Medicaid expenditures for alcohol and drug abuse treatment total $18,321,773 in Matawan for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Providers participating in Medicaid in Matawan billed $18,321,773 for services under the Alcohol and Drug Abuse Treatment category in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 7% increase over 2023, when claims for the same group of services reached $17,122,033.

Medicaid is a public insurance system managed by individual states and jointly funded by the federal and state governments. It provides coverage for people with low incomes, families, children, seniors and those with disabilities, making it one of the nation’s largest health insurance sources.

Since Medicaid spending draws from taxpayer dollars, shifts in local billing can show how publicly funded health care resources are distributed throughout a community.

The “Alcohol and Drug Abuse Treatment” category is made up of Medicaid-billed services grouped by the type of care delivered, organized through standardized HCPCS and CPT code groupings. For analysis, each service code was placed into a single service group using unified code prefixes and designated number ranges, which keeps related services grouped together for comparison while avoiding duplication and ensuring consistency in rankings across different periods.

Although Medicaid expenditures went up for multiple service groups, Alcohol and Drug Abuse Treatment was the top-ranked category in Matawan by total Medicaid payments during 2024.

Statewide in New Jersey, the Alcohol and Drug Abuse Treatment category also led by total Medicaid expenditures in 2024.

Looking over the five-year span before 2024, Medicaid payments in Matawan linked to the Alcohol and Drug Abuse Treatment category increased by $16,290,862—an 802.1% rise. Growth accelerated at specific points, and especially significant annual increases occurred in 2022 and 2023.

Spending for Alcohol and Drug Abuse Treatment was distributed citywide but heavily concentrated in a few ZIP codes. In 2024, ZIP code 07747 had the highest Medicaid payment total in this category, at $18,321,772. The leading ZIP code made up 100% of Alcohol and Drug Abuse Treatment–linked Medicaid payments in Matawan for the year.

Within this category, Medicaid expenditures were also centralized within a small set of specific billing codes.

By comparison, Alcohol and Drug Abuse Treatment–related Medicaid payments in Matawan advanced 7% between 2024 and 2023, versus a 3.1% change across all Medicaid claim types in the city in that same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid outlays totaled roughly $871.7 billion in fiscal year 2023, about 18% of national health care expenses, a notable rise from the $613.5 billion figure seen in 2019, before the COVID-19 pandemic.

This increase equals nearly 40% growth in just several years, largely due to higher enrollment and increased use of services during and after the pandemic period.

Recent national budget policy changes from the Trump administration featured sizable plans to lower federal Medicaid spending and reshape the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is set to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years and implements policies such as work requirements and higher cost-sharing—changes that could limit coverage and funding for some enrollees. These measures are anticipated to move additional costs to states and restrict the expansion of federal Medicaid funding even as the program maintains coverage for tens of millions of Americans.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Matawan, New Jersey Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $2,030,911 14.9%
2021 $2,110,880 3.9%
2022 $6,984,036 230.9%
2023 $17,122,033 145.2%
2024 $18,321,772 7%
Top Categories by Medicaid Payments in Matawan, New Jersey, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $18,321,772 75.4%
2 Temporary National Codes (Non-Medicare) $3,138,879 12.9%
3 Evaluation and Management $1,146,814 4.7%
4 Medicine Services and Procedures $1,137,936 4.7%
5 National Codes Established for State Medicaid Agencies $496,613 2%
6 Ambulance and Other Transport Services and Supplies $46,189 0.2%
7 Pathology and Laboratory Procedures $5,090 <0.1%
8 Procedures / Professional Services $1,055 <0.1%
9 Drugs Administered Other than Oral Method $212 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Matawan, New Jersey, 2024

HCPCS Code Description Medicaid Payments Claims
H2016 Comp comm supp svc, per diem $10,403,841 12
H2021 Com wrap-around sv, 15 min $6,743,513 12
H0036 Comm psy face-face per 15min $552,205 13
H0035 Mh partial hosp tx under 24h $430,269 22
H0039 Asser com tx face-face/15min $183,908 12
H2014 Skills train and dev, 15 min $8,033 2

Note: HCPCS codes are provided for reference within the category. All category totals and rankings for this article use standardized groupings—not individual billing codes.

The data for this article originates from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source information can be accessed here.



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