shift increased financial responsibility to states and may restrict how much federal support Medicaid receives in the future, despite the program’s continued coverage for tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,401,273 | -11% |
| 2021 | $2,033,738 | 45.1% |
| 2022 | $2,062,043 | 1.4% |
| 2023 | $4,352,943 | 111.1% |
| 2024 | $4,800,298 | 10.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $11,205,852 | 33.9% |
| 2 | Medicine Services and Procedures | $5,834,799 | 17.7% |
| 3 | Alcohol and Drug Abuse Treatment | $4,800,298 | 14.5% |
| 4 | Procedures / Professional Services | $2,596,737 | 7.9% |
| 5 | Radiology Procedures | $2,415,597 | 7.3% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,874,356 | 5.7% |
| 7 | Surgery | $1,067,489 | 3.2% |
| 8 | Pathology and Laboratory Procedures | $820,666 | 2.5% |
| 9 | Chemotherapy Drugs | $794,147 | 2.4% |
| 10 | Temporary National Codes (Non-Medicare) | $545,352 | 1.7% |
| 11 | National Codes Established for State Medicaid Agencies | $397,317 | 1.2% |
| 12 | Anesthesia | $226,118 | 0.7% |
| 13 | Dental Services | $159,516 | 0.5% |
| 14 | Drugs Administered Other than Oral Method | $153,969 | 0.5% |
| 15 | Medical And Surgical Supplies | $71,202 | 0.2% |
| 16 | Outpatient PPS | $49,676 | 0.2% |
| 17 | Hearing Services | $481 | <0.1% |
| 18 | Temporary Codes | $295 | <0.1% |
| 19 | Administrative, Miscellaneous and Investigational | $39 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0004 | Alcohol and/or drug services | $1,650,731 | 182 |
| H0020 | Alcohol and/or drug services | $1,589,865 | 24 |
| H2015 | Comp comm supp svc, 15 min | $613,054 | 44 |
| H0018 | Alcohol and/or drug services | $315,126 | 5 |
| H2023 | Supported employ, per 15 min | $314,340 | 13 |
| H0043 | Supported housing, per diem | $80,219 | 10 |
| H0046 | Mental health service, nos | $66,037 | 33 |
| H0038 | Self-help/peer svc per 15min | $62,144 | 11 |
| H0023 | Alcohol and/or drug outreach | $44,016 | 6 |
| H0001 | Alcohol and/or drug assess | $36,354 | 13 |
| H0033 | Oral med adm direct observe | $24,000 | 8 |
| H0031 | Mh health assess by non-md | $4,407 | 1 |
| H0015 | Alcohol and/or drug services | $0 | 24 |
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.