Tinton Falls Medicaid payments for Alcohol and Drug Abuse Treatment climb to $11.5 million in 2024

Tinton Falls Medicaid providers billed $11,548,549 for services under the Alcohol and Drug Abuse Treatment category in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The total is a 0.3% rise from 2023, when providers submitted claims amounting to $11,517,522 for the same category.

Medicaid is a public health coverage program operated by states and funded in partnership with federal and state governments. The program serves low-income individuals and families, older adults, children, and people with disabilities, and is a major part of the U.S. health system.

Since Medicaid dollars are funded through taxpayer contributions, shifts in local billing indicate how health care funding is spent throughout the community.

The “Alcohol and Drug Abuse Treatment” category covers a range of services billed through Medicaid and defined by care provided, grouped based on HCPCS and CPT code criteria. In the data analysis, each billing code fell into a single service category via uniform code prefixes and ranges, helping prevent double counting and maintain ranking accuracy over time.

Among service categories, spending on Alcohol and Drug Abuse Treatment led all other Medicaid payments in Tinton Falls in 2024.

Alcohol and Drug Abuse Treatment also took the top position by Medicaid payment total across all of New Jersey in 2024.

During the five years prior to 2024, Medicaid payments linked to the Alcohol and Drug Abuse Treatment category in Tinton Falls rose by $3,421,262—or 42.1%. Growth was especially steep in some years, with sizable annual increases observed in both 2022 and 2023.

Although care in the Alcohol and Drug Abuse Treatment category occurs citywide, payments were most concentrated in a handful of ZIP codes. The highest payment amounts in 2024 were seen in ZIP code 07712 ($11,270,917), ZIP code 07724 ($260,377), and ZIP code 07753 ($17,253). Combined, these top 3 ZIP codes made up 100% of Medicaid payments tied to this category in Tinton Falls that year.

Medicaid spending for the Alcohol and Drug Abuse Treatment group was also concentrated within a small group of billing codes.

When compared with all Medicaid service categories citywide, payments attributed to Alcohol and Drug Abuse Treatment in Tinton Falls grew 0.3% from 2023 to 2024, while the city’s aggregate Medicaid billing rose by 1% over the same timeframe.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid costs together totaled approximately $871.7 billion in fiscal year 2023—about 18% of U.S. health care expenditures. That marked a sharp jump from around $613.5 billion in 2019, prior to the COVID-19 pandemic.

This near 40% increase over several years was mainly driven by expanded enrollments and higher service use during and after the pandemic.

In recent years, federal legislation under the Trump administration covered major proposals to cut federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” passed in 2025, is projected to reduce federal Medicaid spending by over $1 trillion in the coming decade, with new rules like work requirements and higher cost-sharing. These changes are likely to shift added costs to states and restrict the growth of federal Medicaid funding, even as tens of millions continue to rely on the program for coverage.

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.