In 2024, Medicaid providers in Rigby billed $555,904 for Alcohol and Drug Abuse Treatment services, the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 37% rise compared with 2023, when providers reported $405,827 in claims for the same category.
Medicaid, which is overseen by states and supported by both federal and state governments, covers low-income residents, seniors, children and people with disabilities, and is a central part of health care in the United States.
As Medicaid funding comes from public sources, fluctuations in local billing reveal how tax dollars for health care are used across communities.
The “Alcohol and Drug Abuse Treatment” category consists of Medicaid services grouped by similar care types using HCPCS and CPT code groupings. For analysis, each code belongs to a service category using standardized code prefixes and numerical ranges. This method helps track related services as a single unit, avoiding duplicate counts and maintaining accurate rankings each year.
While Medicaid expenditures increased in several service areas, Alcohol and Drug Abuse Treatment was the second-largest category in Rigby by total Medicaid payments in 2024.
Statewide, Alcohol and Drug Abuse Treatment ranked as the top category by Medicaid payments in Idaho in 2024.
Over the five years before 2024, Medicaid payments associated with Alcohol and Drug Abuse Treatment in Rigby grew by $203,728, or 57.8%. Certain periods, such as 2023 and 2022, saw sharper year-over-year gains.
Spending on Alcohol and Drug Abuse Treatment services was distributed throughout Rigby but primarily centered in a small number of ZIP codes. In 2024, ZIP code 83442 accounted for all of Rigby’s Medicaid payments in this category, totaling $555,904. Thus, the top ZIP code contributed 100% of Medicaid payments for Alcohol and Drug Abuse Treatment in Rigby that year.
Within this category, Medicaid spending was focused on a few key billing codes.
Comparatively, Medicaid payments for Alcohol and Drug Abuse Treatment in Rigby increased by 37% from 2023 to 2024, outpacing the 11.3% overall increase across all Medicaid claim types in the city during the same timeframe.
Centers for Medicare & Medicaid Services data show combined Medicaid spending from federal and state levels reached about $871.7 billion in fiscal year 2023—roughly 18% of all national health care outlays, an increase from approximately $613.5 billion in 2019, before the pandemic.
This jump in spending reflects about 40% growth over several years, spurred mainly by higher enrollment and more utilization related to the pandemic and its aftermath.
Recent federal budget acts under the Trump administration have brought major suggested reductions to federal Medicaid funds and possible restructuring. The “One Big Beautiful Bill Act,” signed in 2025, is set to shrink federal Medicaid contributions by more than $1 trillion over the next 10 years and introduces features like work requirements and greater cost-sharing. These changes are likely to shift more financial responsibility to states and could restrain federal Medicaid growth further, though the program continues to insure tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $352,176 | – |
| 2021 | $228,843 | -35% |
| 2022 | $269,362 | 17.7% |
| 2023 | $405,826 | 50.7% |
| 2024 | $555,904 | 37% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Procedures / Professional Services | $1,493,421 | 54% |
| 2 | Alcohol and Drug Abuse Treatment | $555,904 | 20.1% |
| 3 | Medicine Services and Procedures | $306,758 | 11.1% |
| 4 | National Codes Established for State Medicaid Agencies | $154,380 | 5.6% |
| 5 | Evaluation and Management | $122,380 | 4.4% |
| 6 | Dental Services | $90,459 | 3.3% |
| 7 | Ambulance and Other Transport Services and Supplies | $35,938 | 1.3% |
| 8 | Surgery | $2,584 | 0.1% |
| 9 | Pathology and Laboratory Procedures | $1,803 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0004 | Alcohol and/or drug services | $281,016 | 5 |
| H2014 | Skills train and dev, 15 min | $274,887 | 6 |
Note: HCPCS codes are presented to add context within the service grouping. This article bases category totals and rankings on grouped services rather than separate billing codes.
Information for this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.


