Yardley Medicaid outlays for alcohol and drug treatment total $6,197,331 in 2024

In 2024, Medicaid providers in Yardley billed $6,197,331 for services under the Alcohol and Drug Abuse Treatment category, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented a 66.7% increase from 2023, when providers filed $3,718,253 in claims for these services.

Medicaid, a publicly funded health insurance program operated by the states with both federal and state support, serves low-income individuals, families, seniors, children, and those with disabilities, making it one of the nation’s largest health care payers. Additional background on Medicaid funding is available at this resource.

As Medicaid funds are sourced from taxpayers, shifts in billing levels highlight how public health dollars are distributed in a local community.

The “Alcohol and Drug Abuse Treatment” service group includes Medicaid-billed services defined by type of care, based on standardized groupings of HCPCS and CPT codes. For this report, service categories were assigned per billing code according to consistent prefixes and numeric sequences, which enabled related services to be assessed as a group while avoiding duplicates or misranking over time.

Across a range of service categories that saw higher Medicaid spending, Alcohol and Drug Abuse Treatment came in first in Yardley for total Medicaid outlays in 2024.

Statewide, Alcohol and Drug Abuse Treatment also led all service categories in total Medicaid payments in Pennsylvania for 2024.

Over five years through 2024, Medicaid payments for services in Yardley’s Alcohol and Drug Abuse Treatment category climbed by $6,190,863, an increase of 95,717.5%. There were sharp year-over-year gains in spending, especially during 2021 and 2022.

The data shows Medicaid-funded Alcohol and Drug Abuse Treatment services were provided across Yardley but were focused predominantly in a few ZIP codes. In 2024, ZIP code 19067 recorded the highest total at $6,197,331, accounting for 100% of all Medicaid payments related to this category in the city that year.

Within this service group, Medicaid payments were further concentrated among a few specific billing codes.

Comparatively, Alcohol and Drug Abuse Treatment-related Medicaid payments rose 66.7% in Yardley between 2024 and 2023, whereas overall Medicaid payments across all claim categories in the city grew 19.3% for the same period.

According to the Centers for Medicare & Medicaid Services, federal and state Medicaid payments reached approximately $871.7 billion in fiscal year 2023, making up around 18% of all health care spending nationally. This figure was a marked increase from approximately $613.5 billion in 2019, prior to the COVID-19 pandemic.

This jump represents about 40% growth over just a few years, mainly due to expanded enrollment and increased service usage during and after the pandemic.

Major federal budget changes enacted during the Trump administration have included proposals to reduce Medicaid’s federal funding and alter the program’s structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid support across 10 years and will add requirements such as work mandates and greater cost-sharing, which could reduce coverage for some enrollees. These adjustments may shift additional costs to states and constrain federal Medicaid growth as the program continues to serve tens of millions of people.

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.