Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Longview billed $16,200,519 for alcohol and drug abuse treatment services in 2024. That total marked a 3.6% rise over 2023, when claims for this service type reached $15,641,513.
Medicaid, a public health insurance program operated by the states and jointly funded by federal and state governments, provides coverage for low-income residents, seniors, children, and individuals with disabilities, making it a core component of the U.S. health system.
Since Medicaid is funded by taxpayers, shifts in local billing highlight how public resources are distributed for health care in a given community.
The “Alcohol and Drug Abuse Treatment” category covers Medicaid services defined by their care type, using standardized HCPCS and CPT billing codes. This report grouped billing codes into a single service category by using shared prefixes and numeric ranges, enabling review of related services together, preventing duplication, and supporting consistent rankings across years.
Alcohol and Drug Abuse Treatment accounted for the largest Medicaid spending of any service category in Longview in 2024.
Across Texas, Alcohol and Drug Abuse Treatment ranked as the fourth-largest Medicaid spending category by total payments in 2024.
Between 2019 and 2024, Medicaid payments connected to alcohol and drug abuse treatment in Longview grew by $15,432,254—a 2008.7% increase. Growth accelerated at different points, with notable annual jumps seen in 2022 and 2021.
While Medicaid funding for alcohol and drug abuse treatment was distributed throughout Longview, most payments were concentrated in just a few ZIP codes. For 2024, ZIP code 75604 reported $13,976,994 and 75601 reported $2,223,524 in Medicaid payments, accounting for all Medicaid spending in this service category in Longview for the year.
Medicaid spending within the Alcohol and Drug Abuse Treatment group was also focused on a limited selection of billing codes.
Comparing growth, Medicaid payments for alcohol and drug abuse treatment in Longview increased by 3.6% from 2023 to 2024, while total Medicaid spending for all service categories in the city grew by 24.2% during the same period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures were about $871.7 billion in fiscal year 2023. This represented around 18% of total national health care spending, a substantial rise from the $613.5 billion reported in 2019 before the COVID-19 pandemic.
This surge equates to roughly 40% growth over several years, driven primarily by increased enrollment and greater use of services during and after the pandemic.
Federal budget legislation passed during the Trump administration has advanced major changes to Medicaid funding and administration. The “One Big Beautiful Bill Act,” for example, enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade and establish work requirements along with higher cost-sharing, potentially reducing program coverage and shifting more costs to states and some beneficiaries. These measures may restrain federal Medicaid growth even as millions continue to rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $768,264 | 8.2% |
| 2021 | $2,113,276 | 175.1% |
| 2022 | $10,341,393 | 389.4% |
| 2023 | $15,641,513 | 51.3% |
| 2024 | $16,200,518 | 3.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $16,200,518 | 28.2% |
| 2 | Evaluation and Management | $16,050,804 | 28% |
| 3 | National Codes Established for State Medicaid Agencies | $14,148,014 | 24.7% |
| 4 | Ambulance and Other Transport Services and Supplies | $3,410,449 | 5.9% |
| 5 | Medicine Services and Procedures | $2,027,050 | 3.5% |
| 6 | Dental Services | $1,563,395 | 2.7% |
| 7 | Pathology and Laboratory Procedures | $1,305,961 | 2.3% |
| 8 | Radiology Procedures | $816,090 | 1.4% |
| 9 | Surgery | $783,459 | 1.4% |
| 10 | Temporary National Codes (Non-Medicare) | $566,923 | 1% |
| 11 | Drugs Administered Other than Oral Method | $223,005 | 0.4% |
| 12 | Durable Medical Equipment | $145,266 | 0.3% |
| 13 | Procedures / Professional Services | $48,415 | 0.1% |
| 14 | Medical And Surgical Supplies | $35,779 | 0.1% |
| 15 | Vision Services | $21,239 | <0.1% |
| 16 | Temporary Codes | $15,137 | <0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,157 | <0.1% |
| 18 | Miscellaneous Medical Services | $1,224 | <0.1% |
| 19 | Other Services | $0 | <0.1% |
| 19 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $12,597,101 | 63 |
| H2014 | Skills train and dev, 15 min | $3,088,933 | 48 |
| H2017 | Psysoc rehab svc, per 15 min | $359,951 | 11 |
| H2019 | Ther behav svc, per 15 min | $81,478 | 10 |
| H2011 | Crisis interven svc, 15 min | $61,057 | 11 |
| H0005 | Alcohol and/or drug services | $6,851 | 2 |
| H0004 | Alcohol and/or drug services | $3,602 | 2 |
| H0038 | Self-help/peer svc per 15min | $1,542 | 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.
