Alcohol and drug abuse treatment Medicaid billing rises to $11,659,239 in Mount Joy in 2024

In 2024, Medicaid providers in Mount Joy billed $11,659,239 for services under the Alcohol and Drug Abuse Treatment category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 37.3% rise from 2023, when $8,491,333 was billed for these services.

Medicaid, a public health insurance initiative, is funded jointly by federal and state governments and administered by states. It covers low-income individuals and families, seniors, children, and people with disabilities, making it a significant component of the U.S. health care system.

As Medicaid payments are tax-funded, shifts in claim volumes at the local level help illustrate how public health care resources are distributed within a community.

The “Alcohol and Drug Abuse Treatment” service group reflects Medicaid claims as defined by the type of care delivered, based on standardized HCPCS and CPT code groups. This analysis assigned each billing code to a single service group using code prefixes and ranges consistently, so related services could be compared and double counting was avoided for accuracy in rankings over time.

Although Medicaid expenditures grew across several service categories, Alcohol and Drug Abuse Treatment was the top-ranked category in Mount Joy in 2024 based on total payments.

Statewide in Pennsylvania, Alcohol and Drug Abuse Treatment also ranked first by total Medicaid payments in 2024.

From 2019 to 2024, Medicaid spending in Mount Joy for the Alcohol and Drug Abuse Treatment category increased by $11,141,325, or 2151.2%. Growth accelerated during selected periods, with significant annual increases reported in 2021 and 2022.

While these Medicaid payments for Alcohol and Drug Abuse Treatment services were distributed throughout Mount Joy, claims concentrated in a small number of ZIP codes. In 2024, the highest total was in ZIP code 17552, which saw $11,659,239 in Medicaid payments. Altogether, the top ZIP code accounted for 100% of all Alcohol and Drug Abuse Treatment Medicaid payments in Mount Joy during the year.

Within this category, Medicaid expenditures were also focused on a limited range of individual billing codes.

Comparatively, Medicaid billing for Alcohol and Drug Abuse Treatment in Mount Joy increased 37.3% from 2023 to 2024, mirroring the 37.3% increase seen across all Medicaid claim categories in the city over the same time frame.

According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, amounting to roughly 18% of national health care spending, up sharply from $613.5 billion in 2019 before the COVID-19 pandemic.

This jump represents close to 40% growth in just a few years, led largely by increased enrollment and greater service utilization during and after the pandemic.

Federal budget legislation during the Trump administration introduced sizable proposed cuts and program changes for Medicaid. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion during the next decade and brings new requirements—including work criteria and higher cost-sharing—that could restrict coverage and funding for some beneficiaries. These adjustments are projected to shift more financial responsibility to states and reduce increases in federal Medicaid support, even while the program serves tens of millions.

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.