Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Pickerington billed $1,238,254 for Alcohol and Drug Abuse Treatment services in 2024. This represents a 114.6% increase from 2023, when $577,098 was billed for the same services.
Medicaid, a public insurance program operated by the states with joint federal and state funding, covers low-income populations, including individuals, families, seniors, children, and those with disabilities, positioning it as a key component of the U.S. health care system. For details, see here.
As Medicaid payments are taxpayer-funded, trends in local billing indicate how public health care finances are distributed within communities.
The “Alcohol and Drug Abuse Treatment” classification includes Medicaid-billed services grouped by care type, utilizing HCPCS and CPT code groupings. This analysis assigns each billing code to one service category based on standard code prefixes and numerical ranges, which ensures related services are aggregated without double counting and rankings remain precise across years.
Alcohol and Drug Abuse Treatment led all Medicaid service categories by total payment amount in Pickerington for 2024 as overall Medicaid spending rose in several categories.
Statewide in Ohio, this category had the second-highest Medicaid payment total in 2024.
Looking at the five years through 2024, payments linked to Alcohol and Drug Abuse Treatment services in Pickerington increased by $1,238,254, or 0%. Some periods saw faster growth, with significant annual increases in 2023 and 2022.
Although spending occurred city-wide, most payments tied to this category were focused within several ZIP codes. The ZIP code 43147 accounted for $1,238,254 in Medicaid payments in 2024, making up 100% of local payments in this service category.
Within this segment, Medicaid payments predominantly went toward a small number of unique billing codes.
Between 2024 and 2023, Medicaid payments for Alcohol and Drug Abuse Treatment services in Pickerington surged 114.6%, while all Medicaid claim categories in the area increased 70.7% in that period.
The Centers for Medicare & Medicaid Services reports federal and state Medicaid spending totaled about $871.7 billion in the 2023 fiscal year, comprising an estimated 18% of total U.S. health care expenditures, up considerably from $613.5 billion in 2019, ahead of the COVID-19 pandemic.
This rise equals approximately 40% more spending in only a few years, largely attributed to increased enrollment and higher service use during and after the pandemic.
Recent U.S. budget legislation under the Trump administration included large-scale ideas to decrease federal Medicaid funding and redo the program. The 2025 “One Big Beautiful Bill Act,” is expected to reduce federal Medicaid spending by over $1 trillion throughout the next decade, introducing changes such as work requirements and expanded cost-sharing that could potentially limit both coverage and funding for some recipients. These adjustments may result in additional costs for states and cap federal Medicaid outlays, while the program continues to assist tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $17,337 | – |
| 2023 | $577,097 | 3228.6% |
| 2024 | $1,238,254 | 114.6% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $1,238,254 | 34.1% |
| 2 | Procedures / Professional Services | $876,869 | 24.2% |
| 3 | Medicine Services and Procedures | $614,650 | 16.9% |
| 4 | Evaluation and Management | $380,008 | 10.5% |
| 5 | Dental Services | $303,699 | 8.4% |
| 6 | Temporary National Codes (Non-Medicare) | $99,596 | 2.7% |
| 7 | Ambulance and Other Transport Services and Supplies | $98,714 | 2.7% |
| 8 | Drugs Administered Other than Oral Method | $9,788 | 0.3% |
| 9 | National Codes Established for State Medicaid Agencies | $5,486 | 0.2% |
| 10 | Pathology and Laboratory Procedures | $582 | <0.1% |
| 11 | Vision Services | $120 | <0.1% |
| 12 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2019 | Ther behav svc, per 15 min | $1,020,197 | 123 |
| H2020 | Ther behav svc, per diem | $208,063 | 18 |
| H2000 | Comp multidisipln evaluation | $9,993 | 4 |
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.


