Providers in Garden City billed Medicaid for $20,617,941 under the Alcohol and Drug Abuse Treatment service category during 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented an increase of 0.9% over the amount reported in 2023, when Medicaid claims for these services totaled $20,442,082.
Medicaid is a public insurance program administered by the states and paid for jointly by federal and state governments. It provides coverage for low-income people and families, as well as for seniors, children, and individuals with disabilities, making it a major component of the U.S. health care landscape.
Because Medicaid dollars come from public funds, shifts in local billing give insight into how a community allocates health care resources.
The “Alcohol and Drug Abuse Treatment” category includes services grouped by type, based on standardized HCPCS and CPT billing codes. For this analysis, each billing code was categorized using systematic code prefixes and numeric spans, ensuring related services were considered together while avoiding double counting and maintaining correct rankings from year to year.
Alcohol and Drug Abuse Treatment led all Medicaid categories by total payment amount in Garden City in 2024.
Alcohol and Drug Abuse Treatment also ranked first by total Medicaid payments across Michigan in 2024.
From 2019 through 2024, Medicaid payments for this category in Garden City rose by $3,446,004, or 20.1%. There were significant year-to-year increases during certain years, notably in 2022 and 2021.
Although services were provided citywide, Alcohol and Drug Abuse Treatment Medicaid payments were concentrated in specific ZIP codes. In 2024, ZIP code 48135 accounted for $20,617,940 of these payments, representing 100% of the city’s total in this category for the year.
A limited set of billing codes accounted for the majority of Medicaid disbursements within the Alcohol and Drug Abuse Treatment category.
From 2023 to 2024, Garden City saw a 0.9% rise in Medicaid payments for Alcohol and Drug Abuse Treatment, outpacing the 0.7% change across all Medicaid claim categories locally in the same period.
Data from the Centers for Medicare & Medicaid Services indicate that combined federal and state Medicaid outlays reached about $871.7 billion in fiscal year 2023, comprising roughly 18% of U.S. health spending, a substantial increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This rise reflects growth of nearly 40% in a short period, largely attributed to expanded enrollment and increased use of Medicaid services during and after the pandemic.
Recent federal budget measures during the Trump administration have introduced major initiatives to reduce federal Medicaid spending and change program structure. The “One Big Beautiful Bill Act,” signed in 2025, is forecast to cut more than $1 trillion from federal Medicaid outlays over 10 years and adopts measures such as work requirements and higher cost-sharing, which could lower coverage and funding for some recipients. These steps are expected to increase costs for states and slow the expansion of federal Medicaid contributions, though the program continues to serve tens of millions across the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $17,171,936 | 1.5% |
| 2021 | $17,813,969 | 3.7% |
| 2022 | $19,992,032 | 12.2% |
| 2023 | $20,442,082 | 2.3% |
| 2024 | $20,617,940 | 0.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $20,617,940 | 60.8% |
| 2 | Evaluation and Management | $6,453,420 | 19% |
| 3 | National Codes Established for State Medicaid Agencies | $4,478,568 | 13.2% |
| 4 | Medicine Services and Procedures | $897,072 | 2.6% |
| 5 | Dental Services | $555,067 | 1.6% |
| 6 | Radiology Procedures | $312,865 | 0.9% |
| 7 | Ambulance and Other Transport Services and Supplies | $236,107 | 0.7% |
| 8 | Pathology and Laboratory Procedures | $219,616 | 0.6% |
| 9 | Procedures / Professional Services | $56,589 | 0.2% |
| 10 | Surgery | $30,151 | 0.1% |
| 11 | Temporary National Codes (Non-Medicare) | $14,513 | <0.1% |
| 12 | Vision Services | $10,845 | <0.1% |
| 13 | Administrative, Miscellaneous and Investigational | $6,571 | <0.1% |
| 14 | Drugs Administered Other than Oral Method | $5,913 | <0.1% |
| 15 | Temporary Codes | $1,334 | <0.1% |
| 16 | Outpatient PPS | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2015 | Comp comm supp svc, 15 min | $20,562,289 | 24 |
| H2016 | Comp comm supp svc, per diem | $55,650 | 1 |
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.
