Campbell Medicaid payments for alcohol and drug abuse treatment climb to $1,386,529 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid providers in Campbell reported $1,386,529 in claims for Alcohol and Drug Abuse Treatment services, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That figure represents a 206.1% rise from 2023, when $452,973 was billed for the same category of care.

Medicaid, a state-administered public health insurance plan jointly funded by federal and state governments, covers eligible low-income individuals, seniors, children, and people with disabilities, making it among the largest segments of the U.S. health care system.

Because Medicaid funding comes from public sources, trends in local billing show how taxpayer dollars are distributed within a community’s health care system.

The “Alcohol and Drug Abuse Treatment” grouping is determined by standardized HCPCS and CPT code ranges, categorizing Medicaid-billed services by the type of care. For this reporting, each code was categorized under a single service group using established prefixes and numeric sequences, which enables related services to be analyzed collectively while avoiding duplicate counting and maintaining accurate year-over-year rankings.

Among multiple service categories with rising spending, Alcohol and Drug Abuse Treatment placed second in Campbell in 2024 for total Medicaid payments.

This category ranked fourth among all Medicaid payment categories statewide in California during 2024.

Between 2019 and 2024, Campbell saw Medicaid payments for Alcohol and Drug Abuse Treatment climb by $1,386,464, or 2136637.6%. During that period, spending growth was especially significant in 2022 and 2023.

While Medicaid expenditures for Alcohol and Drug Abuse Treatment spanned the city, the majority of payments were concentrated in specific ZIP codes. In 2024, ZIP code 95008 accounted for $1,386,528 in Medicaid claims—representing 100% of the city’s payments in this category that year.

Spending within the Alcohol and Drug Abuse Treatment category largely focused on a select set of individual billing codes.

Comparatively, Campbell’s Medicaid payments for Alcohol and Drug Abuse Treatment rose by 206.1% between 2024 and 2023, while overall Medicaid claims across all categories in the city changed by only 2.9% for the same timeframe.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up about 18% of overall national health care spending and rising sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth represents an increase of about 40% in a few years, largely driven by expanded enrollment and increased service use during and after the pandemic.

Recent federal budget laws enacted during the Trump administration introduced proposals for significant reductions in federal Medicaid contributions and program reforms. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to cut federal Medicaid spending by more than $1 trillion over the next 10 years and add requirements such as work mandates and higher cost-sharing, which may reduce access and funding for certain beneficiaries. These measures are anticipated to pass more costs to states and place limits on future federal Medicaid growth, even as the program provides care for tens of millions of Americans.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Campbell, California Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $64 -69.3%
2021 $18 -71.4%
2022 $27,695 149283.8%
2023 $452,973 1535.5%
2024 $1,386,528 206.1%
Top Categories by Medicaid Payments in Campbell, California, 2024

Rank Category Medicaid Payments Share of City Total
1 Procedures / Professional Services $1,743,834 29.5%
2 Alcohol and Drug Abuse Treatment $1,386,528 23.5%
3 Drugs Administered Other than Oral Method $1,014,217 17.2%
4 Medicine Services and Procedures $495,500 8.4%
5 Durable Medical Equipment $441,704 7.5%
6 Durable medical equipment (DME) Medicare administrative contractors (MACs) $242,486 4.1%
7 Surgery $216,234 3.7%
8 Evaluation and Management $101,838 1.7%
9 Dental Services $75,668 1.3%
10 Pathology and Laboratory Procedures $66,360 1.1%
11 Radiology Procedures $51,846 0.9%
12 Chemotherapy Drugs $41,922 0.7%
13 National Codes Established for State Medicaid Agencies $34,053 0.6%
14 Temporary Codes $0 <0.1%
14 Temporary National Codes (Non-Medicare) $0 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Campbell, California, 2024

HCPCS Code Description Medicaid Payments Claims
H0043 Supported housing, per diem $1,092,082 12
H2016 Comp comm supp svc, per diem $279,228 12
H2014 Skills train and dev, 15 min $14,514 39
H2026 Supp maint employ, per diem $704 1
H0004 Alcohol and/or drug services $0 31
H0031 Mh health assess by non-md $0 10
H0032 Mh svc plan dev by non-md $0 34
H2012 Behav hlth day treat, per hr $0 22
H2019 Ther behav svc, per 15 min $0 32

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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