In 2024, Medicaid providers in Seaside billed $43,217 for services categorized as Alcohol and Drug Abuse Treatment, U.S. Department of Health and Human Services Medicaid Provider Spending data show. That figure marks an 85.6% increase from 2023, when claims for this service type totaled $23,287.
Medicaid, a state-run program with funds provided jointly by federal and state governments, offers health insurance coverage for low-income individuals and families, seniors, children and those with disabilities. It remains a key component of the U.S. health care system.
Changes in how much Medicaid pays for specific services reveal shifts in how taxpayer-funded health care resources are spent within communities.
The “Alcohol and Drug Abuse Treatment” group covers Medicaid services defined by care type, using standard HCPCS and CPT code clusters. These billing codes were mapped to distinct service categories through identifiable code ranges and prefixes in this analysis, which prevented duplicate counting and maintained consistent rankings over time.
Spending for Alcohol and Drug Abuse Treatment was the third-highest among Medicaid categories in Seaside for 2024.
Statewide, Alcohol and Drug Abuse Treatment held the number two position for total Medicaid payments in Oregon in 2024.
From 2020 through 2024, payments for this category in Seaside rose by $28,787—or 199.5%—with notable surges seen in certain years, especially in 2022 and 2022.
Although care was billed in locations throughout the city, Medicaid payments tied to Alcohol and Drug Abuse Treatment were especially concentrated in a small set of ZIP codes. For 2024, ZIP code 97138 accounted for $43,216, and this top ZIP code represented 100% of local payments in this service category for the year.
Payments within the category were focused among a select group of billing codes.
For context, while Medicaid payments related to Alcohol and Drug Abuse Treatment in Seaside climbed 85.6% between 2024 and 2023, all Medicaid claim categories in the city saw a 13.5% increase for the same span.
Centers for Medicare & Medicaid Services data report total national Medicaid outlays reached roughly $871.7 billion for fiscal year 2023, accounting for an estimated 18% of overall health expenditures nationally and up from $613.5 billion in 2019, pre-pandemic.
This increase amounts to about 40% growth in just several years, primarily due to larger enrollment and increased service use during and following the pandemic.
Recent federal budget changes during the Trump administration advanced major proposals to scale back federal Medicaid funds and redesign the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to cut upward of $1 trillion in federal Medicaid spending over 10 years and to introduce new cost-sharing and work obligations for beneficiaries. These policies may reduce patient coverage and shift both costs and responsibility to individual states, constraining the pace of federal Medicaid expansion even as the program continues serving tens of millions of people nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $14,429 | – |
| 2021 | $14,219 | -1.5% |
| 2022 | $29,422 | 106.9% |
| 2023 | $23,286 | -20.9% |
| 2024 | $43,216 | 85.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,299,623 | 89.6% |
| 2 | Medicine Services and Procedures | $61,459 | 4.2% |
| 3 | Alcohol and Drug Abuse Treatment | $43,216 | 3% |
| 4 | Pathology and Laboratory Procedures | $36,241 | 2.5% |
| 5 | Radiology Procedures | $4,288 | 0.3% |
| 6 | Dental Services | $3,864 | 0.3% |
| 7 | Procedures / Professional Services | $1,187 | 0.1% |
| 8 | Drugs Administered Other than Oral Method | $1,033 | 0.1% |
| 9 | Surgery | $105 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0020 | Alcohol and/or drug services | $23,770 | 41 |
| H0033 | Oral med adm direct observe | $16,008 | 39 |
| H0048 | Spec coll non-blood:a/d test | $3,162 | 25 |
| H0004 | Alcohol and/or drug services | $276 | 10 |
| H0038 | Self-help/peer svc per 15min | $0 | 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.
