In 2024, Medicaid providers in Greenfield billed a total of $1,923,379 for services within the Alcohol and Drug Abuse Treatment category, according to data sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 25% increase from the 2023 total of $1,538,299 for the same service type.
Medicaid, a public health insurance program operated by states and jointly funded by the federal and state governments, provides coverage for low-income families and individuals, seniors, children, and those with disabilities. This makes it one of the largest components of the U.S. health care system. More background can be found from the Commonwealth Fund.
Medicaid funding is made up of taxpayer dollars, so fluctuations in local billing reflect the way public health care resources are distributed in a community.
The “Alcohol and Drug Abuse Treatment” category includes several Medicaid-billed services, as defined by specific HCPCS and CPT code groups. Each billing code was assigned a single service category for this analysis, using uniform prefixes and numeric ranges to avoid double counting and to ensure stable service rankings across multiple years.
Among all service categories, Alcohol and Drug Abuse Treatment received the highest total Medicaid payments in Greenfield for 2024.
Statewide, Alcohol and Drug Abuse Treatment held the second position for total Medicaid payments in Ohio during 2024.
Looking at the five years before 2024, Greenfield Medicaid payments in this service category increased by $1,923,379, with no net percentage change over that timespan. Notably, there were significant annual increases in both 2023 and 2022.
Despite citywide distribution of spending, a small number of ZIP codes saw the bulk of Medicaid payments for this category. In 2024, ZIP code 45123 accounted for $1,923,379—the entirety of Greenfield’s payments for Alcohol and Drug Abuse Treatment. As a result, 1 ZIP code represented 100% of such Medicaid payments within the city that year.
Payments within this category were mainly focused among a few specific billing codes.
For context, Greenfield’s 25% year-over-year increase in payments for Alcohol and Drug Abuse Treatment between 2023 and 2024 exceeded the 8.8% change seen across all Medicaid claim categories in the city over the same interval.
Nationwide spending figures from the Centers for Medicare & Medicaid Services indicate combined federal and state Medicaid spending grew to roughly $871.7 billion in fiscal 2023—about 18% of all U.S. health expenditures. That’s up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This reflects about 40% growth in recent years, as increased enrollment and greater service use followed the pandemic.
Major proposals targeting reduced federal Medicaid funding and systemic changes have advanced through recent budget legislation during the Trump administration. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut over $1 trillion from federal Medicaid expenditures over the next decade. It features measures including work requirements and higher cost-sharing, which could result in less coverage for certain beneficiaries and shifts greater expenses to the states. This may curb federal Medicaid growth, even as the program continues serving millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $344,922 | – |
| 2023 | $1,538,298 | 346% |
| 2024 | $1,923,379 | 25% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $1,923,379 | 42.4% |
| 2 | Evaluation and Management | $962,403 | 21.2% |
| 3 | Medicine Services and Procedures | $730,731 | 16.1% |
| 4 | Radiology Procedures | $274,869 | 6.1% |
| 5 | Ambulance and Other Transport Services and Supplies | $178,448 | 3.9% |
| 6 | Procedures / Professional Services | $172,435 | 3.8% |
| 7 | National Codes Established for State Medicaid Agencies | $147,447 | 3.3% |
| 8 | Pathology and Laboratory Procedures | $127,527 | 2.8% |
| 9 | Surgery | $14,769 | 0.3% |
| 10 | Drugs Administered Other than Oral Method | $252 | <0.1% |
| 11 | Coronavirus Diagnostic Panel | $241 | <0.1% |
| 12 | Temporary Codes | $46 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0015 | Alcohol and/or drug services | $1,255,837 | 24 |
| H0005 | Alcohol and/or drug services | $412,448 | 26 |
| H0006 | Alcohol and/or drug services | $133,397 | 43 |
| H0036 | Comm psy face-face per 15min | $105,735 | 25 |
| H0038 | Self-help/peer svc per 15min | $13,886 | 8 |
| H0048 | Spec coll non-blood:a/d test | $2,073 | 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.
