In 2024, Medicaid providers in Huntington Beach billed $9,603,536 for services in the Alcohol and Drug Abuse Treatment category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflected a 104.8% increase from 2023, when total claims in this service area were $4,689,772.
Medicaid is a state-run public health insurance program funded jointly by state and federal governments. It provides coverage for people with low incomes, children, seniors, and individuals with disabilities, positioning it as one of the largest segments of U.S. health care.
Since taxpayer funds support Medicaid payments, shifts in local billing totals reveal how a community’s public health care dollars are spent.
The Alcohol and Drug Abuse Treatment category aggregates Medicaid-billed services by care type, based on standardized HCPCS and CPT codes. Codes were attributed to a single service category for this analysis by matching grouping prefixes and numeric ranges, allowing consistent annual comparisons without double counting.
While Medicaid expenditures grew in several service categories, Alcohol and Drug Abuse Treatment represented the city’s highest total Medicaid payments in 2024.
Statewide in California, Alcohol and Drug Abuse Treatment was the fourth largest category by total Medicaid payments for 2024.
Considering the five years before 2024, Medicaid payments for Alcohol and Drug Abuse Treatment services in Huntington Beach increased $2,847,386, or 42.1%. Spending climbed most sharply during select periods, notably with significant annual growth in 2023 and 2020.
Although these payments spanned the city, they were concentrated in just a few ZIP codes. In 2024, ZIP code 92647 saw $4,672,768 in Medicaid payments for Alcohol and Drug Abuse Treatment, followed by 92648 at $2,602,628, and 92646 with $1,472,359. These top 3 ZIP codes together accounted for 91.1% of all Medicaid spending in this category in Huntington Beach that year.
A limited subset of billing codes within the Alcohol and Drug Abuse Treatment category also saw the majority of the payments.
To compare, Alcohol and Drug Abuse Treatment category payments in Huntington Beach jumped 104.8% from 2023 to 2024, substantially outpacing the 19% growth across all Medicaid claim categories in the city for the same period.
The Centers for Medicare & Medicaid Services reported combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023—accounting for around 18% of national health expenditures. This was a marked rise from approximately $613.5 billion in 2019, preceding the COVID-19 pandemic.
This increase represents growth of roughly 40% over several years, primarily due to more people enrolling in Medicaid and higher use of services during and after the pandemic.
Recent federal budget measures enacted under the Trump administration have included notable plans to shrink federal Medicaid funding and alter the program structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid expenditures by over $1 trillion in the next decade, introducing requirements such as work qualifications and greater cost-sharing—which may affect coverage and funding for certain recipients. This legislation is anticipated to shift more Medicaid costs to state governments and restrict federal funding increases even as Medicaid serves tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $6,756,149 | 31% |
| 2021 | $7,984,278 | 18.2% |
| 2022 | $3,143,560 | -60.6% |
| 2023 | $4,689,771 | 49.2% |
| 2024 | $9,603,536 | 104.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $9,603,536 | 33.9% |
| 2 | National Codes Established for State Medicaid Agencies | $7,796,482 | 27.5% |
| 3 | Medicine Services and Procedures | $3,201,137 | 11.3% |
| 4 | Evaluation and Management | $2,387,816 | 8.4% |
| 5 | Temporary National Codes (Non-Medicare) | $1,114,327 | 3.9% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,019,891 | 3.6% |
| 7 | Surgery | $1,019,302 | 3.6% |
| 8 | Radiology Procedures | $742,302 | 2.6% |
| 9 | Dental Services | $629,891 | 2.2% |
| 10 | Anesthesia | $267,816 | 0.9% |
| 11 | Procedures / Professional Services | $227,833 | 0.8% |
| 12 | Drugs Administered Other than Oral Method | $92,001 | 0.3% |
| 13 | Pathology and Laboratory Procedures | $86,075 | 0.3% |
| 14 | Administrative, Miscellaneous and Investigational | $84,891 | 0.3% |
| 15 | Chemotherapy Drugs | $58,682 | 0.2% |
| 16 | Orthotic Procedures and services | $6,837 | <0.1% |
| 17 | Temporary Codes | $4,511 | <0.1% |
| 18 | Vision Services | $1,304 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2019 | Ther behav svc, per 15 min | $7,244,958 | 103 |
| H0032 | Mh svc plan dev by non-md | $2,153,997 | 100 |
| H0031 | Mh health assess by non-md | $107,170 | 11 |
| H2014 | Skills train and dev, 15 min | $50,284 | 11 |
| H0043 | Supported housing, per diem | $25,144 | 4 |
| H1001 | Antepartum management | $21,645 | 24 |
| H1003 | Prenatal at risk education | $336 | 8 |
| H2000 | Comp multidisipln evaluation | $0 | 2 |
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.
