In 2024, Medicaid providers in Staunton charged $9,680,807 for services categorized as Alcohol and Drug Abuse Treatment, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 16.2% gain over 2023, when $8,332,557 in claims were submitted for the same category of care.
Medicaid, one of the nation’s main public health insurance initiatives, is managed by the states and supported through joint federal and state funding. It serves low-income families and individuals, seniors, children, and people with disabilities.
Changes in local Medicaid billing offer insight into how public health care resources are deployed in specific communities, as these payments come from taxpayer sources.
The Alcohol and Drug Abuse Treatment category covers groups of Medicaid-billed services defined by care types, using standardized HCPCS and CPT coding. This analysis allocates each billing code to a single service group based on code prefixes and ranges, allowing related services to be grouped while avoiding duplicate counts and upholding accurate rankings through time.
Among all Medicaid service categories in Staunton, Alcohol and Drug Abuse Treatment received the most Medicaid payments in 2024.
Statewide in Virginia, the Alcohol and Drug Abuse Treatment category ranked second in total Medicaid payments for 2024.
From the five years preceding 2024, Medicaid payments tied to Alcohol and Drug Abuse Treatment in Staunton grew by $6,438,237, or 198.6%. Notable year-over-year increases occurred during 2022 and 2023, contributing to the growth trend.
Most of the Medicaid spending for Alcohol and Drug Abuse Treatment in 2024 was concentrated in specific ZIP codes throughout the city. ZIP code 24401 accounted for $9,680,806, making up 100% of all Medicaid payments for this treatment group in Staunton during the year.
Within this treatment category, spending was clustered in a small number of individual billing codes.
Comparatively, Medicaid spending for Alcohol and Drug Abuse Treatment in Staunton rose 16.2% between 2024 and 2023, while all Medicaid categories in the city had a 16.7% increase during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled around $871.7 billion in fiscal year 2023, making up roughly 18% of all national health expenditures. That figure represents a sharp increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This change equals roughly 40% growth in just a few years, spurred mainly by more people enrolling and using services during and after the pandemic period.
Recent federal budget measures under the Trump administration included extensive proposals to decrease federal Medicaid funding and adjust the program structure. The “One Big Beautiful Bill Act,” approved in 2025, is estimated to reduce federal Medicaid spending by over $1 trillion in the next 10 years, introducing new work requirements and increased cost-sharing—changes that could affect coverage and funding for certain recipients. As a result, more costs may shift to states and the pace of federal Medicaid growth could become increasingly limited, though the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,242,570 | -26.5% |
| 2021 | $3,624,683 | 11.8% |
| 2022 | $5,867,199 | 61.9% |
| 2023 | $8,332,556 | 42% |
| 2024 | $9,680,806 | 16.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $9,680,806 | 41.4% |
| 2 | National Codes Established for State Medicaid Agencies | $7,459,832 | 31.9% |
| 3 | Medicine Services and Procedures | $2,260,218 | 9.7% |
| 4 | Temporary National Codes (Non-Medicare) | $2,067,883 | 8.9% |
| 5 | Evaluation and Management | $1,227,213 | 5.3% |
| 6 | Procedures / Professional Services | $268,749 | 1.2% |
| 7 | Ambulance and Other Transport Services and Supplies | $159,553 | 0.7% |
| 8 | Pathology and Laboratory Procedures | $118,763 | 0.5% |
| 9 | Vision Services | $75,975 | 0.3% |
| 10 | Surgery | $41,577 | 0.2% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2022 | Com wrap-around sv, per diem | $4,847,591 | 12 |
| H0023 | Alcohol and/or drug outreach | $2,389,688 | 12 |
| H0040 | Assert comm tx pgm per diem | $1,029,886 | 12 |
| H2011 | Crisis interven svc, 15 min | $483,692 | 11 |
| H0020 | Alcohol and/or drug services | $279,504 | 12 |
| H0015 | Alcohol and/or drug services | $211,500 | 9 |
| H0024 | Alcohol and/or drug preventi | $145,949 | 12 |
| H0046 | Mental health service, nos | $128,272 | 12 |
| H0004 | Alcohol and/or drug services | $94,008 | 12 |
| H0006 | Alcohol and/or drug services | $70,713 | 11 |
Note: HCPCS codes are displayed for context within the category. Category rankings and totals throughout this article are derived from standardized service groups and not from individual billing code tallies.
This article cites data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The dataset is available here.
