In 2024, Medicaid providers in Rowlett billed a total of $29,537,485 for services within the Alcohol and Drug Abuse Treatment category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an 8.6% rise from 2023, when billing for these services reached $27,198,590.
Medicaid is a state-administered public health insurance program jointly funded by federal and state governments. The program serves low-income people and families, seniors, children, and individuals with disabilities, making it a major component of the nation’s health care system. More on how Medicaid is funded is available here.
Shifts in Medicaid billing levels reflect how taxpayer-funded health care resources are distributed at the community level.
The “Alcohol and Drug Abuse Treatment” grouping includes Medicaid-billed services defined by specific care types, using standardized HCPCS and CPT code sets. In this analysis, every billing code was mapped to a single service group through established code prefixes and number ranges. This approach enables analysis of related services together, avoids duplicate counts, and maintains accurate rankings over different years.
Though multiple Medicaid service categories experienced increased spending, Alcohol and Drug Abuse Treatment was the leading category in Rowlett for total Medicaid payments in 2024.
Statewide in Texas, Alcohol and Drug Abuse Treatment was the fourth largest Medicaid payment category in 2024.
Looking at the five years prior to 2024, Medicaid billing for Alcohol and Drug Abuse Treatment in Rowlett totaled $29,537,485, for a change of 0%. Certain years saw spending growth accelerate, especially during 2023 and 2022.
While related care and spending was distributed throughout the city, Medicaid payments in this category were concentrated in a few ZIP codes. In 2024, the 75089 ZIP code saw $29,537,485 in related Medicaid payments. In total, this top ZIP code accounted for 100% of Medicaid paid claims for the Alcohol and Drug Abuse Treatment category in Rowlett that year.
Medicaid payments for Alcohol and Drug Abuse Treatment also centered around a small set of specific billing codes.
For comparison, Medicaid payments connected to Alcohol and Drug Abuse Treatment in Rowlett increased 8.6% from 2023 to 2024. Over the same period, overall Medicaid claim categories in the city grew by 0.5%.
Figures from the Centers for Medicare & Medicaid Services show joint federal and state Medicaid expenditures hit roughly $871.7 billion for fiscal year 2023. This was about 18% of total national health care spending and represented a substantial climb from the $613.5 billion recorded in 2019, before the COVID-19 pandemic.
This 40% surge over a few years is attributed mainly to expanded enrollment and greater service use surrounding the pandemic period.
Recent federal budget laws passed during the Trump administration have included major proposals to further reduce federal Medicaid dollars and overhaul the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid funding by over $1 trillion in the coming decade, adding policies such as work requirements and higher cost-sharing that could curtail coverage and funds for some individuals. These changes are forecast to shift added costs onto states and limit federal Medicaid growth, yet the program continues to serve millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $15,845,180 | – |
| 2023 | $27,198,589 | 71.7% |
| 2024 | $29,537,485 | 8.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $29,537,485 | 73.8% |
| 2 | National Codes Established for State Medicaid Agencies | $4,865,569 | 12.1% |
| 3 | Temporary National Codes (Non-Medicare) | $3,272,290 | 8.2% |
| 4 | Evaluation and Management | $1,140,874 | 2.8% |
| 5 | Dental Services | $606,358 | 1.5% |
| 6 | Pathology and Laboratory Procedures | $295,509 | 0.7% |
| 7 | Radiology Procedures | $145,916 | 0.4% |
| 8 | Ambulance and Other Transport Services and Supplies | $63,875 | 0.2% |
| 9 | Administrative, Miscellaneous and Investigational | $59,702 | 0.1% |
| 10 | Medicine Services and Procedures | $48,851 | 0.1% |
| 11 | Miscellaneous Medical Services | $10,381 | <0.1% |
| 12 | Temporary Codes | $1,471 | <0.1% |
| 13 | Drugs Administered Other than Oral Method | $1,029 | <0.1% |
| 14 | Procedures / Professional Services | $658 | <0.1% |
| 15 | Vision Services | $490 | <0.1% |
| 16 | Surgery | $242 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $24,752,059 | 12 |
| H2014 | Skills train and dev, 15 min | $4,557,770 | 11 |
| H2019 | Ther behav svc, per 15 min | $227,655 | 11 |
Note: HCPCS codes are included for context within the section. The total values and rankings in this story are based on aggregate service categories rather than the individual billing codes.
Information in this story is derived from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Original data can be accessed here.
