Miami Medicaid providers submitted $136,685,486 in claims 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. This amount represents a 39.3% increase compared to 2023, when $98,142,397 in claims were filed for similar services.
Medicaid, a public health insurance program run at the state level and financed through collaboration between federal and state governments, serves low-income people and families, seniors, children, and individuals with disabilities. It is among the largest segments of the United States health care system.
Since Medicaid payments are taxpayer funded, shifts in local provider billing reflect how a community’s public health care dollars are distributed.
The “Alcohol and Drug Abuse Treatment” service grouping represents various Medicaid-reimbursed services differentiated by care type, based on uniform HCPCS and CPT code classifications. For this analysis, each code was assigned to one category through standardized prefixes and numerical ranges, supporting aggregated review of services while preventing overlap and ensuring consistent rankings year to year.
Although several service groupings experienced higher Medicaid spending, Alcohol and Drug Abuse Treatment was the third-largest category by total Medicaid payments in Miami for 2024.
Statewide, Alcohol and Drug Abuse Treatment ranked as the fourth-biggest Medicaid payment category in Florida during 2024.
In the five years up to 2024, Medicaid payments related to Alcohol and Drug Abuse Treatment in Miami climbed by $49,534,864, or 26.6%. The rate of increase accelerated during certain years, with significant annual jumps noted in 2023 and 2020.
Payments associated with Alcohol and Drug Abuse Treatment were seen in several areas of Miami, but were concentrated within a few ZIP codes in 2024. The highest total Medicaid payments went to ZIP codes 33186 ($26,428,712), 33135 ($12,522,307), and 33166 ($11,899,752). Combined, these top 3 ZIP codes made up 37.2% of the city’s payments for this category during that year.
Within this category, payment volume was focused on a select group of billing codes.
From 2023 to 2024, Miami saw a 39.3% rise in Medicaid spending for Alcohol and Drug Abuse Treatment services, compared to a 3.7% change for all Medicaid claim categories in the city over the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures amounted to about $871.7 billion in fiscal 2023, representing nearly 18% of total national health care spending. That is a significant increase from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This growth of about 40% in a few years is attributed largely to higher enrollment and increased use during and after the pandemic period.
Recent federal budget measures during the Trump administration introduced major proposed reductions in federal Medicaid funds and efforts to restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid funding by more than $1 trillion in the coming decade. The law also brings new policies like work requirements and higher cost-sharing, which could lead to reduced access and spending for some enrollees. States are expected to bear increased responsibility for Medicaid costs as federal support growth slows, even while the program maintains coverage for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $186,220,349 | 80.3% |
| 2021 | $199,526,656 | 7.1% |
| 2022 | $43,299,271 | -78.3% |
| 2023 | $98,142,396 | 126.7% |
| 2024 | $136,685,485 | 39.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $273,669,562 | 29.8% |
| 2 | National Codes Established for State Medicaid Agencies | $271,356,464 | 29.6% |
| 3 | Alcohol and Drug Abuse Treatment | $136,685,485 | 14.9% |
| 4 | Medicine Services and Procedures | $72,149,925 | 7.9% |
| 5 | Ambulance and Other Transport Services and Supplies | $53,496,238 | 5.8% |
| 6 | Evaluation and Management | $52,344,538 | 5.7% |
| 7 | Procedures / Professional Services | $12,052,150 | 1.3% |
| 8 | Vision Services | $8,378,920 | 0.9% |
| 9 | Medical And Surgical Supplies | $6,758,502 | 0.7% |
| 10 | Pathology and Laboratory Procedures | $6,046,621 | 0.7% |
| 11 | Administrative, Miscellaneous and Investigational | $5,376,805 | 0.6% |
| 12 | Surgery | $4,689,823 | 0.5% |
| 13 | Enteral and Parenteral Therapy | $4,656,179 | 0.5% |
| 14 | Radiology Procedures | $3,980,828 | 0.4% |
| 15 | Dental Services | $1,939,361 | 0.2% |
| 16 | Durable Medical Equipment | $1,757,613 | 0.2% |
| 17 | Anesthesia | $1,309,926 | 0.1% |
| 18 | Orthotic Procedures and services | $709,519 | 0.1% |
| 19 | Drugs Administered Other than Oral Method | $415,166 | <0.1% |
| 20 | Coronavirus Diagnostic Panel | $152,716 | <0.1% |
| 21 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $52,439 | <0.1% |
| 22 | Chemotherapy Drugs | $36,439 | <0.1% |
| 23 | Diagnostic Radiology Services | $22,448 | <0.1% |
| 24 | Pathology and Laboratory Services | $10,259 | <0.1% |
| 25 | Temporary Codes | $7,531 | <0.1% |
| 26 | Prosthetic Procedures | $3,906 | <0.1% |
| 27 | Outpatient PPS | $595 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $98,379,127 | 1,228 |
| H2019 | Ther behav svc, per 15 min | $27,904,796 | 1,472 |
| H0043 | Supported housing, per diem | $4,468,648 | 24 |
| H0032 | Mh svc plan dev by non-md | $1,442,644 | 620 |
| H1000 | Prenatal care atrisk assessm | $1,354,834 | 484 |
| H2000 | Comp multidisipln evaluation | $1,232,837 | 229 |
| H0031 | Mh health assess by non-md | $982,260 | 563 |
| H2014 | Skills train and dev, 15 min | $264,450 | 10 |
| H2016 | Comp comm supp svc, per diem | $202,360 | 18 |
| H0046 | Mental health service, nos | $129,516 | 205 |
| H2012 | Behav hlth day treat, per hr | $95,697 | 10 |
| H2030 | Mh clubhouse svc, per 15 min | $85,836 | 11 |
| H0020 | Alcohol and/or drug services | $60,212 | 13 |
| H1001 | Antepartum management | $54,270 | 12 |
| H0038 | Self-help/peer svc per 15min | $9,187 | 9 |
| H0048 | Spec coll non-blood:a/d test | $6,196 | 17 |
| H0049 | Alcohol/drug screening | $5,786 | 15 |
| H0001 | Alcohol and/or drug assess | $2,400 | 8 |
| H2010 | Comprehensive med svc 15 min | $2,295 | 10 |
| H0050 | Alcohol/drug service 15 min | $1,103 | 2 |
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.
