Mckeesport Medicaid providers reported $2,923,266 in Alcohol and Drug Abuse Treatment service claims for 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total represented a 20.5% rise from 2023, when $2,426,264 was billed under the same service category.
Medicaid is a state-operated public health insurance program, jointly funded by federal and state governments. It serves low-income households, older adults, children, and individuals with disabilities, and forms a key segment of the U.S. health care infrastructure.
Trends in community-level Medicaid billing help demonstrate how public health dollars are distributed locally, as these payments rely on taxpayer funds.
The “Alcohol and Drug Abuse Treatment” service category encompasses Medicaid-billed care based on specified HCPCS and CPT codes. For this study, unique billing codes were assigned to a single category using uniform code prefixes and ranges, supporting aggregation of similar services and accuracy in ranking while preventing double counts.
Alcohol and Drug Abuse Treatment led all Medicaid payment categories in Mckeesport in total dollars received by providers in 2024, even though spending rose among several other service areas.
Statewide in Pennsylvania, Alcohol and Drug Abuse Treatment likewise held the top spot for total Medicaid payments in 2024.
During the five-year period ending in 2024, Mckeesport’s Medicaid payments in this category increased by $2,775,234, or 1874.8%. Growth rates accelerated notably at points, such as in 2021 and 2022, which saw large increases from the year before.
The spending distribution was concentrated, as nearly all Medicaid payments for Alcohol and Drug Abuse Treatment in 2024 were associated with a single ZIP code, 15132, totaling $2,923,266. That single area comprised 100% of Alcohol and Drug Abuse Treatment Medicaid payments billed in Mckeesport for the year.
Within the category itself, most Medicaid spending was tied to a select set of individual billing codes.
To place these figures in context, Medicaid spending for Alcohol and Drug Abuse Treatment rose 20.5% in Mckeesport between 2024 and 2023. By comparison, spending across all Medicaid claim types in the city increased by 2.1% for the same period.
Centers for Medicare & Medicaid Services data show federal and state Medicaid outlays reached approximately $871.7 billion during fiscal year 2023, making up around 18% of all U.S. health care spending—a significant rise from nearly $613.5 billion in 2019, the year preceding the COVID-19 pandemic.
This increase represents about 40% growth within a few years and is largely attributed to a surge in enrollment and greater service utilization amid and after the pandemic.
Recent federal budget laws passed under the Trump administration include proposals to decrease federal contributions and restructure the Medicaid program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next 10 years. It introduces features such as work requirements and higher cost-sharing, which could impact coverage and funding for some enrollees. These changes may require states to shoulder more costs and constrain increases in federal support, despite Medicaid’s continued service to tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $148,032 | – |
| 2021 | $2,533,958 | 1611.8% |
| 2022 | $2,731,818 | 7.8% |
| 2023 | $2,426,264 | -11.2% |
| 2024 | $2,923,266 | 20.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $2,923,266 | 30.3% |
| 2 | Medicine Services and Procedures | $2,769,179 | 28.7% |
| 3 | Evaluation and Management | $1,850,360 | 19.2% |
| 4 | Ambulance and Other Transport Services and Supplies | $1,175,855 | 12.2% |
| 5 | National Codes Established for State Medicaid Agencies | $781,615 | 8.1% |
| 6 | Pathology and Laboratory Procedures | $112,089 | 1.2% |
| 7 | Radiology Procedures | $41,777 | 0.4% |
| 8 | Vision Services | $4,207 | <0.1% |
| 9 | Temporary National Codes (Non-Medicare) | $2,940 | <0.1% |
| 10 | Surgery | $2 | <0.1% |
| 11 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| 11 | Chemotherapy Drugs | $0 | <0.1% |
| 11 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 11 | Medical And Surgical Supplies | $0 | <0.1% |
| 11 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2019 | Ther behav svc, per 15 min | $1,020,378 | 12 |
| H0032 | Mh svc plan dev by non-md | $514,121 | 12 |
| H2036 | A/d tx program, per diem | $506,643 | 4 |
| H0046 | Mental health service, nos | $393,466 | 7 |
| H2021 | Com wrap-around sv, 15 min | $370,245 | 12 |
| H0034 | Med trng & support per 15min | $71,220 | 12 |
| H0001 | Alcohol and/or drug assess | $25,781 | 12 |
| H0015 | Alcohol and/or drug services | $10,758 | 2 |
| H2010 | Comprehensive med svc 15 min | $10,650 | 12 |
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.
