In 2024, Medicaid providers in Eatontown submitted $8,989,360 in claims for services classified under Alcohol and Drug Abuse Treatment, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflects a 10.3% jump from 2023, when providers billed $8,146,394 for similar services.
Medicaid is a government health insurance program managed by states and is jointly funded by federal and state governments. Covering low-income people, seniors, children, and those with disabilities, Medicaid remains one of the largest segments of the U.S. health care system.
As taxpayer funding drives Medicaid payments, changes in local billing patterns reflect how community health care resources are distributed.
The “Alcohol and Drug Abuse Treatment” designation includes a set of Medicaid-billed services defined by care type and standardized HCPCS and CPT code groupings. For this report, billing codes were assigned to individual service categories utilizing consistent code prefixes and numeric ranges, making it possible to analyze related services together and ensure correct rankings over time without double counting.
Although Medicaid expenditures increased in more than one service category, Alcohol and Drug Abuse Treatment was the top-ranked category in Eatontown for total Medicaid payments in 2024.
Statewide in New Jersey, the Alcohol and Drug Abuse Treatment category also led by total Medicaid payments in 2024.
From 2019 to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Eatontown increased by $8,365,471, or 1340.9%. The pace of spending growth picked up in certain years, most notably in 2021 and 2022 with significant year-over-year gains.
Although Alcohol and Drug Abuse Treatment payments were distributed citywide, the majority were concentrated within a few ZIP codes. In 2024, ZIP code 07724 accounted for $8,989,359 in Medicaid payments tied to this category. Altogether, the top 1 ZIP codes were responsible for 100% of Alcohol and Drug Abuse Treatment Medicaid payments in Eatontown for the year.
Payments in this category were also heavily focused on a small range of individual billing codes.
Between 2024 and 2023, Eatontown saw a 10.3% rise in Medicaid dollars aligned with the Alcohol and Drug Abuse Treatment category, compared to a 4.3% shift across all Medicaid claim categories locally 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 2023, representing about 18% of all U.S. health expenditures and rising sharply from roughly $613.5 billion in 2019, the year before the COVID-19 pandemic.
This represents about 40% growth over several years, primarily driven by increased enrollment and higher service use during and after the pandemic.
Recent federal budget measures enacted under the Trump administration have included major plans to lower federal Medicaid funding and adjust the structure of the program. The “One Big Beautiful Bill Act,” signed in 2025, is forecasted to reduce federal Medicaid spending by over $1 trillion in the coming decade. The law also brings in policies like work requirements and more cost-sharing, potentially narrowing coverage and resources for some recipients. These changes may increase financial responsibilities for states and curb the expansion of federal support, though Medicaid will continue to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $623,889 | -41.5% |
| 2021 | $3,112,597 | 398.9% |
| 2022 | $6,083,584 | 95.5% |
| 2023 | $8,146,394 | 33.9% |
| 2024 | $8,989,359 | 10.3% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $8,989,359 | 48% |
| 2 | Medicine Services and Procedures | $3,853,813 | 20.6% |
| 3 | National Codes Established for State Medicaid Agencies | $2,479,361 | 13.2% |
| 4 | Surgery | $889,315 | 4.8% |
| 5 | Evaluation and Management | $848,326 | 4.5% |
| 6 | Durable Medical Equipment | $652,091 | 3.5% |
| 7 | Pathology and Laboratory Procedures | $426,719 | 2.3% |
| 8 | Temporary National Codes (Non-Medicare) | $296,492 | 1.6% |
| 9 | Medical And Surgical Supplies | $169,391 | 0.9% |
| 10 | Ambulance and Other Transport Services and Supplies | $70,959 | 0.4% |
| 11 | Orthotic Procedures and services | $20,559 | 0.1% |
| 12 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $10,016 | 0.1% |
| 13 | Dental Services | $7,162 | <0.1% |
| 14 | Procedures / Professional Services | $22 | <0.1% |
| 15 | Drugs Administered Other than Oral Method | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $8,386,428 | 12 |
| H0035 | Mh partial hosp tx under 24h | $474,763 | 11 |
| H0015 | Alcohol and/or drug services | $119,069 | 9 |
| H0003 | Alcohol and/or drug screenin | $9,055 | 12 |
| H0048 | Spec coll non-blood:a/d test | $42 | 1 |
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.
