In 2024, Medicaid providers in Irvine billed $7,043,660 for services classified under the Alcohol and Drug Abuse Treatment category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 102.2% gain from 2023, a year when providers submitted $3,483,232 in claims for similar services.
Medicaid is a public health insurance program that operates at the state level and receives financial support from both the federal and state governments. It assists low-income groups, the elderly, children and individuals with disabilities, making up a large portion of the U.S. health care system.
Because taxpayer dollars fund Medicaid, rising or falling local billing totals provide insight into how resources for public health care are distributed in different communities.
The “Alcohol and Drug Abuse Treatment” heading includes a range of Medicaid-billed services organized by type of care, using specific HCPCS and CPT billing code groupings. This analysis consolidated each billing code under one service category based on code prefixes and numbers, which ensures closely related services are tracked without duplicating counts and keeps rankings consistent across years.
While multiple service categories experienced an increase in Medicaid spending, Alcohol and Drug Abuse Treatment held the fifth position in Irvine for total Medicaid payments in 2024.
Statewide in California, the Alcohol and Drug Abuse Treatment category ranked fourth by overall payments in 2024.
Between five years prior and 2024, Medicaid payments related to the Alcohol and Drug Abuse Treatment category in Irvine grew by $5,249,071, equivalent to 292.5%. Spending gains were larger during some periods, with notable annual increases occurring in 2023 and 2020.
Spending for Alcohol and Drug Abuse Treatment services occurred throughout Irvine but was mainly concentrated in a handful of ZIP codes. For 2024, the leading ZIP codes for Medicaid payments in this category included 92614 with $4,775,911, 92606 with $1,212,739, and 92618 at $855,872. Together, these three ZIP codes represented 97.2% of Medicaid payments for Alcohol and Drug Abuse Treatment in Irvine in that year.
Within this care category, Medicaid payments clustered around only a few specific billing codes.
Looking at changes over time, Medicaid payments for Alcohol and Drug Abuse Treatment in Irvine jumped 102.2% between 2024 and 2023, whereas all Medicaid claim categories combined in the city saw a 22.4% change in the same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal 2023, making up around 18% of total national health expenses. That figure rose significantly compared with $613.5 billion in 2019, before the COVID-19 pandemic struck.
This surge equates to growth of nearly 40% over just a few years, predominantly due to greater enrollment and higher usage during and following the pandemic era.
Recent national budget legislation during the Trump administration has introduced major proposals to cut federal Medicaid allocations and adjust the program structure. An example is the “One Big Beautiful Bill Act,” enacted in 2025, which is anticipated to cut more than $1 trillion in federal Medicaid outlays over 10 years while adopting policies like work requirements and greater cost-sharing—changes that could limit benefits and cut funding for select enrollees. These alterations are expected to have states assume a larger share of costs and may slow the growth rate of federal Medicaid support as the program continues to cover tens of millions nationally.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,794,589 | 116.7% |
| 2021 | $3,101,862 | 72.8% |
| 2022 | $1,449,562 | -53.3% |
| 2023 | $3,483,232 | 140.3% |
| 2024 | $7,043,660 | 102.2% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $17,403,670 | 23.3% |
| 2 | National Codes Established for State Medicaid Agencies | $11,695,175 | 15.7% |
| 3 | Evaluation and Management | $7,786,533 | 10.4% |
| 4 | Durable Medical Equipment | $7,430,531 | 1<0.1% |
| 5 | Alcohol and Drug Abuse Treatment | $7,043,660 | 9.4% |
| 6 | Surgery | $4,792,684 | 6.4% |
| 7 | Temporary National Codes (Non-Medicare) | $4,365,596 | 5.8% |
| 8 | Procedures / Professional Services | $4,328,337 | 5.8% |
| 9 | Pathology and Laboratory Procedures | $2,993,532 | 4% |
| 10 | Ambulance and Other Transport Services and Supplies | $1,848,278 | 2.5% |
| 11 | Medical And Surgical Supplies | $1,795,843 | 2.4% |
| 12 | Dental Services | $1,569,880 | 2.1% |
| 13 | Anesthesia | $717,119 | 1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $608,207 | 0.8% |
| 15 | Radiology Procedures | $149,745 | 0.2% |
| 16 | Enteral and Parenteral Therapy | $88,714 | 0.1% |
| 17 | Hearing Services | $21,031 | <0.1% |
| 18 | Administrative, Miscellaneous and Investigational | $3,950 | <0.1% |
| 19 | Prosthetic Procedures | $2,125 | <0.1% |
| 20 | Pathology and Laboratory Services | $1,787 | <0.1% |
| 21 | Temporary Codes | $411 | <0.1% |
| 22 | Drugs Administered Other than Oral Method | $273 | <0.1% |
| 23 | Vision Services | $19 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0043 | Supported housing, per diem | $2,121,670 | 56 |
| H2016 | Comp comm supp svc, per diem | $1,201,244 | 26 |
| H2019 | Ther behav svc, per 15 min | $955,657 | 12 |
| H0044 | Supported housing, per month | $925,660 | 26 |
| H2038 | Skill train and dev/diem | $848,227 | 35 |
| H0032 | Mh svc plan dev by non-md | $257,082 | 12 |
| H0014 | Alcohol and/or drug services | $186,500 | 9 |
| H0004 | Alcohol and/or drug services | $150,601 | 6 |
| H2014 | Skills train and dev, 15 min | $148,337 | 13 |
| H2027 | Psychoed svc, per 15 min | $98,695 | 6 |
| H0038 | Self-help/peer svc per 15min | $91,877 | 5 |
| H0006 | Alcohol and/or drug services | $27,472 | 5 |
| H1001 | Antepartum management | $15,297 | 7 |
| H0025 | Alcohol and/or drug preventi | $9,179 | 2 |
| H2025 | Supp maint employ, 15 min | $6,156 | 3 |
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.
