Boulder City Medicaid spending for Alcohol and Drug Abuse Treatment jumps 88% to $63,909 in 2024

In 2024, Medicaid providers in Boulder City billed $63,909 under the Alcohol and Drug Abuse Treatment service category, as reported in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 88% uptick from the previous year, when providers billed $33,990 for similar services.

Medicaid is a jointly funded health insurance program operated by the states and the federal government together. It supports low-income individuals, families, older adults, children, and people with disabilities, making it a major component of the U.S. health care landscape.

Because taxpayer dollars support Medicaid, changes to local provider billing indicate how community health care funding is allocated.

The “Alcohol and Drug Abuse Treatment” classification encompasses a range of Medicaid-billed services defined by the type of care provided according to standardized HCPCS and CPT code groupings. This analysis assigns each billing code to one designated service category using consistent code prefixes and ranges, enabling analysis of similar services as a group while preventing double counting and maintaining accurate time-based rankings.

Though Medicaid expenditures rose for several categories, Alcohol and Drug Abuse Treatment became the second highest Medicaid spending category in Boulder City in 2024.

Statewide in Nevada, Medicaid spending for Alcohol and Drug Abuse Treatment placed sixth among payment categories in 2024.

Looking over the five years prior to 2024, Medicaid outlays for Alcohol and Drug Abuse Treatment in Boulder City grew by $47,919, an increase of 299.7%. Some years, such as 2020 and 2021, saw particularly rapid spending increases for this category.

While payments in this category reached multiple locations throughout Boulder City, the funds were mostly concentrated within a small number of ZIP codes. For 2024, payments linked to the Alcohol and Drug Abuse Treatment category were highest in ZIP code 89005, comprising $63,908. Altogether, that single ZIP code made up 100% of Alcohol and Drug Abuse Treatment Medicaid spending in Boulder City for the year.

Among the Alcohol and Drug Abuse Treatment classification, Medicaid payments were focused primarily on select billing codes.

For context, Boulder City saw an 88% increase in Medicaid spending on Alcohol and Drug Abuse Treatment from 2023 to 2024, while the citywide change across all claimed Medicaid services in that period was 0.6%.

Centers for Medicare & Medicaid Services data show that overall combined state and federal Medicaid costs topped roughly $871.7 billion in fiscal 2023, representing about 18% of total U.S. health care expenditures, and substantially higher from $613.5 billion in 2019, before the COVID-19 crisis.

That shift marks close to 40% total program growth in just a few years, with primary drivers being increases in enrollment and use during and after the pandemic era.

Recent federal budget measures signed during the Trump administration have proposed substantial federal cuts and the restructuring of Medicaid. The “One Big Beautiful Bill Act,”, enacted in 2025, aims to reduce federal Medicaid funding by more than $1 trillion over 10 years. It introduces elements such as work requirements and higher cost-sharing, which may lower coverage and federal funding for some recipients. These changes are projected to move additional costs to state governments and further restrict the pace of federal Medicaid assistance while the coverage continues to serve tens of millions of people in the country.

Note: HCPCS codes are provided for context inside this category. The totals and rankings referenced are derived from standardized service groups rather than individual codes.

Data for this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data is available here.