Laurinburg Medicaid providers recorded $2,481,656 in billed services under the Alcohol and Drug Abuse Treatment category in 2024, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount was 6142.5% higher than the $39,754 submitted by providers in 2023 for the same category of services.
Medicaid is a public health insurance initiative administered by state governments with both state and federal funding. It serves low-income adults and children, the elderly, and individuals with disabilities, making it one of the country’s largest health programs. More details can be found through the Commonwealth Fund.
Because Medicaid payments draw on taxpayer funds, fluctuations in local billing offer insight into how community health resources are distributed.
The category “Alcohol and Drug Abuse Treatment” refers to services grouped by the type of care, determined through standardized HCPCS and CPT codes. This review assigned each billing code to only one service classification using standard code prefixes and numeric ranges, allowing consistent year-over-year analysis while avoiding duplicate counts and maintaining accurate service rankings.
Though Medicaid expenditures rose within several service categories, Alcohol and Drug Abuse Treatment held fourth place for total Medicaid payments in Laurinburg for 2024.
Statewide in North Carolina, Alcohol and Drug Abuse Treatment also ranked as the fourth-largest service category by total Medicaid spending for 2024.
Analyzing the five-year timeframe leading to 2024, Laurinburg’s Medicaid payments for the Alcohol and Drug Abuse Treatment category increased by $2,467,184, marking a rise of 17047.6%. Several periods saw accelerated growth, especially in year-over-year comparisons for 2021 and 2022.
While such Medicaid spending for alcohol and drug treatment was made throughout Laurinburg, claims were concentrated in a select few ZIP codes. The largest, 28352, represented $2,481,656 in Medicaid payments for these services in 2024. As a result, the top 1 ZIP code accounted for 100% of Medicaid spending in this category within Laurinburg that year.
Spending within the Alcohol and Drug Abuse Treatment category was likewise focused among a small subset of billing codes.
To provide context, the 6142.5% jump in Laurinburg between 2023 and 2024 outpaced the combined 4.8% increase seen across all Medicaid claim types in the city for that period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures were estimated at about $871.7 billion for fiscal 2023, making up nearly 18% of total U.S. health spending—considerably higher than the approximately $613.5 billion reported for 2019 prior to the COVID-19 pandemic.
This growth—almost 40% in only a few years—was propelled in part by rising enrollment and increased demand for Medicaid-funded services during and after the pandemic period.
Recent federal budgets enacted under the Trump administration included major measures reducing federal Medicaid funding and changing the program’s framework. For instance, the “One Big Beautiful Bill Act,” signed in 2025, is projected to trim over $1 trillion in federal Medicaid support over the next 10 years, adding elements like work requirements and heightened cost-sharing that could limit both coverage and spending for certain recipients. These changes are expected to transfer more financial responsibility to states and constrain federal Medicaid growth, even as more Americans continue to use the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $14,472 | -61.2% |
| 2021 | $151,494 | 946.8% |
| 2022 | $181,183 | 19.6% |
| 2023 | $39,754 | -78.1% |
| 2024 | $2,481,656 | 6142.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $9,252,977 | 34.6% |
| 2 | Medicine Services and Procedures | $5,781,080 | 21.6% |
| 3 | National Codes Established for State Medicaid Agencies | $2,733,832 | 10.2% |
| 4 | Alcohol and Drug Abuse Treatment | $2,481,656 | 9.3% |
| 5 | Radiology Procedures | $1,812,052 | 6.8% |
| 6 | Pathology and Laboratory Procedures | $1,645,209 | 6.2% |
| 7 | Temporary National Codes (Non-Medicare) | $1,567,451 | 5.9% |
| 8 | Ambulance and Other Transport Services and Supplies | $528,512 | 2% |
| 9 | Dental Services | $317,515 | 1.2% |
| 10 | Surgery | $278,790 | 1% |
| 11 | Drugs Administered Other than Oral Method | $236,722 | 0.9% |
| 12 | Procedures / Professional Services | $90,585 | 0.3% |
| 13 | Anesthesia | $654 | <0.1% |
| 14 | Medical And Surgical Supplies | $443 | <0.1% |
| 15 | Administrative, Miscellaneous and Investigational | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2035 | A/d tx program, per hour | $2,262,136 | 12 |
| H0038 | Self-help/peer svc per 15min | $161,771 | 16 |
| H2015 | Comp comm supp svc, 15 min | $47,482 | 1 |
| H2017 | Psysoc rehab svc, per 15 min | $10,266 | 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.
