Edgewood Medicaid providers submitted claims totaling $7,462,005 for Alcohol and Drug Abuse Treatment services in 2024, using data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 34.5% increase over 2023, when providers billed $5,547,878 for the same set of services.
Medicaid is a public insurance program administered by states and jointly funded by federal and state governments. It serves individuals and families with low incomes, older adults, children, and people living with disabilities, making it a core program in the national health care landscape.
As Medicaid is taxpayer-funded, changes in the community’s billing trends reflect how public funds are allocated for local health care.
The “Alcohol and Drug Abuse Treatment” category includes a specific group of Medicaid-billed services, grouped by the type of care provided according to standardized HCPCS and CPT coding. For analysis, each code was placed in one service category based on code prefixes and number ranges, letting related services be considered together, while preventing double-counting and ensuring accurate rankings.
Alcohol and Drug Abuse Treatment had the highest total Medicaid payments among all service categories in Edgewood during 2024.
Statewide in Maryland, Alcohol and Drug Abuse Treatment also ranked first by Medicaid payment totals for 2024.
Between 2019 and 2024, Medicaid payments in Edgewood for Alcohol and Drug Abuse Treatment climbed by $3,716,262, up 99.2%. Certain years, such as 2021 and 2022, saw particularly significant year-over-year growth during this period.
Payments for Alcohol and Drug Abuse Treatment were distributed throughout Edgewood, but most were tied to a small group of ZIP codes. In 2024, ZIP code 21040 accounted for $7,462,004 in Medicaid payments for this category, representing 100% of all such payments in Edgewood in that year.
Within the Alcohol and Drug Abuse Treatment category, a few billing codes made up the majority of Medicaid payments.
Between 2023 and 2024, Edgewood’s Medicaid payments for Alcohol and Drug Abuse Treatment services increased by 34.5%, while overall city Medicaid payments for all service categories rose by 0.3% over the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending together reached about $871.7 billion during fiscal year 2023, making up around 18% of total U.S. health expenditures—an increase from about $613.5 billion in 2019 before the COVID-19 pandemic.
This growth represents about a 40% rise over several years, mainly due to increased enrollment and service use during and after the pandemic.
Federal budget packages passed under the Trump administration included significant Medicaid reforms. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion in federal Medicaid spending over a decade and introduces policies, such as work requirements and higher cost-sharing, that may reduce funding and coverage for certain beneficiaries. These changes are likely to shift more financial responsibility to states and may constrain the growth of federal Medicaid support, even as millions continue to depend on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,745,742 | -23.2% |
| 2021 | $4,738,606 | 26.5% |
| 2022 | $5,306,653 | 12% |
| 2023 | $5,547,878 | 4.5% |
| 2024 | $7,462,004 | 34.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $7,462,004 | 50.8% |
| 2 | National Codes Established for State Medicaid Agencies | $3,531,421 | 24% |
| 3 | Medicine Services and Procedures | $975,553 | 6.6% |
| 4 | Evaluation and Management | $899,514 | 6.1% |
| 5 | Temporary National Codes (Non-Medicare) | $840,201 | 5.7% |
| 6 | Drugs Administered Other than Oral Method | $811,200 | 5.5% |
| 7 | Dental Services | $147,821 | 1% |
| 8 | Surgery | $20,047 | 0.1% |
| 9 | Pathology and Laboratory Procedures | $9,645 | 0.1% |
| 10 | Procedures / Professional Services | $5,507 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0015 | Alcohol and/or drug services | $3,742,227 | 35 |
| H0020 | Alcohol and/or drug services | $1,706,321 | 12 |
| H0004 | Alcohol and/or drug services | $602,716 | 15 |
| H0047 | Alcohol/drug abuse svc nos | $488,003 | 12 |
| H0044 | Supported housing, per month | $251,493 | 18 |
| H0001 | Alcohol and/or drug assess | $189,630 | 33 |
| H0005 | Alcohol and/or drug services | $186,781 | 13 |
| H0038 | Self-help/peer svc per 15min | $109,328 | 7 |
| H2036 | A/d tx program, per diem | $106,751 | 2 |
| H0016 | Alcohol and/or drug services | $73,224 | 10 |
| H0032 | Mh svc plan dev by non-md | $5,525 | 3 |
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.
