Sandpoint Medicaid payments for substance abuse treatment top $618,000 in 2024

Medicaid providers billed $618,365 in Sandpoint in 2024 for Alcohol and Drug Abuse Treatment services, per data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 10.2% increase over 2023, when claims for these services totaled $561,266.

Medicaid, a public health insurance initiative administered by states and jointly financed by federal and state governments, provides coverage to low-income residents, seniors, children, and individuals with disabilities. It is among the largest components of the U.S. health care system. For more details, see the Commonwealth Fund explanation.

Since Medicaid is funded by taxpayers, shifts in local billing levels reflect how public health care funding is allocated within the community.

The “Alcohol and Drug Abuse Treatment” group includes services billed through Medicaid as identified by HCPCS and CPT code clusters. For this analysis, billing codes were placed into one service category using established code patterns, allowing related treatments to be grouped for analysis, while avoiding duplicates and ensuring accurate year-to-year comparisons.

Among Medicaid service types, Alcohol and Drug Abuse Treatment was the third largest in Sandpoint by payment total in 2024.

On a statewide scale in Idaho, Alcohol and Drug Abuse Treatment was the category with the highest total Medicaid payment in 2024.

From 2019 to 2024, Medicaid spending for Alcohol and Drug Abuse Treatment in Sandpoint grew by $27,268, or 4.2%. Notable year-over-year growth was seen in both 2020 and 2022.

The spending for Alcohol and Drug Abuse Treatment services was mainly limited to a few ZIP codes in Sandpoint. In 2024, ZIP code 83864 accounted for all $618,365 in Medicaid payments attributed to this category. The leading ZIP code made up 100% of Medicaid expenditures for these services in the city for the year.

Payments within the Alcohol and Drug Abuse Treatment group were also concentrated within a small number of billing codes.

For reference, between 2023 and 2024 Medicaid payments for Alcohol and Drug Abuse Treatment in Sandpoint rose 10.2%, in contrast to a 1.7% increase across all Medicaid claim categories in the same timeframe.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid spending totaled about $871.7 billion in fiscal 2023, accounting for roughly 18% of all U.S. health spending, rising from approximately $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

This overall increase marks growth of around 40% over several years, mainly driven by greater enrollment and increased usage through and following the pandemic.

Recently enacted federal budget measures under the Trump administration involve proposals aiming to trim Medicaid funding and make structural program changes. For example, the “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid spending by over $1 trillion in the coming decade, introducing new work requirements and higher cost-sharing, which could affect coverage and the amount of funding available for some recipients. This legislation will likely pass more costs to states and slow federal Medicaid growth, though the program will still provide coverage for millions.

Note: HCPCS codes are listed for category context. Rank and totals referenced are based on aggregated service groupings, not individual codes.

All data in this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The data can be accessed here.