Alcohol and drug abuse treatment drives $2,155,586 in Medicaid spending in Dubois for 2024

In 2024, Medicaid providers in Dubois billed $2,155,586 for Alcohol and Drug Abuse Treatment services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 6.2% increase over 2023, when $2,029,912 was reported for the same services.

Medicaid, a public health insurance program jointly funded by federal and state governments, provides coverage for low-income people and families, seniors, children, and individuals with disabilities. It is one of the largest components of the U.S. health care system. For more on Medicaid financing, see this explanation.

Because taxpayer money funds Medicaid, fluctuations in local billing reflect how health care resources are distributed in a given community.

The “Alcohol and Drug Abuse Treatment” category represents a group of Medicaid-billed services, defined based on the type of care, with assignments using standardized HCPCS and CPT code groups. The analysis used consistent code prefixes and cutoffs, placing each billing code in only one service category to ensure a clear accounting and accurate comparison over time.

Though spending rose in several service areas, Alcohol and Drug Abuse Treatment was the top Medicaid payment category in Dubois for 2024.

Statewide in Pennsylvania, Alcohol and Drug Abuse Treatment led all categories for total Medicaid payments in 2024.

From five years prior to 2024, Dubois saw Medicaid payments for the Alcohol and Drug Abuse Treatment category rise by $2,155,586, totaling 0% growth over that period. At various points, the rate of spending growth increased, including notable gains in 2023 and 2022.

While these payments were made across Dubois, they were concentrated in a small number of ZIP codes. In 2024, ZIP code 15801 reported the largest share at $2,155,586, representing 100% of Medicaid spending in this service category citywide for the year.

Specific billing codes within Alcohol and Drug Abuse Treatment received the most Medicaid payments in this category in Dubois.

Between 2024 and 2023, Dubois saw a 6.2% rise in Medicaid payments tied to the Alcohol and Drug Abuse Treatment category, while all Medicaid claim categories combined rose by 6.5% over the same period in the city.

The Centers for Medicare & Medicaid Services report that total state and federal Medicaid spending reached $871.7 billion in fiscal year 2023, about 18% of all national health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This change shows roughly 40% growth in federal and state Medicaid spending over several years, largely due to increased enrollment and greater service use during and after the pandemic.

Federal budget measures under the Trump administration enacted major proposals to reduce federal Medicaid support and modify the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is set to cut federal Medicaid funding by more than $1 trillion over the coming decade and introduces work requirements and higher cost-sharing measures that could limit coverage and revenue for some enrollees. These changes are expected to shift financial responsibility to states and slow the rise in federal Medicaid spending, even as the program continues to cover millions of Americans.

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.