Medicaid providers in Warrenton billed $5,537,281 for alcohol and drug abuse treatment services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount marks an increase of 4.4% compared with 2023, when $5,306,445 was billed for these services.
Medicaid, a public health insurance initiative managed by states and funded by both federal and state governments, covers low-income individuals, seniors, children, and those with disabilities. It is one of the largest components of the U.S. health care system.
Because Medicaid payments are sourced from taxpayers, shifts in local billing give insight into how public health care funds are spent within a community.
The “Alcohol and Drug Abuse Treatment” category consists of Medicaid-billed services grouped by care type, using standardized HCPCS and CPT code prefixes and numeric ranges. For this analysis, each code was tied to one service category, ensuring related services could be tracked without double counting to maintain accurate rankings across years.
Medicaid spending rose in several service categories, but alcohol and drug abuse treatment saw the highest total payments in Warrenton in 2024.
Statewide in Virginia, alcohol and drug abuse treatment ranked as the second-highest category for Medicaid payments in 2024.
From 2019 to 2024, Warrenton’s Medicaid payments for alcohol and drug abuse treatment grew by $815,675, or 17.3%. Some of the sharpest year-to-year increases came during 2022 and 2023.
Though spending spanned the city, the majority of payments were focused in just two ZIP codes. In 2024, ZIP code 20186 saw $5,081,110 in payments and 20187 recorded $456,170, with these top 2 ZIP codes representing 100% of all Medicaid alcohol and drug abuse treatment spending in Warrenton for the year.
Within this category, Medicaid payments were concentrated among a relatively small number of individual billing codes.
Between 2024 and 2023, Warrenton’s Medicaid payments for alcohol and drug abuse treatment increased by 4.4%, compared to a 3% change across all Medicaid claim categories citywide in the same time frame.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing nearly 18% of total nationwide health expenditures. This figure, up from around $613.5 billion in 2019 prior to the COVID-19 pandemic, reflects rapid growth.
The nationwide increase amounts to about 40% over a few years, fueled mainly by growing enrollment and greater service use during and following the pandemic.
Recent federal budget legislation under the Trump administration has included extensive proposals to reduce federal Medicaid funding levels and modify the program. As an example, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid support over the next decade. It also brings policies such as work requirements and increased cost-sharing, which could limit coverage and funding for some recipients. These measures are anticipated to shift additional costs to states and restrict future federal support, even as Medicaid continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,721,605 | -5.9% |
| 2021 | $4,378,786 | -7.3% |
| 2022 | $4,870,716 | 11.2% |
| 2023 | $5,306,444 | 8.9% |
| 2024 | $5,537,281 | 4.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $5,537,281 | 37% |
| 2 | Medicine Services and Procedures | $3,852,336 | 25.7% |
| 3 | Evaluation and Management | $2,575,958 | 17.2% |
| 4 | National Codes Established for State Medicaid Agencies | $1,641,498 | 11% |
| 5 | Temporary National Codes (Non-Medicare) | $675,253 | 4.5% |
| 6 | Radiology Procedures | $233,992 | 1.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $138,749 | 0.9% |
| 8 | Surgery | $101,938 | 0.7% |
| 9 | Procedures / Professional Services | $96,785 | 0.6% |
| 10 | Pathology and Laboratory Procedures | $74,531 | 0.5% |
| 11 | Orthotic Procedures and services | $46,140 | 0.3% |
| 12 | Vision Services | $8,501 | 0.1% |
| 13 | Drugs Administered Other than Oral Method | $225 | <0.1% |
| 14 | Temporary Codes | $7 | <0.1% |
| 15 | Dental Services | $0 | <0.1% |
| 15 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2022 | Com wrap-around sv, per diem | $3,530,621 | 11 |
| H0010 | Alcohol and/or drug services | $789,204 | 7 |
| H0023 | Alcohol and/or drug outreach | $719,156 | 11 |
| H2034 | A/d halfway house, per diem | $456,170 | 6 |
| H2011 | Crisis interven svc, 15 min | $42,128 | 7 |
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.
