Alcohol and drug abuse treatment Medicaid spending climbs 1.3% in Lillington in 2024

In 2024, Medicaid providers in Lillington billed $1,506,644 for Alcohol and Drug Abuse Treatment services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 1.3% increase from the $1,487,983 billed in 2023 for the same category of services.

Medicaid, the state’s public health insurance offering funded collectively by state and federal governments, covers a wide range of Americans, including families and individuals with low income, the elderly, children and those living with disabilities, making it a central component of the U.S. health care framework.

Because taxpayer dollars support Medicaid payments, variations in local billing can show how each community allocates its public health care spending.

The “Alcohol and Drug Abuse Treatment” group includes a set of Medicaid-covered services linked by care type, organized by HCPCS and CPT code groupings. In compiling this analysis, each code was matched to a single service group based on a consistent set of prefixes and number ranges to accurately track related services, eliminate duplication and maintain proper service rankings over time.

Medicaid spending saw increases in several service areas, with Alcohol and Drug Abuse Treatment ranking fourth by total Medicaid payments in Lillington for 2024.

Statewide, the Alcohol and Drug Abuse Treatment category also held the fourth spot for Medicaid payment totals in North Carolina in 2024.

Between 2019 and 2024, Medicaid payments in Lillington for services related to Alcohol and Drug Abuse Treatment rose by $120,188, or 8.7%. Certain periods, such as 2023 and 2020, saw especially notable acceleration in spending growth for the category.

While Alcohol and Drug Abuse Treatment payments were spread across Lillington, the majority came from just a few ZIP codes. In 2024, ZIP code 27546 contributed $1,506,643, making up 100% of Medicaid payments in this category for the community that year.

Additionally, most Alcohol and Drug Abuse Treatment Medicaid payments in Lillington were linked to only a handful of billing codes.

To compare, Lillington’s Alcohol and Drug Abuse Treatment Medicaid payments increased 1.3% from 2023 to 2024. For all Medicaid categories citywide, the comparable growth over the same period was 5.3%.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023, approximately 18% of all national health spending—up significantly from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump marks an increase of roughly 40% over several years, largely due to extended enrollment and greater utilization following the pandemic period.

Recent federal budget measures signed under the Trump administration have aimed to reduce federal Medicaid spending and alter the program’s funding formula. The “One Big Beautiful Bill Act,” passed in 2025, is estimated to cut federal Medicaid support by more than $1 trillion over 10 years and proposes changes such as increased cost-sharing and work requirements, potentially impacting coverage and funding for some recipients. These shifts could push more financial responsibility onto states and restrict future federal support, even as Medicaid continues to serve millions nationwide.

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.