Daytona Beach Medicaid claims for alcohol and drug abuse treatment reach $13,375,321 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Daytona Beach Medicaid providers billed $13,375,321 for services categorized under Alcohol and Drug Abuse Treatment in 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an 81.1% increase over 2023, when the claims for these services totaled $7,386,048.

Medicaid is a state-administered public health insurance program funded jointly by the federal and state governments. Covering low-income individuals, families, seniors, children, and people with disabilities, it remains one of the nation’s largest health care programs.

Since Medicaid is taxpayer-funded, any changes in local billing levels highlight how public health care resources are spent within a community.

The Alcohol and Drug Abuse Treatment category groups Medicaid-billed services by care type, using standardized HCPCS and CPT coding schemes. Each code was assigned to a single service area based on consistent prefixes and number ranges, ensuring related services are analyzed together, avoiding double counting, and preserving ranking accuracy over time.

Alcohol and Drug Abuse Treatment services led all other categories by total Medicaid payments in Daytona Beach in 2024.

Statewide in Florida, Alcohol and Drug Abuse Treatment was the fourth-largest category by payments in 2024.

Between 2019 and 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Daytona Beach rose by $10,383,726 or 347.1%. During specific years, including 2023 and 2022, the rate of increase accelerated with significant year-over-year jumps.

Although services in this category were provided across the city, Medicaid payments were mainly concentrated in a handful of ZIP codes. In 2024, ZIP codes 32117, 32114, and 32119 recorded the highest totals, with $8,545,598, $3,629,246, and $1,200,477 in Medicaid payments tied to Alcohol and Drug Abuse Treatment, respectively. These top 3 ZIP codes comprised 100% of Daytona Beach’s Medicaid spending for the category during the year.

Medicaid payments in the Alcohol and Drug Abuse Treatment category were also focused within a small subset of billing codes.

Alcohol and Drug Abuse Treatment claims in Daytona Beach increased by 81.1% from 2023 to 2024, compared with an 11.1% growth across all Medicaid claim categories reported in the city during that period.

According to the Centers for Medicare & Medicaid Services, federal and state spending on Medicaid reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health expenditures—a notable increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents roughly 40% growth in just a few years, prompted in large part by expanded enrollment and increased use throughout and following the pandemic.

Recent federal budgeting—enacted under the Trump administration—featured sweeping proposals to reduce overall federal Medicaid outlays and shift the program’s structure. The “One Big Beautiful Bill Act,” approved in 2025, is set to cut federal Medicaid funding by over $1 trillion during the next decade and introduces policies such as work requirements and higher cost-sharing, which may limit coverage and funds for certain recipients. These changes are expected to bring greater financial responsibility to states and slow the increase in federal support, while Medicaid still serves tens of millions across the country.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Daytona Beach, Florida Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,991,594 0.3%
2021 $3,713,385 24.1%
2022 $4,702,896 26.6%
2023 $7,386,048 57.1%
2024 $13,375,321 81.1%
Top Categories by Medicaid Payments in Daytona Beach, Florida, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $13,375,321 38.9%
2 National Codes Established for State Medicaid Agencies $6,477,745 18.8%
3 Evaluation and Management $6,201,967 18%
4 Temporary National Codes (Non-Medicare) $5,353,891 15.6%
5 Medicine Services and Procedures $1,568,095 4.6%
6 Dental Services $571,347 1.7%
7 Radiology Procedures $259,563 0.8%
8 Pathology and Laboratory Procedures $200,008 0.6%
9 Durable Medical Equipment $124,283 0.4%
10 Durable medical equipment (DME) Medicare administrative contractors (MACs) $93,205 0.3%
11 Surgery $61,862 0.2%
12 Vision Services $39,508 0.1%
13 Anesthesia $13,745 <0.1%
14 Procedures / Professional Services $13,626 <0.1%
15 Drugs Administered Other than Oral Method $7,083 <0.1%
16 Medical And Surgical Supplies $2,761 <0.1%
17 Temporary Codes $1,673 <0.1%
18 Administrative, Miscellaneous and Investigational $389 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Daytona Beach, Florida, 2024

HCPCS Code Description Medicaid Payments Claims
H2019 Ther behav svc, per 15 min $7,341,328 1,431
H0032 Mh svc plan dev by non-md $1,787,105 776
H2000 Comp multidisipln evaluation $1,544,021 225
H0031 Mh health assess by non-md $909,688 386
H0040 Assert comm tx pgm per diem $620,020 22
H0020 Alcohol and/or drug services $418,424 22
H1000 Prenatal care atrisk assessm $333,545 129
H0046 Mental health service, nos $156,721 128
H2017 Psysoc rehab svc, per 15 min $141,802 12
H2022 Com wrap-around sv, per diem $55,300 5
H2010 Comprehensive med svc 15 min $25,367 25
H2012 Behav hlth day treat, per hr $20,694 4
H0048 Spec coll non-blood:a/d test $15,149 35
H1001 Antepartum management $3,127 2
H0001 Alcohol and/or drug assess $3,024 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.



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