Taylorsville Medicaid providers submitted $1,314,022 in claims for Alcohol and Drug Abuse Treatment services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 2.1% increase over 2023, when providers billed $1,286,944 for similar services.
Medicaid, overseen by the states and funded through both federal and state dollars, covers low-income individuals and families, seniors, children, and people with disabilities, making it one of the country’s core health care programs.
Because Medicaid is funded by taxpayers, shifts in local billing highlight how public health care funding is distributed within a community.
The Alcohol and Drug Abuse Treatment category includes Medicaid-billed services grouped by the type of care provided, based on standard HCPCS and CPT code sets. In this analysis, billing codes are assigned to service categories using consistent code ranges to enable accurate comparison of related services, avoid overlap, and maintain historical rankings.
Medicaid spending increased in several service areas, with Alcohol and Drug Abuse Treatment placing second in Taylorsville by total Medicaid payments in 2024.
Across North Carolina, Alcohol and Drug Abuse Treatment held the fourth spot in statewide Medicaid payment totals in 2024.
From 2019 through 2024, Medicaid claims for Alcohol and Drug Abuse Treatment in Taylorsville rose by $1,019,640, or 346.4%. Periods of faster growth were seen during certain years, including notable increases in 2020 and 2022.
Although the spending was distributed throughout Taylorsville, payments were largely concentrated in a small number of ZIP codes. In 2024, the 28681 ZIP code accounted for $1,314,022 in Medicaid payments for Alcohol and Drug Abuse Treatment, making up 100% of these payments citywide during the year.
Within the Alcohol and Drug Abuse Treatment category, the majority of Medicaid payments were focused on a limited set of billing codes.
Medicaid payments for Alcohol and Drug Abuse Treatment in Taylorsville rose 2.1% from 2023 to 2024, while all Medicaid claim categories in the city saw a 1.8% increase during the same timeframe.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, about 18% of total national health expenditures, a significant rise from $613.5 billion in 2019, before the COVID-19 pandemic.
This change amounts to roughly 40% growth in just a few years, fueled mainly by expanded enrollment and higher utilization during and after the pandemic.
Recent federal budget laws from the Trump administration featured major proposals to cut federal Medicaid funding and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid support by over $1 trillion over the next decade through policies such as work requirements and increased cost-sharing, potentially limiting coverage and state funding. These changes could shift additional costs to states and curb the rate of federal Medicaid growth, as the program continues to assist tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $294,382 | 1464.1% |
| 2021 | $332,033 | 12.8% |
| 2022 | $690,383 | 107.9% |
| 2023 | $1,286,943 | 86.4% |
| 2024 | $1,314,022 | 2.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $1,596,935 | 34.3% |
| 2 | Alcohol and Drug Abuse Treatment | $1,314,022 | 28.2% |
| 3 | Evaluation and Management | $642,678 | 13.8% |
| 4 | National Codes Established for State Medicaid Agencies | $587,924 | 12.6% |
| 5 | Dental Services | $261,720 | 5.6% |
| 6 | Ambulance and Other Transport Services and Supplies | $167,864 | 3.6% |
| 7 | Temporary National Codes (Non-Medicare) | $82,543 | 1.8% |
| 8 | Pathology and Laboratory Procedures | $2,725 | 0.1% |
| 9 | Surgery | $624 | <0.1% |
| 10 | Medical And Surgical Supplies | $507 | <0.1% |
| 11 | Vision Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $637,265 | 12 |
| H2015 | Comp comm supp svc, 15 min | $450,862 | 12 |
| H2022 | Com wrap-around sv, per diem | $225,893 | 6 |
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.
