In 2024, Medicaid providers in Portage billed a total of $4,724,006 for services within the Alcohol and Drug Abuse Treatment category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 3.6% rise from 2023, when claims for similar services totaled $4,561,272.
Medicaid, a government-run health insurance program, is funded jointly by federal and state governments. It insures low-income individuals and families, seniors, children, and people with disabilities, constituting one of the largest areas of the nation’s health care system.
Since public funds support Medicaid payouts, shifts in local billing reveal how health care dollars are distributed within communities.
The Alcohol and Drug Abuse Treatment category represents Medicaid services grouped by the type of care delivered, with assignments based on standardized HCPCS and CPT code structures. This analysis placed each billing code in a service category using specific code prefixes and numerical ranges, minimizing double counting and preserving a consistent view of service trends.
While Medicaid expenses rose in multiple categories, Alcohol and Drug Abuse Treatment was the leading category in Portage in 2024 by total payments.
Statewide in Michigan, Alcohol and Drug Abuse Treatment also ranked first by total Medicaid payments in 2024.
Between 2019 and 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Portage increased by $424,197, or 9.9%. Higher growth rates occurred at certain points within the timeframe, including notable increases during 2020 and 2023.
Although payments spanned Portage, Alcohol and Drug Abuse Treatment spending was concentrated in just a few ZIP codes. ZIP code 49002 accounted for $3,632,349 and 49024 for $1,091,656; together, these areas made up 100% of Medicaid spending in this category in 2024.
Most Medicaid costs in the Alcohol and Drug Abuse Treatment group were linked to a small set of billing codes.
For perspective, while Alcohol and Drug Abuse Treatment payments in Portage rose by 3.6% from 2023 to 2024, overall Medicaid claim categories in the city reported an 18.7% change over that period.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, accounting for about 18% of national health spending, up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
That increase amounts to about 40% growth over several years, spurred largely by more enrollment and greater service use during and after the pandemic.
Recent Congressional budgets under the Trump administration have included major proposals to decrease federal Medicaid support and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut over $1 trillion in federal Medicaid over the next decade and introduces measures such as work requirements and increased cost sharing, which could lead to lower coverage and funding for some groups. These policies are expected to place larger costs on states and slow the increase of federal Medicaid support, while the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,299,808 | 29.7% |
| 2021 | $4,612,920 | 7.3% |
| 2022 | $4,186,262 | -9.2% |
| 2023 | $4,561,271 | 9% |
| 2024 | $4,724,006 | 3.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $4,724,006 | 45% |
| 2 | Evaluation and Management | $3,224,449 | 30.7% |
| 3 | Medicine Services and Procedures | $1,148,483 | 10.9% |
| 4 | Dental Services | $375,568 | 3.6% |
| 5 | Surgery | $298,739 | 2.8% |
| 6 | National Codes Established for State Medicaid Agencies | $267,231 | 2.5% |
| 7 | Durable Medical Equipment | $188,273 | 1.8% |
| 8 | Procedures / Professional Services | $80,123 | 0.8% |
| 9 | Enteral and Parenteral Therapy | $65,510 | 0.6% |
| 10 | Medical And Surgical Supplies | $60,787 | 0.6% |
| 11 | Radiology Procedures | $20,973 | 0.2% |
| 12 | Pathology and Laboratory Procedures | $17,095 | 0.2% |
| 13 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $16,331 | 0.2% |
| 14 | Vision Services | $10,074 | 0.1% |
| 15 | Temporary National Codes (Non-Medicare) | $5,150 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $3,427 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2015 | Comp comm supp svc, 15 min | $4,323,884 | 27 |
| H2016 | Comp comm supp svc, per diem | $306,472 | 11 |
| H2000 | Comp multidisipln evaluation | $93,648 | 7 |
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.
