Taylor Medicaid spending on substance abuse treatment climbs to $30 million in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Medicaid providers in Taylor billed $30,139,559 in 2024 for services categorized under Alcohol and Drug Abuse Treatment, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 7% rise over 2023, when claims for these services totaled $28,167,307.

Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. The program offers coverage for low-income individuals and families, older adults, children, and people with disabilities, placing it among the largest segments of the U.S. health care system.

Since Medicaid financing comes from taxpayers, changes in local billing volumes reflect how public health care funding is distributed in a given area.

The “Alcohol and Drug Abuse Treatment” service grouping is defined by standardized sets of HCPCS and CPT billing codes and describes services based on the type of care provided. Each billing code was assigned to one category using set code prefixes and ranges, which enables related services to be combined for analysis while preventing duplicate counts and maintaining comparability over time.

Medicaid outlays rose across various service areas, with Alcohol and Drug Abuse Treatment leading all other Medicaid service categories in total payments in Taylor for 2024.

Statewide, the Alcohol and Drug Abuse Treatment classification also accounted for the largest volume of Medicaid payments by category in Michigan during 2024.

Looking back over five years up to 2024, Medicaid spending for the Alcohol and Drug Abuse Treatment category in Taylor rose by $6,105,449, or 25.4%. Year-over-year increases were especially significant in 2022 and 2023, reflecting periods of faster growth.

While Alcohol and Drug Abuse Treatment payments occurred throughout Taylor, the funds were mainly concentrated within just a few ZIP codes. In 2024, ZIP code 48180 accounted for $30,139,558 in Medicaid payments, making up 100% of the city’s Alcohol and Drug Abuse Treatment Medicaid funding for the year.

Payments in this category were also concentrated among a small subset of specific billing codes.

For context, Medicaid payments for Alcohol and Drug Abuse Treatment in Taylor increased 7% from 2023 to 2024, while payments for all Medicaid services in the city grew by 1.1% in the same period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached approximately $871.7 billion during fiscal year 2023. This represented about 18% of all national health care spending, up from $613.5 billion in 2019, before the start of the COVID-19 pandemic.

This represents funding growth of about 40% within several years, largely driven by increased enrollment and utilization during and following the pandemic period.

Recent federal budget legislation adopted in the Trump administration included major proposals to scale back federal contributions to Medicaid and revise the structure of the program. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to reduce more than $1 trillion in federal Medicaid expenditures in the coming decade and implements measures such as work requirements and higher cost-sharing. These policies are expected to decrease access to funding and limit expansion of federal Medicaid support, even as Medicaid continues to cover tens of millions of Americans.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Taylor, Michigan Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $24,034,110 3.8%
2021 $24,668,896 2.6%
2022 $26,564,833 7.7%
2023 $28,167,306 6%
2024 $30,139,558 7%
Top Categories by Medicaid Payments in Taylor, Michigan, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $30,139,558 54.2%
2 Evaluation and Management $8,916,878 16%
3 Medicine Services and Procedures $6,856,178 12.3%
4 National Codes Established for State Medicaid Agencies $4,869,924 8.8%
5 Procedures / Professional Services $1,023,759 1.8%
6 Radiology Procedures $912,208 1.6%
7 Surgery $745,052 1.3%
8 Dental Services $526,315 0.9%
9 Drugs Administered Other than Oral Method $486,606 0.9%
10 Pathology and Laboratory Procedures $429,592 0.8%
11 Ambulance and Other Transport Services and Supplies $403,893 0.7%
12 Hearing Services $255,803 0.5%
13 Chemotherapy Drugs $8,198 <0.1%
14 Temporary National Codes (Non-Medicare) $3,361 <0.1%
15 Vision Services $3,235 <0.1%
16 Administrative, Miscellaneous and Investigational $0 <0.1%
16 Outpatient PPS $0 <0.1%
16 Temporary Codes $0 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Taylor, Michigan, 2024

HCPCS Code Description Medicaid Payments Claims
H2015 Comp comm supp svc, 15 min $29,005,310 24
H2014 Skills train and dev, 15 min $1,111,259 11
H0045 Respite not-in-home per diem $22,989 3
H0050 Alcohol/drug service 15 min $0 1

Note: HCPCS codes are included as examples within the service grouping. All category totals and orderings in this article come from the use of standardized groupings, not on separate billing codes.

All data in this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can view the source data here.



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