In 2024, Whiteville Medicaid providers billed $6,903,617 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 amount reflects a 5.4% rise from 2023, when the total for similar services was $6,548,907.
Medicaid is a state-run public health insurance program funded through a partnership between federal and state governments. It serves low-income individuals, families, seniors, children, and people with disabilities, making it a major component of the national health care system.
Taxpayer funding for Medicaid means shifts in local billing illustrate how public health resources are distributed within the community.
The “Alcohol and Drug Abuse Treatment” category covers a specific range of Medicaid-billed services identified by standardized HCPCS and CPT coding. This analysis grouped each billing code under a single category using consistent code prefixes and defined ranges to allow related service comparisons, prevent double counting, and ensure accurate rankings over time.
Spending on Medicaid increased across several categories, with Alcohol and Drug Abuse Treatment ranking as Whiteville’s second largest category by payment total in 2024.
Statewide, North Carolina ranked the Alcohol and Drug Abuse Treatment category fourth for Medicaid payments by total in 2024.
Looking at the five years up to 2024, Medicaid spending for Alcohol and Drug Abuse Treatment services in Whiteville rose by $1,667,698, or 31.9%. Periods of accelerated growth occurred within that timeframe, especially notable in 2020 and 2022.
Although distributed throughout Whiteville, these Medicaid payments were heavily concentrated in a small number of ZIP codes. For 2024, ZIP code 28472 accounted for the entire reported amount of $6,903,617. In total, the single highest ZIP code made up 100% of Medicaid payments for Alcohol and Drug Abuse Treatment in Whiteville during the year.
A limited selection of individual billing codes represented the majority of Medicaid payments within the Alcohol and Drug Abuse Treatment category.
While Medicaid payments for Alcohol and Drug Abuse Treatment in Whiteville rose 5.4% over the year, all local Medicaid claim categories combined increased 2.5% during that same time period.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion during the 2023 fiscal year—about 18% of all national health spending and up significantly from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth marks about a 40% increase over several years, primarily attributed to more enrollees and increased service use during and after the pandemic.
Recent changes to federal budget policy under the Trump administration have included substantial proposals to cut federal Medicaid funding and make structural changes. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid outlays by over $1 trillion over the next decade and introduces changes like work requirements and greater cost-sharing, which may affect coverage and funding availability for some program participants. These revisions are likely to shift increased financial responsibility to the states and slow the expansion of federal Medicaid support as the program continues serving millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,235,918 | 24% |
| 2021 | $4,854,341 | -7.3% |
| 2022 | $5,897,971 | 21.5% |
| 2023 | $6,548,906 | 11% |
| 2024 | $6,903,617 | 5.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $21,943,933 | 49.2% |
| 2 | Alcohol and Drug Abuse Treatment | $6,903,617 | 15.5% |
| 3 | Evaluation and Management | $6,363,832 | 14.3% |
| 4 | Medicine Services and Procedures | $5,355,541 | 12% |
| 5 | Temporary National Codes (Non-Medicare) | $2,478,700 | 5.6% |
| 6 | Pathology and Laboratory Procedures | $501,720 | 1.1% |
| 7 | Radiology Procedures | $318,634 | 0.7% |
| 8 | Surgery | $193,600 | 0.4% |
| 9 | Temporary Codes | $118,741 | 0.3% |
| 10 | Medical And Surgical Supplies | $105,055 | 0.2% |
| 11 | Durable Medical Equipment | $95,932 | 0.2% |
| 12 | Ambulance and Other Transport Services and Supplies | $62,549 | 0.1% |
| 13 | Procedures / Professional Services | $40,783 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $35,360 | 0.1% |
| 15 | Dental Services | $33,900 | 0.1% |
| 16 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $29,244 | 0.1% |
| 17 | Enteral and Parenteral Therapy | $3,486 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $842 | <0.1% |
| 19 | Other Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $3,663,708 | 21 |
| H2015 | Comp comm supp svc, 15 min | $1,349,133 | 21 |
| H2022 | Com wrap-around sv, per diem | $749,250 | 12 |
| H0040 | Assert comm tx pgm per diem | $454,421 | 11 |
| H2025 | Supp maint employ, 15 min | $334,436 | 12 |
| H2017 | Psysoc rehab svc, per 15 min | $296,211 | 15 |
| H0038 | Self-help/peer svc per 15min | $48,170 | 6 |
| H0045 | Respite not-in-home per diem | $8,286 | 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.
