In 2024, providers in Attleboro billed Medicaid $5,376,797 for services within the Alcohol and Drug Abuse Treatment category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 16.5% rise over 2023, when $4,616,288 in claims were made for the same service group.
Medicaid, a joint state and federally funded health insurance initiative, covers low-income residents, older adults, children, and individuals with disabilities. It is one of the largest segments of the U.S. health care system, as outlined here.
Since Medicaid payments are sourced from taxpayers, shifts in billing at the local level highlight how public health care spending is allocated in various communities.
The Alcohol and Drug Abuse Treatment category encompasses Medicaid-billed services defined by the care provided, using standardized HCPCS and CPT codes. For this reporting, each code was assigned to one service group based on consistent prefixes and number spans, enabling evaluation of related care areas, avoiding repeated counts, and ensuring accurate longitudinal comparisons.
Even as increases affected numerous service lines, Alcohol and Drug Abuse Treatment was the third-largest Medicaid spending category in Attleboro in 2024.
Statewide in Massachusetts, Alcohol and Drug Abuse Treatment also placed third for total Medicaid payments in 2024.
From 2019 through 2024, Medicaid spending linked to the Alcohol and Drug Abuse Treatment category went up by $2,104,880—or 28.1%—in Attleboro. Some periods saw accelerated growth, with especially strong year-over-year increases in 2023 and 2022.
The data shows spending in this category occurred throughout Attleboro, but was concentrated in only a handful of ZIP codes. In 2024, ZIP code 02703 alone recorded $5,376,796 in Medicaid payments for the category. This accounted for 100% of such Medicaid payments citywide that year.
Within this care group, Medicaid payments were primarily associated with a small set of billing codes.
When compared with the 16.5% yearly increase for the Alcohol and Drug Abuse Treatment category in Attleboro from 2023 to 2024, total Medicaid claim payments in the city rose just 0.4% overall during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined reached approximately $871.7 billion for fiscal year 2023, making up nearly 18% of all U.S. health expenditures. This is a considerable jump from roughly $613.5 billion in 2019, prior to the pandemic era.
This rise reflects around 40% growth in a few years, much of it fueled by greater enrollment and increased service use connected to and following the pandemic.
Recent federal budgets passed during the Trump administration included major proposals to reduce Medicaid’s federal funding and alter its structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut federal Medicaid spending by more than $1 trillion over 10 years and to require changes such as work requirements and higher cost-sharing, which may shrink coverage and support for certain recipients. These measures will likely leave states bearing more cost responsibility and may limit federal Medicaid growth, while the program continues to cover tens of millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,481,677 | -15.3% |
| 2021 | $4,680,054 | -37.4% |
| 2022 | $4,653,134 | -0.6% |
| 2023 | $4,616,288 | -0.8% |
| 2024 | $5,376,796 | 16.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $11,060,614 | 33.9% |
| 2 | National Codes Established for State Medicaid Agencies | $5,800,279 | 17.8% |
| 3 | Alcohol and Drug Abuse Treatment | $5,376,796 | 16.5% |
| 4 | Evaluation and Management | $4,374,177 | 13.4% |
| 5 | Medicine Services and Procedures | $2,968,093 | 9.1% |
| 6 | Pathology and Laboratory Procedures | $907,296 | 2.8% |
| 7 | Radiology Procedures | $672,654 | 2.1% |
| 8 | Ambulance and Other Transport Services and Supplies | $587,331 | 1.8% |
| 9 | Surgery | $395,983 | 1.2% |
| 10 | Procedures / Professional Services | $215,867 | 0.7% |
| 11 | Dental Services | $192,866 | 0.6% |
| 12 | Orthotic Procedures and services | $47,469 | 0.1% |
| 13 | Temporary Codes | $24,222 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $14,551 | <0.1% |
| 15 | Durable Medical Equipment | $4,261 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2015 | Comp comm supp svc, 15 min | $4,893,529 | 12 |
| H0015 | Alcohol and/or drug services | $249,003 | 3 |
| H0031 | Mh health assess by non-md | $143,434 | 24 |
| H0043 | Supported housing, per diem | $77,788 | 5 |
| H0046 | Mental health service, nos | $13,040 | 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.
