In 2024, Horseshoe Bend Medicaid providers claimed $84,844 for services within the Alcohol and Drug Abuse Treatment category, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 11.7% rise compared with 2023, when billed claims reached $75,937 for the same set of services.
Medicaid, a public health insurance system managed by states and funded through federal and state partnerships, serves low-income individuals, families, seniors, children, and those with disabilities, making it a major component of the U.S. health care framework.
Because Medicaid funding is taxpayer-supported, shifts in local billing amounts help illustrate how community public health resources are allocated.
The “Alcohol and Drug Abuse Treatment” designation refers to a range of Medicaid services grouped by care type using established HCPCS and CPT code designations. Each code was associated with a single service category for this analysis, relying on uniform code prefixes and ranges to track related care types, avoid duplication, and maintain consistent historical comparisons.
While Medicaid expenditures rose across different service categories, Alcohol and Drug Abuse Treatment was the top-ranked group for total Medicaid spending in Horseshoe Bend in 2024.
At the state level, Alcohol and Drug Abuse Treatment also held the top spot for Medicaid payments in Idaho during 2024.
Looking at the five-year span leading to 2024, Medicaid expenses for the Alcohol and Drug Abuse Treatment category in Horseshoe Bend increased by $84,844, marking a 0% change. Spending growth accelerated in select periods, particularly with notable gains in 2023 and 2022.
Payments for Alcohol and Drug Abuse Treatment were found citywide, though a few ZIP codes reported the majority of the funding. In 2024, ZIP code 83629 stood out, accounting for $84,843. The highest-spending ZIP code covered 100% of Horseshoe Bend’s total Medicaid payments for these services during the year.
A limited number of billing codes made up most Medicaid expenses for Alcohol and Drug Abuse Treatment in 2024.
Comparing changes, Medicaid payments in this service category climbed 11.7% from 2023 to 2024, outpacing the 4.9% overall change recorded for all Medicaid claim categories in the city.
Data from the Centers for Medicare & Medicaid Services shows that combined federal and state Medicaid spending rose to roughly $871.7 billion in fiscal year 2023, making up about 18% of total U.S. health outlays—a jump from $613.5 billion in 2019 before the COVID-19 pandemic.
This increase equates to nearly 40% growth over several years, mainly due to expanded enrollment and greater service use related to the pandemic and its aftermath.
Under recent federal budget laws enacted during the Trump administration, substantial efforts have targeted lowering federal Medicaid contributions and reworking the program. For instance, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade and brings forward provisions such as work mandates and greater beneficiary cost-sharing, which could decrease both Medicaid coverage and funding for some individuals. These policy shifts are projected to transfer more expenses to states and limit future growth of federal Medicaid support, even as the program continues covering tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $80,238 | – |
| 2023 | $75,937 | -5.4% |
| 2024 | $84,843 | 11.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $84,843 | 10<0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0004 | Alcohol and/or drug services | $84,843 | 4 |
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.


