In 2024, Abbeville Medicaid providers billed $394,164 for Alcohol and Drug Abuse Treatment services, U.S. Department of Health and Human Services Medicaid Provider Spending data shows. This amount reflected a 14.1% rise from 2023, when providers submitted $345,424 in similar claims.
Medicaid operates as a state-administered, jointly federal- and state-funded public health insurance program. The program covers individuals and families with low incomes, seniors, children, and people with disabilities, making it a major component of the nation’s health care system.
Shifts in Medicaid payment levels reflect how taxpayer-funded health care resources are distributed in a community.
The Alcohol and Drug Abuse Treatment classification includes a set of services billed to Medicaid, categorized by the type of care, using standardized HCPCS and CPT codes. In this report, analysts assigned each billing code to one service group by consistent code prefixes and numeric sequences, ensuring similar services were aggregated for analysis and avoiding any duplicate counting as well as maintaining accurate rankings over time.
Although Medicaid spending was up in several service types, Alcohol and Drug Abuse Treatment placed sixth among Medicaid payment categories in Abbeville for 2024.
Statewide in Louisiana, Alcohol and Drug Abuse Treatment ranked fourth in total Medicaid payments during 2024.
Looking back five years from 2024, Abbeville’s Medicaid payments for Alcohol and Drug Abuse Treatment grew by $152,316, or 63%. Some years saw more rapid growth, with substantial jumps noted in 2020 and 2022.
Most spending in this category was spread throughout the city, but payments were focused in a small number of ZIP codes. In 2024, ZIP code 70510 saw the highest Medicaid payments for the category, accounting for $394,163. Altogether, the leading 1 ZIP codes made up 100% of such Medicaid outlays in Abbeville for the year.
Within this treatment category, Medicaid payments were also focused on a relatively small group of individual billing codes.
For context, while Abbeville experienced a 14.1% year-over-year increase in Medicaid payments for Alcohol and Drug Abuse Treatment between 2024 and 2023, overall Medicaid payments across all categories rose 19.5% in the same timeframe.
The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid spending reached nearly $871.7 billion in fiscal year 2023, making up about 18% of U.S. health care expenditures, a notable increase from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This growth marks a roughly 40% increase over several years, primarily fueled by higher enrollment and use during and after the pandemic.
Recent federal budget measures passed during the Trump administration included significant proposed reductions in federal Medicaid funding and changes to program structure. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to trim more than $1 trillion from federal Medicaid expenditures over the forthcoming decade, introducing work requirements and greater cost-sharing that may limit coverage and funding for certain groups. This will likely shift more financial responsibility to states and cap federal Medicaid growth, even as the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $241,847 | 50.8% |
| 2021 | $260,572 | 7.7% |
| 2022 | $385,600 | 48% |
| 2023 | $345,423 | -10.4% |
| 2024 | $394,163 | 14.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $4,435,169 | 45.3% |
| 2 | Evaluation and Management | $3,033,800 | 31% |
| 3 | Pathology and Laboratory Procedures | $583,087 | 6% |
| 4 | Medicine Services and Procedures | $518,977 | 5.3% |
| 5 | Surgery | $480,443 | 4.9% |
| 6 | Alcohol and Drug Abuse Treatment | $394,163 | 4% |
| 7 | Anesthesia | $108,687 | 1.1% |
| 8 | Radiology Procedures | $78,620 | 0.8% |
| 9 | Temporary National Codes (Non-Medicare) | $69,468 | 0.7% |
| 10 | Vision Services | $33,551 | 0.3% |
| 11 | Dental Services | $20,749 | 0.2% |
| 12 | Drugs Administered Other than Oral Method | $15,927 | 0.2% |
| 13 | Durable Medical Equipment | $11,440 | 0.1% |
| 14 | Procedures / Professional Services | $10,717 | 0.1% |
| 15 | Temporary Codes | $2,273 | <0.1% |
| 16 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2020 | Ther behav svc, per diem | $394,163 | 31 |
| H0049 | Alcohol/drug screening | $0 | 19 |
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.

