Homestead Medicaid providers billed $10,779,295 for services within the Alcohol and Drug Abuse Treatment category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 36.7% rise from 2023, when $7,882,620 was billed for the same services.
Medicaid is a government health insurance program administered by states and funded jointly by federal and state governments. The program serves low-income people and families, seniors, children, and individuals with disabilities, making it one of the largest components of the U.S. health care infrastructure.
Because Medicaid payments utilize taxpayer resources, variations in local billing indicate how public health care dollars are distributed in communities.
The “Alcohol and Drug Abuse Treatment” category encompasses Medicaid-billed services grouped by type of care, based on standardized HCPCS and CPT code classifications. In this analysis, each code was assigned to a specific service group using established code prefixes and number ranges, ensuring accurate comparisons by avoiding double counting and maintaining consistent rankings over time.
Alcohol and Drug Abuse Treatment ranked second among Medicaid service categories in Homestead by total payments in 2024, reflecting broader increases in spending across several categories.
Statewide, Alcohol and Drug Abuse Treatment ranked fourth for total Medicaid payments in Florida in 2024.
Between 2020 and 2024, Medicaid payments associated with the Alcohol and Drug Abuse Treatment category in Homestead rose by $2,686,093, or 19.9%. Certain years, such as 2020 and 2023, saw particularly strong year-over-year growth within this category.
Payment distribution for Alcohol and Drug Abuse Treatment services was concentrated in a few ZIP codes across Homestead in 2024. ZIP code 33030 accounted for $9,262,902, 33033 for $1,008,473, and 33032 for $507,919. Altogether, these top 3 ZIP codes represented 100% of Medicaid payments for this treatment category in Homestead that year.
A limited set of billing codes accounted for the majority of Medicaid payments in the Alcohol and Drug Abuse Treatment category.
Comparatively, Homestead saw a 36.7% year-over-year increase in Medicaid payments for Alcohol and Drug Abuse Treatment from 2023 to 2024, compared with an overall 4% rise across all Medicaid claim categories in the city during that timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached roughly $871.7 billion in fiscal year 2023, or about 18% of total U.S. health care spending. That is a sharp rise from $613.5 billion in 2019, before the onset of the COVID-19 pandemic.
This surge reflects an approximately 40% increase over a few years, primarily due to growing enrollment and greater service use during and after the pandemic period.
Recent federal budget initiatives under the Trump administration have included significant proposals to lower federal Medicaid funding and change program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut over $1 trillion from federal Medicaid funds in the next decade while introducing work requirements and higher cost-sharing, which could limit coverage and spending for certain beneficiaries. These changes are expected to increase costs to states and restrain federal Medicaid growth despite the program’s continued broad reach.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $13,465,387 | 57.4% |
| 2021 | $13,339,648 | -0.9% |
| 2022 | $6,458,771 | -51.6% |
| 2023 | $7,882,620 | 22% |
| 2024 | $10,779,294 | 36.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $12,350,245 | 25.4% |
| 2 | Alcohol and Drug Abuse Treatment | $10,779,294 | 22.2% |
| 3 | National Codes Established for State Medicaid Agencies | $8,616,152 | 17.7% |
| 4 | Evaluation and Management | $7,817,690 | 16.1% |
| 5 | Temporary National Codes (Non-Medicare) | $7,156,782 | 14.7% |
| 6 | Dental Services | $634,736 | 1.3% |
| 7 | Pathology and Laboratory Procedures | $483,357 | 1% |
| 8 | Radiology Procedures | $435,565 | 0.9% |
| 9 | Surgery | $139,033 | 0.3% |
| 10 | Drugs Administered Other than Oral Method | $93,819 | 0.2% |
| 11 | Procedures / Professional Services | $57,401 | 0.1% |
| 12 | Coronavirus Diagnostic Panel | $19,936 | <0.1% |
| 13 | Hearing Services | $8,507 | <0.1% |
| 14 | Vision Services | $7,656 | <0.1% |
| 15 | Medical And Surgical Supplies | $797 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 16 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2017 | Psysoc rehab svc, per 15 min | $7,167,624 | 105 |
| H2019 | Ther behav svc, per 15 min | $2,705,794 | 201 |
| H1000 | Prenatal care atrisk assessm | $353,829 | 62 |
| H0031 | Mh health assess by non-md | $191,038 | 131 |
| H0032 | Mh svc plan dev by non-md | $188,174 | 112 |
| H2000 | Comp multidisipln evaluation | $124,734 | 49 |
| H1001 | Antepartum management | $47,804 | 11 |
| H0049 | Alcohol/drug screening | $295 | 1 |
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.
