In 2024, Medicaid providers in New Martinsville billed a total of $112,537 for services listed under the Alcohol and Drug Abuse Treatment category, figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This amount reflects a rise of 992.9% compared with 2023, when providers filed $10,297 in claims for the same category of care.
Medicaid, a state-administered health insurance program backed by both federal and state funding, supports low-income residents, seniors, people with disabilities and children, making it a significant component of U.S. health care.
Because taxpayer dollars support Medicaid payments, fluctuations in local billing volumes help illustrate how communities allocate public health care funding.
The “Alcohol and Drug Abuse Treatment” classification includes Medicaid services grouped by type of care according to standard HCPCS and CPT codes. For the purposes of this analysis, each billing code was assigned to a single service group using consistent code ranges and prefixes, enabling related items to be counted together without duplication and maintaining accurate historical rankings.
Even as Medicaid spending rose in several categories, Alcohol and Drug Abuse Treatment was fifth highest by total Medicaid payment in New Martinsville during 2024.
Across West Virginia, Alcohol and Drug Abuse Treatment placed third among all categories by Medicaid payment in 2024.
From 2020 through 2024, Medicaid dollars tied to Alcohol and Drug Abuse Treatment in New Martinsville rose $112,537, or 0%. Periods of significant year-over-year spending growth occurred, particularly during 2023 and 2022.
While Medicaid payments for Alcohol and Drug Abuse Treatment were distributed citywide, most funds concentrated in a small number of ZIP codes. In 2024, ZIP code 26155 accounted for $112,536 in Medicaid payments in this category. Collectively, this leading ZIP code comprised 100% of all spending for alcohol and drug treatment services in New Martinsville for the year.
Spending in the Alcohol and Drug Abuse Treatment category also clustered in a limited set of specific billing codes.
When compared citywide, Medicaid payments attributed to Alcohol and Drug Abuse Treatment in New Martinsville increased by 992.9% from 2023 to 2024, while all Medicaid claim categories rose by 10.9% during the same span.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending combined totaled about $871.7 billion in fiscal 2023, making up approximately 18% of all U.S. health spending—an increase from $613.5 billion in 2019, prior to COVID-19.
This change amounts to roughly 40% growth over a few years, fueled mostly by broader Medicaid enrollment and higher demand before, during, and following the pandemic.
Recent federal budget measures passed under the Trump administration have set forth major proposals to limit federal Medicaid contributions and alter the program structure. Notably, the “One Big Beautiful Bill Act,” approved in 2025, is estimated to cut more than $1 trillion from federal Medicaid funds over the next decade, imposing new work requirements and cost-sharing policies that may lead to reduced benefits and funding for some enrollees. These federal changes would likely mean increased financial burdens for states and restrict overall Medicaid expansion, even while millions rely on the program.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2023 | $10,296 | -95.7% |
| 2024 | $112,536 | 992.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $1,611,743 | 58.3% |
| 2 | Pathology and Laboratory Procedures | $438,075 | 15.9% |
| 3 | National Codes Established for State Medicaid Agencies | $268,488 | 9.7% |
| 4 | Ambulance and Other Transport Services and Supplies | $198,753 | 7.2% |
| 5 | Alcohol and Drug Abuse Treatment | $112,536 | 4.1% |
| 6 | Medicine Services and Procedures | $58,012 | 2.1% |
| 7 | Radiology Procedures | $36,871 | 1.3% |
| 8 | Dental Services | $29,239 | 1.1% |
| 9 | Surgery | $7,449 | 0.3% |
| 10 | Drugs Administered Other than Oral Method | $807 | <0.1% |
| 11 | Procedures / Professional Services | $136 | <0.1% |
| 12 | Outpatient PPS | $69 | <0.1% |
| 13 | Temporary National Codes (Non-Medicare) | $34 | <0.1% |
| 14 | Temporary Codes | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0004 | Alcohol and/or drug services | $93,461 | 15 |
| H0038 | Self-help/peer svc per 15min | $15,009 | 7 |
| H0031 | Mh health assess by non-md | $4,065 | 2 |
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.
