In 2024, Medicaid providers in Waskom billed $727,005 for services under the Alcohol and Drug Abuse Treatment category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 41.8% rise over 2023, when providers filed $512,688 in claims for similar services.
Medicaid is a public health insurance program administered by states and funded jointly by state and federal governments. Medicaid offers coverage to low-income people and families, seniors, children, and individuals with disabilities, making it a key component of the U.S. health care system.
Because Medicaid payments originate from taxpayers, shifts in local billing amounts reflect how public health care dollars are distributed within communities.
The “Alcohol and Drug Abuse Treatment” category represents a set of Medicaid-billed services grouped by type of care, based on established HCPCS and CPT code groupings. For this report, each billing code was matched to one service category using standardized code prefixes and ranges to allow analysis of related services and prevent double counting, maintaining accurate rankings over time.
While Medicaid spending rose in several categories, Alcohol and Drug Abuse Treatment ranked as the highest category for Medicaid payments in Waskom in 2024.
Statewide in Texas, Alcohol and Drug Abuse Treatment ranked fourth overall for total Medicaid payments in 2024.
Across the five years preceding 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Waskom increased by $727,005, or 0%. The pace of spending rose especially during particular periods, with significant year-over-year growth observed in 2022 and 2023.
Although spending on Alcohol and Drug Abuse Treatment services was spread throughout the city, payments were mostly concentrated in a small number of ZIP codes. In 2024, ZIP code 75692 accounted for $727,004 in Medicaid payments for this category. The top ZIP code made up 100% of all Medicaid payments for Alcohol and Drug Abuse Treatment in Waskom in 2024.
Within the Alcohol and Drug Abuse Treatment category, Medicaid payments were focused on a select group of individual billing codes.
Medicaid payments related to Alcohol and Drug Abuse Treatment in Waskom increased 41.8% between 2024 and 2023, while payments across all Medicaid claim categories in the city rose by 43.8% over the same span.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, accounting for roughly 18% of total national health expenditures. That marks an increase from approximately $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This increase amounts to roughly 40% growth in a few years, mainly tied to expanded enrollment and higher usage during and following the pandemic.
Federal budget measures signed into law under the Trump administration have included significant changes aimed at curbing federal Medicaid spending and adjusting program structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade and introduces measures such as work requirements and greater cost-sharing, which could reduce benefits and funding for some enrollees. These provisions are designed to shift more financial responsibility onto states and limit further federal growth, even as Medicaid continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $32,687 | – |
| 2022 | $326,732 | 899.6% |
| 2023 | $512,688 | 56.9% |
| 2024 | $727,004 | 41.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $727,004 | 84.3% |
| 2 | National Codes Established for State Medicaid Agencies | $116,100 | 13.5% |
| 3 | Evaluation and Management | $18,721 | 2.2% |
| 4 | Pathology and Laboratory Procedures | $305 | <0.1% |
| 5 | Medicine Services and Procedures | $155 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2014 | Skills train and dev, 15 min | $727,004 | 12 |
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.
