Medicaid spending for alcohol and drug abuse treatment in Moscow totals $1,720,045 in 2024

In Moscow, Medicaid providers reported $1,720,045 in billed services categorized under Alcohol and Drug Abuse Treatment during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents a 10.8% increase from 2023, when $1,551,800 was billed for the same service category.

Medicaid, a public health insurance program funded jointly by federal and state governments and administered by the states, provides coverage for low-income people, families, seniors, children and those with disabilities, making it one of the largest segments of the U.S. health system.

Since Medicaid payments are taxpayer-funded, shifts in local billing show how community public health dollars are distributed.

The “Alcohol and Drug Abuse Treatment” label encompasses a set of Medicaid-billed services grouped by care type, identified through HCPCS and CPT billing code collections. Each code was assigned to a single service category in this analysis using consistent prefixes and number ranges, allowing for accurate grouping of services and avoiding duplicates to ensure correct rankings over time.

Alcohol and Drug Abuse Treatment was the second-highest Medicaid billing category in Moscow in 2024, despite overall growth across multiple service groups.

For Idaho, Alcohol and Drug Abuse Treatment ranked first statewide by total Medicaid payments in 2024.

Between 2019 and 2024, Medicaid billing for Alcohol and Drug Abuse Treatment in Moscow increased by $1,456,920, or 553.7%. The pace of growth was particularly strong in certain years, with significant year-over-year jumps observed in 2022 and 2020.

Citywide, spending within the Alcohol and Drug Abuse Treatment category was geographically distributed, but payments were heavily concentrated in a small number of ZIP codes. For 2024, ZIP code 83843 accounted for $1,720,045, representing 100% of the city’s Medicaid spending in this category for the year.

Among the various services within the category, a small group of individual billing codes represented the bulk of Medicaid payments.

When compared to all other Medicaid claim categories in Moscow, Alcohol and Drug Abuse Treatment rose 10.8% from 2023 to 2024, higher than the 7% overall change across claim types in the same time period.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid was roughly $871.7 billion for fiscal year 2023, making up nearly 18% of all U.S. health expenditures. This is a substantial increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This approximately 40% rise over several years was mainly due to higher enrollment and increased usage during and after the pandemic.

Recent federal budget laws under the Trump administration included major recommendations to reduce federal Medicaid spending and modify program structures. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid funding by more than $1 trillion over 10 years and add measures such as work requirements and higher out-of-pocket costs. These provisions might lower coverage and federal support for some enrollees and shift a greater share of costs to states, even as Medicaid continues to provide coverage to millions nationwide.

Note: HCPCS codes appear for informational purposes within the broader category. All category totals and rankings are computed using standardized service groups, not individual billing codes.

Details for this article are drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. View the source data here.