In 2024, Medicaid providers in Quincy billed a total of $6,203,992 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 amount represented a 4.9% rise from 2023, when claims for these services totaled $5,913,516.
Medicaid, funded jointly by states and the federal government, is a public health insurance program that covers low-income families and individuals, seniors, children, and persons with disabilities. It is a significant component of the U.S. health care system. More about its funding can be found here.
Because Medicaid spending comes from taxpayer funds, fluctuations in billing locally provide insight into the distribution of health care expenditures within communities.
The “Alcohol and Drug Abuse Treatment” category covers a set of services billed to Medicaid, identified by the nature of care provided through standardized HCPCS and CPT code groupings. For the purpose of this analysis, each billing code was placed into a single service category, using standard code prefixes and ranges to ensure grouped services are counted together without duplication and maintaining accurate rank order over time.
Medicaid expenditures went up across several service categories, with Alcohol and Drug Abuse Treatment holding the third-highest spot for total Medicaid receipts in Quincy in 2024.
Statewide, Massachusetts also ranked Alcohol and Drug Abuse Treatment as the third-largest category for Medicaid payments in 2024.
Medicaid payments for Alcohol and Drug Abuse Treatment in Quincy climbed by $2,558,013 or 29.2% over the five years leading up to 2024. Some periods, such as 2023 and 2022, saw particularly notable year-over-year increases in spending growth.
While these services are provided throughout Quincy, payments were primarily concentrated in only a few ZIP codes. In 2024, ZIP codes 02169 ($5,429,782) and 02170 ($774,209) accounted for all Medicaid spending in this category, representing 100% of such payments citywide.
Within the Alcohol and Drug Abuse Treatment grouping, Medicaid spending was further focused on specific billing codes.
When comparing growth, Alcohol and Drug Abuse Treatment Medicaid payments in Quincy rose 4.9% between 2023 and 2024. Across all Medicaid claim categories in Quincy, the increase over the same period was 6.9%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, which made up roughly 18% of total national health care spending—up substantially from $613.5 billion in 2019, before COVID-19.
This rise amounts to an approximately 40% increase in just a few years, with growth largely attributed to greater enrollment and increased utilization during and after the pandemic.
Recent federal budget actions during the Trump administration included major proposals to decrease federal Medicaid spending and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid expenditures by more than $1 trillion over 10 years. The law introduces measures like work requirements and higher cost-sharing, which may limit coverage and funding for certain recipients. These policy changes could shift additional financial responsibility to states while curbing the expansion of federal Medicaid support, even as millions continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $8,762,004 | -33.2% |
| 2021 | $6,918,925 | -21% |
| 2022 | $6,375,056 | -7.9% |
| 2023 | $5,913,516 | -7.2% |
| 2024 | $6,203,991 | 4.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $18,661,132 | 44.6% |
| 2 | National Codes Established for State Medicaid Agencies | $9,644,221 | 23% |
| 3 | Alcohol and Drug Abuse Treatment | $6,203,991 | 14.8% |
| 4 | Medicine Services and Procedures | $2,953,818 | 7.1% |
| 5 | Procedures / Professional Services | $2,160,048 | 5.2% |
| 6 | Evaluation and Management | $1,176,500 | 2.8% |
| 7 | Dental Services | $941,736 | 2.3% |
| 8 | Pathology and Laboratory Procedures | $66,584 | 0.2% |
| 9 | Surgery | $24,455 | 0.1% |
| 10 | Vision Services | $9,611 | <0.1% |
| 11 | Radiology Procedures | $2,436 | <0.1% |
| 12 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| 12 | Medical And Surgical Supplies | $0 | <0.1% |
| 14 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2012 | Behav hlth day treat, per hr | $1,576,459 | 25 |
| H0023 | Alcohol and/or drug outreach | $1,357,570 | 12 |
| H2019 | Ther behav svc, per 15 min | $1,317,167 | 24 |
| H2015 | Comp comm supp svc, 15 min | $718,865 | 12 |
| H2016 | Comp comm supp svc, per diem | $517,564 | 23 |
| H0011 | Alcohol and/or drug services | $461,996 | 10 |
| H0038 | Self-help/peer svc per 15min | $113,955 | 9 |
| H0010 | Alcohol and/or drug services | $88,270 | 2 |
| H2020 | Ther behav svc, per diem | $38,406 | 4 |
| H2011 | Crisis interven svc, 15 min | $13,735 | 9 |
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.
