In 2024, Bloomingdale Medicaid providers reported $542,160 in billings for services within the Alcohol and Drug Abuse Treatment category, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total is 148.8% higher than in 2023, when claims in this category reached $217,922.
Medicaid, a publicly funded health insurance program administered by states and jointly financed by federal and state governments, offers coverage for low-income populations, seniors, children, and people with disabilities. As one of the nation’s largest health care payers, it plays a significant role in the overall health system.
Since Medicaid spending is sourced from taxpayers, shifts in local billing reveal how community health care resources are distributed.
The “Alcohol and Drug Abuse Treatment” category encompasses Medicaid-billed services identified by type of care, following established HCPCS and CPT code classifications. For analytic purposes, each billing code was grouped into a single service category by code prefixes and numbering, which allows for accurate tracking of related services and ranking over time without double counting.
Alcohol and Drug Abuse Treatment led all Medicaid service categories in Bloomingdale by total payments in 2024, outpacing other areas of care.
Across Michigan, Alcohol and Drug Abuse Treatment also ranked first among Medicaid payment categories for 2024.
From 2020 through 2024, Medicaid expenditures linked to Alcohol and Drug Abuse Treatment in Bloomingdale rose by $234,069, or 30.2%. Growth in this category was particularly marked during select periods, with notable annual increases reported in 2022 and 2020.
Although these services were available citywide, Medicaid payments were concentrated in a handful of ZIP codes. In 2024, ZIP code 49026 alone accounted for $542,159, representing 100% of the city’s Medicaid spending in this service category for the year.
Payments within the Alcohol and Drug Abuse Treatment category were also focused across a limited group of billing codes.
Medicaid claims for Alcohol and Drug Abuse Treatment in Bloomingdale were up 148.8% from the previous year, while all Medicaid claim categories in the city experienced a 210.9% increase during the same period.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in fiscal 2023, making up around 18% of total U.S. health expenditures. This is up from $613.5 billion in 2019, before the COVID-19 pandemic.
This represents about 40% growth over only a few years, largely due to higher enrollment and increased use of services during and after the pandemic.
Recent federal budget measures under the Trump administration have incorporated major proposals to cut federal Medicaid dollars and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to eliminate more than $1 trillion in federal Medicaid funding over 10 years and add policies like work requirements and higher cost-sharing, potentially affecting benefits and coverage for some enrollees. The legislation could result in more costs being assumed by states and constrain future federal support, as Medicaid continues to serve millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $776,229 | 5.8% |
| 2021 | $806,000 | 3.8% |
| 2022 | $1,004,284 | 24.6% |
| 2023 | $217,921 | -78.3% |
| 2024 | $542,159 | 148.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $542,159 | 69.6% |
| 2 | National Codes Established for State Medicaid Agencies | $237,064 | 30.4% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $509,272 | 7 |
| H0045 | Respite not-in-home per diem | $32,887 | 6 |
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.



