In 2024, Cleveland Medicaid providers received $1,796,566 for services in the Alcohol and Drug Abuse Treatment category, U.S. Department of Health and Human Services Medicaid Provider Spending data show. This represents a 41.3% increase from 2023, when providers filed $1,271,539 in claims within the same category.
Medicaid, the public health insurance program managed by states with both federal and state funding, provides coverage to low-income individuals, families, children, seniors, and people with disabilities, and forms a significant segment of the United States health system. More details are available in this explanation.
Taxpayer dollars finance Medicaid payments, so shifts in the amount billed reflect how public health funds are distributed at the local level.
The “Alcohol and Drug Abuse Treatment” service grouping includes specific Medicaid-billed services defined by the type of care delivered and organized by standard HCPCS and CPT code prefixes and ranges. For this report, billing codes were systematically assigned to a unique service category to allow analysis and prevent double counting, ensuring consistent annual rankings.
While overall Medicaid spending rose in various service categories, Alcohol and Drug Abuse Treatment placed fourth in Cleveland for total payments in 2024.
Statewide, Tennessee’s third-highest Medicaid category by spending in 2024 was Alcohol and Drug Abuse Treatment.
From 2020 through 2024, Medicaid payments for the Alcohol and Drug Abuse Treatment category in Cleveland grew by $1,796,566, marking a 0% change overall. Periodic surges were noted during accompanying years, notably in both 2022 and 2023.
While service payments related to Alcohol and Drug Abuse Treatment stretched across Cleveland, they mainly concentrated within a few ZIP codes during 2024. Of these, ZIP 37312 had $1,779,507 in claims, and ZIP 37364 reported $17,059, together accounting for 100% of Medicaid payments to this category in the city over the year.
When examining individual billing codes for Alcohol and Drug Abuse Treatment services in Cleveland, most Medicaid payments were limited to a small number of codes.
Looking at year-over-year trends, payments for Alcohol and Drug Abuse Treatment in Cleveland rose by 41.3% between 2024 and 2023, outpacing the 27.7% increase seen across all Medicaid categories in the city over the period.
According to the Centers for Medicare & Medicaid Services, Medicaid spending at both the federal and state levels amounted to around $871.7 billion during fiscal 2023. This comprised about 18% of all U.S. health expenditures and showed an increase from approximately $613.5 billion in 2019, just prior to the onset of the COVID-19 pandemic.
This increase translates to about 40% growth in several years, with much of the rise attributed to expanded Medicaid enrollment and greater utilization following the pandemic.
Recent congressional budgets passed during the Trump administration have proposed major reductions in federal Medicaid spending and a restructuring of the program. Notably, the “One Big Beautiful Bill Act,” approved in 2025, is projected to cut federal Medicaid spending by over $1 trillion during the next decade, introducing policies like work requirements and increased recipient cost-sharing. These changes are forecasted to increase fiscal burdens on states and restrain federal support for Medicaid, even as the program continues to cover tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2021 | $78,331 | – |
| 2022 | $490,250 | 525.9% |
| 2023 | $1,271,539 | 159.4% |
| 2024 | $1,796,566 | 41.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $7,638,970 | 37.2% |
| 2 | Evaluation and Management | $4,902,371 | 23.9% |
| 3 | Medicine Services and Procedures | $2,221,960 | 10.8% |
| 4 | Alcohol and Drug Abuse Treatment | $1,796,566 | 8.8% |
| 5 | Temporary National Codes (Non-Medicare) | $968,849 | 4.7% |
| 6 | Pathology and Laboratory Procedures | $953,531 | 4.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $539,073 | 2.6% |
| 8 | Dental Services | $298,151 | 1.5% |
| 9 | Coronavirus Diagnostic Panel | $284,914 | 1.4% |
| 10 | Medical And Surgical Supplies | $212,433 | 1% |
| 11 | Surgery | $191,261 | 0.9% |
| 12 | Durable Medical Equipment | $162,111 | 0.8% |
| 13 | Radiology Procedures | $158,911 | 0.8% |
| 14 | Procedures / Professional Services | $93,676 | 0.5% |
| 15 | Vision Services | $67,248 | 0.3% |
| 16 | Drugs Administered Other than Oral Method | $23,444 | 0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $5,409 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $1,435 | <0.1% |
| 19 | Orthotic Procedures and services | $507 | <0.1% |
| 20 | Temporary Codes | $9 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2012 | Behav hlth day treat, per hr | $1,367,882 | 10 |
| H0020 | Alcohol and/or drug services | $411,625 | 12 |
| H2011 | Crisis interven svc, 15 min | $17,059 | 5 |
| H0003 | Alcohol and/or drug screenin | $0 | 12 |
| H0047 | Alcohol/drug abuse svc nos | $0 | 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.
