In 2024, San Gabriel Medicaid providers recorded $2,138,004 in billings for services classified under the Alcohol and Drug Abuse Treatment category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 1.7% increase compared to 2023, when providers submitted $2,103,172 in claims for these services.
Medicaid is a publicly funded health insurance program run by states and supported jointly by federal and state governments. The program covers low-income people and families, seniors, children, and individuals with disabilities, making it a major component of the U.S. health care system.
Since Medicaid payments are derived from taxpayers, fluctuations in local billing patterns reflect how public health care resources are allocated in the community.
The “Alcohol and Drug Abuse Treatment” category encompasses a set of Medicaid-billed services determined by the type of care provided and based on standardized HCPCS and CPT code groupings. For this report, each billing code is assigned to a single service category using established code prefixes and numeric ranges, permitting analysis of related services without double counting and assuring consistent rankings over time.
While Medicaid spending has grown in multiple categories, Alcohol and Drug Abuse Treatment ranked third in San Gabriel by total Medicaid payments in 2024.
Statewide, California had Alcohol and Drug Abuse Treatment as the fourth-largest Medicaid payment category in 2024.
Between 2019 and 2024, Medicaid spending for the Alcohol and Drug Abuse Treatment category in San Gabriel increased by $51,458, or 2.4%. Certain periods saw accelerated growth, including significant year-over-year gains reported in 2022.
Spending within the Alcohol and Drug Abuse Treatment category was distributed citywide, but was most heavily concentrated in two ZIP codes. In 2024, ZIP code 91776 received $1,711,402 and ZIP code 91775 accounted for $426,602; these two ZIP codes represented 100% of Medicaid payments in this category for San Gabriel that year.
Medicaid payments in the Alcohol and Drug Abuse Treatment category were also focused among a few individual billing codes.
For context, Medicaid billings in this category in San Gabriel grew by 1.7% between 2024 and 2023, compared with a 19.7% change across all Medicaid claim categories in the city during the same timeframe.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, representing roughly 18% of total national health expenditures, which increased sharply from approximately $613.5 billion in 2019, before the COVID-19 pandemic.
This growth translates to an increase of about 40% over several years, primarily due to expanded enrollment and higher usage during and after the pandemic.
Legislation passed during the Trump administration included significant proposals aimed at reducing federal Medicaid funding and revising the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut federal Medicaid spending by more than $1 trillion over 10 years and introduces provisions such as work requirements and increased cost-sharing that could reduce funding and coverage for certain recipients. Such changes are expected to place a greater share of funding responsibility on states and could limit future federal support for Medicaid, even as the program continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,189,462 | -30.6% |
| 2021 | $1,763,473 | -19.5% |
| 2022 | $2,152,279 | 22% |
| 2023 | $2,103,171 | -2.3% |
| 2024 | $2,138,004 | 1.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $3,353,171 | 21.9% |
| 2 | Medicine Services and Procedures | $2,153,086 | 14.1% |
| 3 | Alcohol and Drug Abuse Treatment | $2,138,004 | 14% |
| 4 | National Codes Established for State Medicaid Agencies | $1,472,355 | 9.6% |
| 5 | Radiology Procedures | $1,254,548 | 8.2% |
| 6 | Anesthesia | $1,196,124 | 7.8% |
| 7 | Dental Services | $1,160,109 | 7.6% |
| 8 | Procedures / Professional Services | $1,048,446 | 6.9% |
| 9 | Evaluation and Management | $995,555 | 6.5% |
| 10 | Pathology and Laboratory Procedures | $213,321 | 1.4% |
| 11 | Drugs Administered Other than Oral Method | $128,331 | 0.8% |
| 12 | Ambulance and Other Transport Services and Supplies | $71,087 | 0.5% |
| 13 | Surgery | $59,963 | 0.4% |
| 14 | Medical And Surgical Supplies | $23,886 | 0.2% |
| 15 | Administrative, Miscellaneous and Investigational | $5,629 | <0.1% |
| 16 | Temporary Codes | $2,190 | <0.1% |
| 17 | Vision Services | $809 | <0.1% |
| 18 | Chemotherapy Drugs | $794 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2019 | Ther behav svc, per 15 min | $1,435,871 | 61 |
| H0031 | Mh health assess by non-md | $296,918 | 35 |
| H0046 | Mental health service, nos | $291,765 | 32 |
| H0032 | Mh svc plan dev by non-md | $113,448 | 21 |
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.