Health care providers in Clinton submitted $31,768 in Medicaid claims for Alcohol and Drug Abuse Treatment services in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 3.7% rise from the previous year, when providers billed $30,628 for the same services.
Medicaid, a health insurance program administered by each state and jointly funded by federal and state governments, covers low-income residents, families, seniors, children, and people with disabilities, making it a crucial component of the U.S. health care landscape. More details can be found at the Commonwealth Fund.
Variation in local billing for Medicaid often reflects how public dollars devoted to health care are distributed across communities. Since these payments originate from taxpayers, fluctuations indicate changes in spending and allocation.
The “Alcohol and Drug Abuse Treatment” category groups Medicaid-billed services according to their type, following standardized HCPCS and CPT code groupings. Billing codes were sorted into service categories using set code prefixes and numeric ranges for this report, which prevents duplication and ensures data remains consistent across time when tracking related services and rankings.
While overall Medicaid expenses increased in multiple service categories, Alcohol and Drug Abuse Treatment was the third-largest category by Medicaid payment totals in Clinton for 2024.
Statewide across New Jersey, the Alcohol and Drug Abuse Treatment category ranked as the top category for total Medicaid payments in 2024.
Between 2020 and 2024, Medicaid payments connected to the Alcohol and Drug Abuse Treatment category in Clinton rose by $31,406, which is an increase of 8,675.7%. Rates of spending growth accelerated in certain stretches, particularly in 2022 and 2023, with significant gains year over year.
Most payments for Alcohol and Drug Abuse Treatment services came from a small number of ZIP codes, though services were distributed citywide. In 2024, ZIP code 08809 accounted for $31,768 in Medicaid claims, making up 100% of Clinton’s Medicaid payments for this category that year.
Within the Alcohol and Drug Abuse Treatment group, a relatively narrow set of billing codes represented nearly all Medicaid payments.
From 2023 to 2024, Medicaid payments linked to Alcohol and Drug Abuse Treatment in Clinton grew by 3.7%. By contrast, citywide Medicaid payments across all service categories rose by 57.3% during that span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023. This constitutes roughly 18% of all national health care expenditures, increasing sharply from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
This higher spending marks growth of approximately 40% over a few years, with expanded Medicaid enrollment and service use during and after the pandemic serving as key factors.
Recent federal budget laws, including sweeping reforms under the Trump administration, have suggested notable reductions in federal Medicaid support and program restructuring. A notable example is the “One Big Beautiful Bill Act,” enacted in 2025, which is forecast to reduce federal Medicaid funding by more than $1 trillion over ten years and introduces provisions for work requirements and additional cost-sharing, potentially limiting coverage and resources for some enrollees. The anticipated effect is a greater cost burden for states, moderating the growth of federal support at a time when the program serves millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $362 | -98.6% |
| 2022 | $19,490 | 5284% |
| 2023 | $30,628 | 57.1% |
| 2024 | $31,768 | 3.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $164,015 | 59.8% |
| 2 | Ambulance and Other Transport Services and Supplies | $67,336 | 24.5% |
| 3 | Alcohol and Drug Abuse Treatment | $31,768 | 11.6% |
| 4 | Medicine Services and Procedures | $9,445 | 3.4% |
| 5 | Procedures / Professional Services | $952 | 0.3% |
| 6 | Surgery | $787 | 0.3% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0006 | Alcohol and/or drug services | $31,768 | 11 |
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.
