Randallstown Medicaid providers recorded $4,808,421 in bills for Alcohol and Drug Abuse Treatment services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 14.2% rise from 2023, when $4,209,302 was reported for similar services.
Medicaid, a public health insurance program run by states with shared federal and state funding, covers low-income individuals and families, seniors, children, and people with disabilities. It is among the largest components of the U.S. health care system, according to the Commonwealth Fund.
Because Medicaid payments are sourced from taxpayers, shifts in local billing reflect how public health care funds are distributed in each community.
The “Alcohol and Drug Abuse Treatment” category comprises Medicaid-billed services grouped by care type, as defined through standardized HCPCS and CPT code groupings. Each code was assigned to a single service category using aligned prefixes and numbering, allowing consistent analysis and preventing double counting while ensuring accurate rankings.
While Medicaid spending rose across several categories, Alcohol and Drug Abuse Treatment was the second highest by total payments in Randallstown for 2024.
Statewide in Maryland, Alcohol and Drug Abuse Treatment led in total Medicaid payments for 2024.
Over five years leading up to 2024, Medicaid payments in Randallstown for Alcohol and Drug Abuse Treatment increased by $1,912,203, or 66%. This growth accelerated at times, with notable increases reported in 2023 and 2022.
Although payments for Alcohol and Drug Abuse Treatment covered the city, the majority were concentrated in a small number of ZIP codes. The 21133 ZIP code accounted for $4,808,421 in 2024, representing 100% of Medicaid bills in this category for Randallstown that year.
Medicaid payments within the Alcohol and Drug Abuse Treatment category were also concentrated among a small number of billing codes.
Comparing annual changes, Alcohol and Drug Abuse Treatment Medicaid payments in Randallstown climbed 14.2% between 2024 and 2023, compared to a 15.2% rise across all Medicaid categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures reached about $871.7 billion in fiscal 2023, making up approximately 18% of total U.S. health spending. This is up from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth amounts to roughly 40% in just several years, mainly driven by expanded participant enrollment and increased use of services during and after the pandemic.
Recent federal budget actions under the Trump administration included proposals to limit federal Medicaid funding and revamp the program. The “One Big Beautiful Bill Act”, signed in 2025, is expected to cut more than $1 trillion from federal Medicaid expenditures over the next decade and sets policies like work requirements and higher cost-sharing that could reduce coverage and funding for some people. These changes are projected to shift additional costs to states and may restrict the growth of federal Medicaid spending, even as the program continues to insure tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,896,217 | -2.5% |
| 2021 | $2,894,031 | -0.1% |
| 2022 | $3,216,263 | 11.1% |
| 2023 | $4,209,302 | 30.9% |
| 2024 | $4,808,421 | 14.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $5,316,021 | 33.2% |
| 2 | Alcohol and Drug Abuse Treatment | $4,808,421 | 30.1% |
| 3 | Medicine Services and Procedures | $2,929,791 | 18.3% |
| 4 | Temporary National Codes (Non-Medicare) | $1,996,057 | 12.5% |
| 5 | National Codes Established for State Medicaid Agencies | $518,206 | 3.2% |
| 6 | Procedures / Professional Services | $197,402 | 1.2% |
| 7 | Dental Services | $109,900 | 0.7% |
| 8 | Anesthesia | $41,833 | 0.3% |
| 9 | Pathology and Laboratory Procedures | $35,315 | 0.2% |
| 10 | Drugs Administered Other than Oral Method | $18,478 | 0.1% |
| 11 | Vision Services | $17,307 | 0.1% |
| 12 | Surgery | $7,824 | <0.1% |
| 13 | Administrative, Miscellaneous and Investigational | $1,149 | <0.1% |
| 14 | Radiology Procedures | $265 | <0.1% |
| 15 | Medical And Surgical Supplies | $181 | <0.1% |
| 16 | Coronavirus Diagnostic Panel | $0 | <0.1% |
| 16 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0044 | Supported housing, per month | $2,507,293 | 64 |
| H0040 | Assert comm tx pgm per diem | $889,874 | 11 |
| H2016 | Comp comm supp svc, per diem | $852,254 | 11 |
| H0015 | Alcohol and/or drug services | $497,704 | 9 |
| H0002 | Alcohol and/or drug screenin | $29,787 | 12 |
| H0005 | Alcohol and/or drug services | $18,530 | 5 |
| H0031 | Mh health assess by non-md | $12,958 | 5 |
| H0049 | Alcohol/drug screening | $16 | 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.
