In 2024, Santa Clara Medicaid providers billed a total of $1,532,113 for services in the Alcohol and Drug Abuse Treatment category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 616.7% rise over 2023, when $213,760 in claims were submitted for this category.
Medicaid, governed by the states and financed through joint federal and state contributions, insures low-income families and individuals, seniors, children, and people living with disabilities, making it a key element of the U.S. health care system.
Because these payments use taxpayer dollars, variations in local billing reflect how community health spending is allocated through Medicaid.
The “Alcohol and Drug Abuse Treatment” category consists of services classified under designated HCPCS and CPT billing groups. For this report, billing codes were matched to specific service categories by series and structure, permitting unified tracking across years without duplication and maintaining service rankings.
Even as Medicaid expenditures rose in different categories, Alcohol and Drug Abuse Treatment was the fourth-largest in Santa Clara in 2024, based on total payments.
At the statewide level, Alcohol and Drug Abuse Treatment also ranked fourth in California for total Medicaid payments in 2024.
From 2019 through 2024, Medicaid payments in Santa Clara associated with Alcohol and Drug Abuse Treatment rose by $1,532,113, or 0%. Certain intervals saw significant upticks, notably in both 2022 and 2023.
Although these funds supported care throughout the city, a substantial share was concentrated within a handful of ZIP codes. In 2024, the largest aggregate payments for this category were in ZIP code 95054, totaling $1,532,112. Altogether, the leading ZIP code represented 100% of category Medicaid payments in the city for the year.
Medicaid expenditures within the Alcohol and Drug Abuse Treatment category also focused on just a few billing codes.
Medicaid reimbursement for the Alcohol and Drug Abuse Treatment category in Santa Clara rose by 616.7% from 2023 to 2024, compared to a 632.5% increase seen across all Medicaid billing categories in the community during that time.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached nearly $871.7 billion in the 2023 fiscal year—about 18% of the nation’s total health spending—which reflects a substantial increase from about $613.5 billion in 2019, before the COVID-19 pandemic.
This upturn equals an estimated 40% growth over several years, driven primarily by a rise in enrollment and greater usage of care during and in the period after the pandemic.
Fedral budget changes under the Trump administration have included extensive plans to reduce federal Medicaid support and modify program requirements. The “One Big Beautiful Bill Act,” signed in 2025, is estimated to cut more than $1 trillion from Medicaid funding over 10 years and brings forth steps such as greater cost-sharing responsibilities and work mandates that may reduce benefits or coverage for certain individuals. Policies in this legislation are expected to increase the budgetary responsibility of states and slow future federal funding growth, though Medicaid remains a critical program serving tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $213,759 | – |
| 2024 | $1,532,112 | 616.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $6,316,572 | 33.8% |
| 2 | Radiology Procedures | $3,584,705 | 19.2% |
| 3 | Medicine Services and Procedures | $3,004,641 | 16.1% |
| 4 | Alcohol and Drug Abuse Treatment | $1,532,112 | 8.2% |
| 5 | Procedures / Professional Services | $1,306,097 | 7% |
| 6 | Pathology and Laboratory Procedures | $758,679 | 4.1% |
| 7 | Ambulance and Other Transport Services and Supplies | $600,563 | 3.2% |
| 8 | Temporary Codes | $536,039 | 2.9% |
| 9 | Dental Services | $489,785 | 2.6% |
| 10 | National Codes Established for State Medicaid Agencies | $167,345 | 0.9% |
| 11 | Surgery | $163,068 | 0.9% |
| 12 | Anesthesia | $70,259 | 0.4% |
| 13 | Administrative, Miscellaneous and Investigational | $42,140 | 0.2% |
| 14 | Drugs Administered Other than Oral Method | $39,820 | 0.2% |
| 15 | Durable Medical Equipment | $37,801 | 0.2% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $12,073 | 0.1% |
| 17 | Medical And Surgical Supplies | $2,255 | <0.1% |
| 18 | Temporary National Codes (Non-Medicare) | $6 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2022 | Com wrap-around sv, per diem | $1,532,112 | 10 |
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.
