Midvale Medicaid spending for alcohol and drug abuse treatment rises to $309,286 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that in 2024, Medicaid providers in Midvale billed $309,286 for services under the Alcohol and Drug Abuse Treatment category. This amount was a 138.4% jump from 2023, when billings for the same category reached $129,726.

Medicaid is a public health insurance initiative administered by states and funded by both federal and state governments. The program covers low-income residents, seniors, children, and those with disabilities, making it a significant part of the nation’s health care system.

Taxpayer contributions support Medicaid payments, so local billing fluctuations highlight shifts in how public health care resources are distributed in communities.

The “Alcohol and Drug Abuse Treatment” classification includes Medicaid services grouped by the care provided, as defined by standardized HCPCS and CPT code sets. For this analysis, codes were assigned to a single category using specific code prefixes and number ranges, enabling consistent analysis of related services while avoiding overlap and maintaining accurate rankings.

While several Medicaid service categories saw higher spending, Alcohol and Drug Abuse Treatment ranked fifth by total payments in Midvale for 2024.

Statewide in Utah, Alcohol and Drug Abuse Treatment placed second in total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid payments in Midvale linked to Alcohol and Drug Abuse Treatment climbed by $294,012, or 1924.9%. Certain years, like 2022 and 2023, saw particularly sharp increases in spending.

Spending under the Alcohol and Drug Abuse Treatment category occurred throughout Midvale, but was primarily focused in a small set of ZIP codes. In 2024, ZIP code 84047 recorded all $309,286 in Medicaid payments tied to this category, making up 100% of such spending in the city for the year.

Only a small number of specific billing codes accounted for the majority of Medicaid payments in this treatment category.

To compare, Alcohol and Drug Abuse Treatment payments in Midvale grew by 138.4% from 2023 to 2024, whereas overall Medicaid claim categories in the city increased by 26.1% in the same timeframe.

According to the Centers for Medicare & Medicaid Services, total Medicaid spending from federal and state sources reached about $871.7 billion in fiscal year 2023, representing nearly 18% of the nation’s health care spending, a sharp rise from $613.5 billion in 2019 before the COVID-19 pandemic.

This growth—about 40% in just a few years—has been driven by increased enrollment and greater service utilization during and after the pandemic.

Recent federal budget measures under the Trump administration have included major proposals to decrease federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to trim over $1 trillion from federal Medicaid spending during the next decade and adds elements such as work requirements and greater cost-sharing, potentially lowering coverage and federal funding for some recipients. These changes could shift more costs to state governments and slow the growth of federal Medicaid funding, though the program continues to serve tens of millions across the country.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Midvale, Utah Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $15,273 6.4%
2021 $22,565 47.7%
2022 $60,074 166.2%
2023 $129,725 115.9%
2024 $309,286 138.4%
Top Categories by Medicaid Payments in Midvale, Utah, 2024

Rank Category Medicaid Payments Share of City Total
1 Medicine Services and Procedures $1,887,723 43.1%
2 National Codes Established for State Medicaid Agencies $569,756 13%
3 Orthotic Procedures and services $486,038 11.1%
4 Drugs Administered Other than Oral Method $485,140 11.1%
5 Alcohol and Drug Abuse Treatment $309,286 7.1%
6 Evaluation and Management $307,642 7%
7 Durable Medical Equipment $256,111 5.9%
8 Anesthesia $34,147 0.8%
9 Medical And Surgical Supplies $21,152 0.5%
10 Vision Services $11,576 0.3%
11 Radiology Procedures $3,212 0.1%
12 Pathology and Laboratory Procedures $1,869 <0.1%
13 Durable medical equipment (DME) Medicare administrative contractors (MACs) $1,639 <0.1%
14 Surgery $603 <0.1%
15 Dental Services $195 <0.1%
16 Procedures / Professional Services $18 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Midvale, Utah, 2024

HCPCS Code Description Medicaid Payments Claims
H0006 Alcohol and/or drug services $101,033 22
H2013 Psych hlth fac svc, per diem $72,124 1
H2019 Ther behav svc, per 15 min $56,163 2
H2032 Activity therapy, per 15 min $55,420 2
H2014 Skills train and dev, 15 min $16,433 1
H2017 Psysoc rehab svc, per 15 min $8,110 2

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.



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