Enterprise sees 145% jump in Medicaid payments for alcohol and drug abuse treatment in 2024

In 2024, Medicaid providers in Enterprise billed $80,978 for services categorized as Alcohol and Drug Abuse Treatment, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 144.7% increase from 2023, when $33,096 in claims were filed for the same category.

Medicaid is a state-administered public health insurance program that is jointly funded by federal and state governments. It provides coverage for low-income individuals and families, children, seniors, and people with disabilities, making it a major component of the U.S. health care system.

As Medicaid is funded by taxpayers, changes in local billing amounts indicate how public health care funds are distributed within a community.

The “Alcohol and Drug Abuse Treatment” category groups together Medicaid-billed services based on standardized HCPCS and CPT codes. For this analysis, each billing code was placed in a single service category using consistent code prefixes and numeric patterns, permitting comparison of related services, avoiding duplicate counts, and supporting accurate rankings over time.

Although there was an overall increase in Medicaid spending across various service types, Alcohol and Drug Abuse Treatment became the third largest category by total Medicaid payments in Enterprise during 2024.

Statewide in Oregon, Alcohol and Drug Abuse Treatment ranked as the second highest Medicaid payment category in 2024.

Looking at the five years prior to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Enterprise grew by $80,792, marking an increase of 43,537.4%. Periods of particularly strong growth were recorded in 2021 and 2023.

While services in the Alcohol and Drug Abuse Treatment category were provided throughout the city, Medicaid payments were heavily focused within a small set of ZIP codes. In 2024, ZIP code 97828 accounted for $80,978 in payments. The leading ZIP code represented 100% of the Medicaid payments for Alcohol and Drug Abuse Treatment in Enterprise during the year.

Within the Alcohol and Drug Abuse Treatment category, Medicaid payments were predominantly assigned to a small number of specific billing codes.

For context, while Alcohol and Drug Abuse Treatment payments in Enterprise climbed 144.7% from 2023 to 2024, overall Medicaid claim payments in the city changed by only 0.3% during the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion for fiscal year 2023, which was roughly 18% of national health care expenditures, rising significantly from approximately $613.5 billion in 2019, before the COVID-19 pandemic.

This growth equates to an increase of about 40% over a handful of years, primarily resulting from expanded enrollment and higher utilization during and after the pandemic.

Recent federal budget measures enacted under the Trump administration contained large-scale proposals to trim federal Medicaid funding and restructure how the program operates. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years and implement policy changes such as work requirements and increased cost-sharing, potentially reducing coverage and funding for certain recipients. These changes will likely place more financial responsibility on states and constrain federal Medicaid growth, despite the program continuing to serve tens of millions of Americans.

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.