Spokane Valley Medicaid providers billed $10,133,775 in 2024 for services classified under the Alcohol and Drug Abuse Treatment category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 78.5% increase over 2023, when $5,675,991 was claimed for the same category.
Medicaid operates as a public health insurance initiative funded jointly by the federal and state governments and managed by the states themselves. It serves low-income groups, children, older adults, and people with disabilities, making it one of the nation’s largest health care programs.
Because Medicaid utilizes taxpayer funds, shifts in local billing levels demonstrate how public health care spending is distributed within a community.
The “Alcohol and Drug Abuse Treatment” category is defined by Medicaid-billed services grouped under common HCPCS and CPT code prefixes and numerical ranges. For this analysis, each billing code was matched to a single service category to ensure related services were grouped together, eliminating duplicate counts and maintaining accurate comparisons over time.
Alcohol and Drug Abuse Treatment was the second highest Medicaid payment category in Spokane Valley in 2024, even as payments increased across several service types.
Statewide, Alcohol and Drug Abuse Treatment ranked fourth in total Medicaid payments for 2024 in Washington.
Between 2019 and 2024, Medicaid spending for Alcohol and Drug Abuse Treatment in Spokane Valley rose by $7,275,363, an increase of 254.5%. Spending jumped especially during the years 2020 and 2021.
Within the city, Medicaid spending for Alcohol and Drug Abuse Treatment was spread across multiple areas, but most payments were concentrated in a small number of ZIP codes. For 2024, ZIP code 99216 saw $6,146,460 in Medicaid payments, followed by 99206 with $2,221,658, and 99212 reporting $1,465,878. Combined, these 3 ZIP codes made up 97% of total Alcohol and Drug Abuse Treatment Medicaid payments in Spokane Valley that year.
Payments in the Alcohol and Drug Abuse Treatment category were also concentrated among a few billing codes.
Comparatively, Medicaid billing for Alcohol and Drug Abuse Treatment in Spokane Valley increased by 78.5% from 2023 to 2024, while overall Medicaid payments for all service categories in the city grew by 7% in the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid costs totaled about $871.7 billion in fiscal year 2023, accounting for approximately 18% of national health spending. This marked a sharp rise from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth—roughly 40% in a span of a few years—was primarily fueled by expanded enrollment and increased service use during and after the pandemic.
Recent federal budget measures enacted under the Trump administration introduced major proposals to cut federal Medicaid funding and revise the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and incorporates policies like work requirements and higher cost-sharing that may reduce funding and access for some beneficiaries. This change is projected to shift more financial responsibility to states and constrain federal Medicaid growth, even as the program continues to serve tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,858,412 | 282.5% |
| 2021 | $4,389,276 | 53.6% |
| 2022 | $3,894,212 | -11.3% |
| 2023 | $5,675,991 | 45.8% |
| 2024 | $10,133,775 | 78.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $12,577,314 | 26.4% |
| 2 | Alcohol and Drug Abuse Treatment | $10,133,775 | 21.3% |
| 3 | Medicine Services and Procedures | $6,728,725 | 14.1% |
| 4 | Enteral and Parenteral Therapy | $5,478,937 | 11.5% |
| 5 | Evaluation and Management | $2,671,400 | 5.6% |
| 6 | Pathology and Laboratory Procedures | $2,474,858 | 5.2% |
| 7 | Drugs Administered Other than Oral Method | $1,999,163 | 4.2% |
| 8 | Medical And Surgical Supplies | $1,467,633 | 3.1% |
| 9 | Procedures / Professional Services | $1,059,869 | 2.2% |
| 10 | Dental Services | $1,049,446 | 2.2% |
| 11 | Radiology Procedures | $859,629 | 1.8% |
| 12 | Durable Medical Equipment | $521,102 | 1.1% |
| 13 | Surgery | $395,268 | 0.8% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $138,549 | 0.3% |
| 15 | Orthotic Procedures and services | $73,605 | 0.2% |
| 16 | Temporary National Codes (Non-Medicare) | $18,185 | <0.1% |
| 17 | Administrative, Miscellaneous and Investigational | $8,484 | <0.1% |
| 18 | Outpatient PPS | $5,589 | <0.1% |
| 19 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0018 | Alcohol and/or drug services | $5,880,570 | 11 |
| H0019 | Alcohol and/or drug services | $2,004,413 | 15 |
| H2036 | A/d tx program, per diem | $821,245 | 22 |
| H0043 | Supported housing, per diem | $744,911 | 24 |
| H2023 | Supported employ, per 15 min | $319,156 | 24 |
| H0004 | Alcohol and/or drug services | $191,678 | 94 |
| H0001 | Alcohol and/or drug assess | $139,431 | 13 |
| H2025 | Supp maint employ, 15 min | $21,814 | 7 |
| H0046 | Mental health service, nos | $10,554 | 12 |
| H2015 | Comp comm supp svc, 15 min | $0 | 34 |
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.
