Clearfield Medicaid payments for alcohol and drug abuse treatment total $539,717 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show that Medicaid providers in Clearfield billed $539,717 for services labeled under Alcohol and Drug Abuse Treatment in 2024. This represented a 1.3% rise over 2023, when claims under this category totaled $532,631.

Medicaid is administered by individual states in partnership with the federal government through joint funding. The program supports low-income households, seniors, children, and people with disabilities, making it a core component of the nation’s health care infrastructure.

Since Medicaid is funded by taxpayer contributions, local variations in billing reflect how these health care resources are distributed within a given area.

The “Alcohol and Drug Abuse Treatment” group represents a specific category of Medicaid claims, identified based on standardized HCPCS and CPT coding methodology. Billing codes are grouped into service categories using predefined code ranges and prefixes to avoid double counting, so billing patterns can be consistently analyzed and ranked over time.

While several major service categories saw higher Medicaid expenditures, Alcohol and Drug Abuse Treatment outpaced all others in Clearfield for total Medicaid payments in 2024.

Statewide in Pennsylvania, the Alcohol and Drug Abuse Treatment category also ranked first by Medicaid payments during 2024.

From 2019 to 2024, Medicaid spending tied to Alcohol and Drug Abuse Treatment in Clearfield rose by $436,940, a 425.1% increase. The area saw periods of rapid growth, with particular jumps reported in 2023 and 2021.

Although alcohol and drug abuse treatment payments were issued throughout Clearfield, the highest expenditures were limited to a small number of ZIP codes. In 2024, the 16830 ZIP code generated $539,717 in claims, representing 100% of reported Medicaid payments tied to this treatment category within the city that year.

In this category, Medicaid funding was concentrated in a select set of billing codes.

Bills for Alcohol and Drug Abuse Treatment in Clearfield grew by 1.3% from 2023 to 2024, whereas Medicaid payments across all health service categories in the community increased by 3.1% during that time.

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 nationwide health spending—a significant jump from $613.5 billion in 2019, before the onset of COVID-19.

This amounts to roughly 40% growth over a few years, fueled primarily by greater enrollment and utilization linked to the pandemic and its aftermath.

Federal budget measures under the Trump administration have included large-scale proposals to reduce Medicaid funding and revamp the program’s structure. As an example, the “One Big Beautiful Bill Act,” enacted in 2025, is projected to lower federal Medicaid support by over $1 trillion through the coming decade and introduces provisions such as increased cost-sharing and work requirements. These policy changes are forecast to shift costs onto state governments and place limits on future growth of federal Medicaid, despite the program’s continued importance for millions of Americans.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Clearfield, Pennsylvania Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $102,777
2021 $177,782 73%
2022 $244,412 37.5%
2023 $532,630 117.9%
2024 $539,717 1.3%
Top Categories by Medicaid Payments in Clearfield, Pennsylvania, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $539,717 33.1%
2 Medicine Services and Procedures $380,796 23.4%
3 Evaluation and Management $289,655 17.8%
4 Ambulance and Other Transport Services and Supplies $165,308 10.1%
5 Pathology and Laboratory Procedures $125,542 7.7%
6 Procedures / Professional Services $94,828 5.8%
7 Vision Services $22,291 1.4%
8 Temporary National Codes (Non-Medicare) $5,460 0.3%
9 National Codes Established for State Medicaid Agencies $2,838 0.2%
10 Radiology Procedures $2,230 0.1%
11 Dental Services $1,137 0.1%
12 Coronavirus Diagnostic Panel $988 0.1%
13 Administrative, Miscellaneous and Investigational $0 <0.1%
13 Drugs Administered Other than Oral Method $0 <0.1%
13 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Clearfield, Pennsylvania, 2024

HCPCS Code Description Medicaid Payments Claims
H0038 Self-help/peer svc per 15min $483,909 10
H0015 Alcohol and/or drug services $55,808 3

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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