In 2024, Medicaid providers in Benton Harbor submitted $6,734,736 in claims for services listed under the Alcohol and Drug Abuse Treatment category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This reflects a 2.5% rise from 2023, when claims for the same category totaled $6,571,982.
Medicaid, one of the primary elements of the U.S. health care system, is a public insurance program administered by states and jointly financed by federal and state governments. The program provides coverage to low-income populations, seniors, children, and individuals with disabilities.
Since Medicaid is funded by taxpayers, fluctuations in billing point to how public health spending is directed within the local area.
The Alcohol and Drug Abuse Treatment category consists of Medicaid services identified according to the care provided, relying on established HCPCS and CPT code frameworks. For this analysis, billing codes were organized into exclusive service categories using systematically assigned code prefixes and number ranges, which enabled the grouping of similar services for rankings and trend analysis while avoiding duplicate counts.
Alcohol and Drug Abuse Treatment led all Medicaid service categories in Benton Harbor by total payment in 2024, despite general increases across several sectors.
Statewide, Alcohol and Drug Abuse Treatment was also the top category by Medicaid payments in Michigan for 2024.
From five years before 2024 through that year, Medicaid funding connected to Alcohol and Drug Abuse Treatment in Benton Harbor went up by $2,087,194, marking a 44.9% increase. Payment growth accelerated over certain intervals, with notable jumps occurring in both 2023 and 2022.
While Alcohol and Drug Abuse Treatment services were accessed throughout the city, the majority of payments were linked to a small set of ZIP codes. In 2024, ZIP code 49022 accounted for all $6,734,736 in Medicaid payments to this category, making up 100% of the total for Benton Harbor.
Additionally, Medicaid payments within this category were concentrated among a limited set of billing codes.
In terms of overall growth, Alcohol and Drug Abuse Treatment Medicaid payments in Benton Harbor increased 2.5% between 2024 and 2023. Across all claim categories in the city, the change during the same timeframe was 6.6%.
According to the Centers for Medicare & Medicaid Services, federal and state spending combined for Medicaid was about $871.7 billion in fiscal year 2023. This represented roughly 18% of all national health expenses, a notable increase from $613.5 billion in 2019, before the COVID-19 pandemic.
This marks growth of nearly 40% within a few years, much of it fueled by increased enrollment and higher usage during and after the pandemic era.
Recent legislation affecting the federal budget passed under the Trump administration has introduced large-scale proposals to cut federal Medicaid contributions and change program structure. One example is the “One Big Beautiful Bill Act,” signed in 2025, which is estimated to reduce federal Medicaid spending by over $1 trillion over a decade. The law includes changes such as work requirements and more cost-sharing that may curtail both eligibility and funding for certain beneficiaries, potentially shifting more expenses to states and restraining federal Medicaid growth while continuing to cover tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,647,541 | -25.3% |
| 2021 | $4,719,671 | 1.6% |
| 2022 | $4,952,428 | 4.9% |
| 2023 | $6,571,981 | 32.7% |
| 2024 | $6,734,736 | 2.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $6,734,736 | 34.8% |
| 2 | National Codes Established for State Medicaid Agencies | $3,558,987 | 18.4% |
| 3 | Medicine Services and Procedures | $2,723,532 | 14.1% |
| 4 | Procedures / Professional Services | $2,177,320 | 11.2% |
| 5 | Evaluation and Management | $1,948,235 | 10.1% |
| 6 | Ambulance and Other Transport Services and Supplies | $880,001 | 4.5% |
| 7 | Temporary National Codes (Non-Medicare) | $478,993 | 2.5% |
| 8 | Dental Services | $350,785 | 1.8% |
| 9 | Durable Medical Equipment | $177,380 | 0.9% |
| 10 | Enteral and Parenteral Therapy | $142,169 | 0.7% |
| 11 | Surgery | $83,479 | 0.4% |
| 12 | Drugs Administered Other than Oral Method | $57,039 | 0.3% |
| 13 | Medical And Surgical Supplies | $35,335 | 0.2% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $8,006 | <0.1% |
| 15 | Pathology and Laboratory Procedures | $6,457 | <0.1% |
| 16 | Vision Services | $3,308 | <0.1% |
| 17 | Hearing Services | $1,879 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2015 | Comp comm supp svc, 15 min | $2,389,577 | 47 |
| H0036 | Comm psy face-face per 15min | $1,100,220 | 12 |
| H0020 | Alcohol and/or drug services | $945,095 | 12 |
| H0039 | Asser com tx face-face/15min | $821,180 | 12 |
| H0015 | Alcohol and/or drug services | $521,308 | 12 |
| H2023 | Supported employ, per 15 min | $231,911 | 18 |
| H2000 | Comp multidisipln evaluation | $157,976 | 12 |
| H2025 | Supp maint employ, 15 min | $150,358 | 8 |
| H0004 | Alcohol and/or drug services | $144,524 | 12 |
| H0001 | Alcohol and/or drug assess | $103,972 | 17 |
| H0038 | Self-help/peer svc per 15min | $95,115 | 23 |
| H0032 | Mh svc plan dev by non-md | $42,696 | 9 |
| H0050 | Alcohol/drug service 15 min | $24,840 | 4 |
| H0031 | Mh health assess by non-md | $3,692 | 12 |
| H2011 | Crisis interven svc, 15 min | $1,248 | 1 |
| H0022 | Alcohol and/or drug interven | $588 | 1 |
| H0034 | Med trng & support per 15min | $432 | 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.
