Medicaid spending for alcohol, drug abuse treatment in Keene climbs 4.1% in 2024

In 2024, Medicaid providers in Keene submitted $4,432,808 in claims for services grouped under the Alcohol and Drug Abuse Treatment category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total marks a 4.1% rise compared with 2023, when $4,257,031 was billed for comparable services.

Medicaid operates as a state-run public health insurance system financed with joint state and federal funds. It provides coverage for low-income families and individuals, seniors, children and people with disabilities, placing it among the nation’s largest health care programs.

Variations in local Medicaid billing, which comes from public funding, highlight how health care dollars are distributed within the community.

The “Alcohol and Drug Abuse Treatment” category is defined by specific codes for care types under Medicaid, categorized using consistent HCPCS and CPT code series. Each billing code was mapped to a single category for this analysis, supporting evaluation of related services without overlap and enabling long-term comparison.

While Medicaid spending grew across various categories, Alcohol and Drug Abuse Treatment accounted for the highest Medicaid payments by category in Keene in 2024.

Statewide in Texas, Alcohol and Drug Abuse Treatment was the fourth-largest Medicaid payment category in 2024.

Over the five years leading up to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Keene rose by $4,432,808, a 0% change. Certain years saw more rapid growth with distinct increases in 2023 and 2022.

Medicaid payments in this care category were distributed citywide yet highly focused within select ZIP codes. For 2024, ZIP code 76059 saw $4,432,807 in spending, making up 100% of local Medicaid payments for this category.

Within Alcohol and Drug Abuse Treatment, Medicaid disbursements were predominantly allocated to a handful of billing codes.

Comparing growth, Medicaid payments connected to Alcohol and Drug Abuse Treatment in Keene increased 4.1% between 2024 and 2023. Across all claim categories, Medicaid payments in the city rose 1.8% during that period.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid outlays totaled roughly $871.7 billion for fiscal 2023, or about 18% of national health expenditures—a sharp increase from about $613.5 billion in 2019, prior to the COVID-19 pandemic.

This upward shift equals around 40% growth in just a few years, largely driven by rising enrollment and service use linked to the pandemic.

Recent federal budget actions during the Trump administration have introduced major proposals to reduce federal Medicaid funding and alter its structure. The “One Big Beautiful Bill Act,” adopted in 2025, is forecast to cut federal Medicaid outlays by more than $1 trillion over the next decade, and brings policies—such as work requirements and increased cost-sharing—that may limit coverage and funding for some members. These adjustments are anticipated to shift greater financial responsibility to states and restrict federal Medicaid growth, even as the program continues to cover millions of Americans.

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.