In Marshall, Medicaid providers billed $234,078 for Alcohol and Drug Abuse Treatment services in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 47.2% rise compared with 2023, when providers filed $159,031 in claims for the same services.
Medicaid is a public health insurance program operated by states and funded jointly by federal and state governments. The program provides coverage for low-income residents, families, seniors, children, and people with disabilities, making it one of the largest segments of the U.S. health care system.
Since Medicaid funds come from taxpayers, shifts in spending levels locally help show how community health care dollars are distributed.
The “Alcohol and Drug Abuse Treatment” category includes a specific set of Medicaid-billed services, defined by standardized HCPCS and CPT coding schemes. For this analysis, each billing code falls under a single service group, using code prefixes and numerical ranges to group similar services without duplicating data and to enable reliable ranking over time.
Medicaid expenses rose in several service groups, with Alcohol and Drug Abuse Treatment placing fourth in Marshall by total Medicaid spending in 2024.
Across Texas, Alcohol and Drug Abuse Treatment also ranked fourth by Medicaid payments in 2024.
From five years before 2024, Medicaid payments connected to Alcohol and Drug Abuse Treatment in Marshall went up by $234,078, or 0%. The pace of spending growth accelerated in certain years, with significant year-on-year increases in 2023 and 2022.
Spending for Alcohol and Drug Abuse Treatment was distributed throughout Marshall but focused mainly in a few ZIP codes. In 2024, the highest Medicaid-associated spending came from ZIP code 75670, which totaled $234,077. This top ZIP code alone made up 100% of all Medicaid payments for the Alcohol and Drug Abuse Treatment category in Marshall for the year.
Within the category, Medicaid spending grouped around a small number of individual billing codes.
To compare, Medicaid payments for Alcohol and Drug Abuse Treatment in Marshall rose 47.2% from 2023 to 2024, while payments across all Medicaid service categories increased by 13.1% in the city during the same time period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending was about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health spending. This rose significantly from about $613.5 billion in 2019, before the COVID-19 pandemic.
This growth represents an increase of about 40% over several years, largely driven by expanded enrollment and heightened usage during and following the pandemic.
Major federal budget legislation during the Trump administration proposed substantial cuts to federal Medicaid funding and alterations to the program. For example, the “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion in the next decade and includes policies like work requirements and higher cost-sharing that could restrict coverage and decrease funding for some recipients. These measures are expected to transfer more costs to state governments and restrict the increase of federal Medicaid funds, even as the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $59,368 | – |
| 2023 | $159,030 | 167.9% |
| 2024 | $234,077 | 47.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,544,075 | 65.4% |
| 2 | Evaluation and Management | $682,772 | 12.6% |
| 3 | Dental Services | $400,073 | 7.4% |
| 4 | Alcohol and Drug Abuse Treatment | $234,077 | 4.3% |
| 5 | Ambulance and Other Transport Services and Supplies | $190,566 | 3.5% |
| 6 | Medical And Surgical Supplies | $156,703 | 2.9% |
| 7 | Medicine Services and Procedures | $139,947 | 2.6% |
| 8 | Pathology and Laboratory Procedures | $32,969 | 0.6% |
| 9 | Anesthesia | $13,925 | 0.3% |
| 10 | Durable Medical Equipment | $8,534 | 0.2% |
| 11 | Vision Services | $5,786 | 0.1% |
| 12 | Temporary National Codes (Non-Medicare) | $4,737 | 0.1% |
| 13 | Procedures / Professional Services | $1,999 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $234,077 | 8 |
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.
