In 2024, Medicaid providers in Slidell billed $4,379,603 for services classified as Alcohol and Drug Abuse Treatment, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 10.5% increase compared to 2023, when $3,964,833 was billed for similar services.
Medicaid is a statewide public health insurance program partially funded through both federal and state governments. It helps cover low-income residents, families, seniors, children, and individuals with disabilities, making it one of the most significant elements of the U.S. health care landscape.
Since Medicaid spending comes from taxpayer funds, shifts in local billing highlight how public health care resources are distributed in specific areas.
The “Alcohol and Drug Abuse Treatment” category represents a selection of Medicaid-billed services that are grouped by care type, following standardized HCPCS and CPT code classifications. For this report, each billing code was placed into a single service category using uniform code prefixes and ranges, which enables related services to be grouped together without duplication, ensuring consistency in rankings over time.
Alcohol and Drug Abuse Treatment was the second-highest Medicaid payment category in Slidell in 2024, though spending rose across several categories.
Statewide, Alcohol and Drug Abuse Treatment ranked fourth by Medicaid payment volume across Louisiana in 2024.
Between 2019 and 2024, Medicaid payments for Alcohol and Drug Abuse Treatment services increased by $598,426, or 15.8%, in Slidell. Spending growth accelerated in certain years, notably posting strong increases in both 2022 and 2020.
Although expenditures for Alcohol and Drug Abuse Treatment were made throughout Slidell, a few ZIP codes received most of the funding. In 2024, ZIP code 70458 received $2,956,513; 70461, $1,259,219; and 70460, $163,870. Collectively, these 3 ZIP codes made up 100% of all Medicaid payments tied to Alcohol and Drug Abuse Treatment in the city during the year.
A small number of specific billing codes made up the majority of Medicaid payments within the Alcohol and Drug Abuse Treatment category.
Looking at trends, Medicaid payments for Alcohol and Drug Abuse Treatment services in Slidell grew by 10.5% from 2023 to 2024. In comparison, all Medicaid claim categories in the city grew by 12.6% over the same timeline.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays totaled approximately $871.7 billion during fiscal year 2023, which made up nearly 18% of total national health expenditures—up from about $613.5 billion in 2019, before the COVID-19 pandemic began.
This increase marks an approximate 40% rise in spending within a few years, primarily due to enrollment growth and increased utilization during and following the pandemic.
Federal budget measures under the Trump administration included major proposals to cut federal Medicaid funding and alter its structure. The “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut more than $1 trillion from federal Medicaid spending over the next decade, introducing provisions such as work requirements and higher out-of-pocket costs, which could reduce access and funding for some recipients. These policy changes are anticipated to shift greater financial responsibility to states while containing increases in federal Medicaid contributions, even though the program continues serving millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,781,176 | 10.4% |
| 2021 | $3,389,443 | -10.4% |
| 2022 | $4,072,169 | 20.1% |
| 2023 | $3,964,832 | -2.6% |
| 2024 | $4,379,603 | 10.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Evaluation and Management | $6,922,776 | 26.5% |
| 2 | Alcohol and Drug Abuse Treatment | $4,379,603 | 16.8% |
| 3 | National Codes Established for State Medicaid Agencies | $4,119,043 | 15.8% |
| 4 | Temporary National Codes (Non-Medicare) | $3,876,100 | 14.9% |
| 5 | Dental Services | $2,181,383 | 8.4% |
| 6 | Medicine Services and Procedures | $1,868,153 | 7.2% |
| 7 | Surgery | $1,186,924 | 4.6% |
| 8 | Pathology and Laboratory Procedures | $643,061 | 2.5% |
| 9 | Durable Medical Equipment | $337,137 | 1.3% |
| 10 | Orthotic Procedures and services | $307,195 | 1.2% |
| 11 | Radiology Procedures | $61,419 | 0.2% |
| 12 | Medical And Surgical Supplies | $58,294 | 0.2% |
| 13 | Vision Services | $38,233 | 0.1% |
| 14 | Procedures / Professional Services | $27,574 | 0.1% |
| 15 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $22,479 | 0.1% |
| 16 | Enteral and Parenteral Therapy | $16,963 | 0.1% |
| 17 | Temporary Codes | $15,024 | 0.1% |
| 18 | Drugs Administered Other than Oral Method | $12,487 | <0.1% |
| 19 | Ambulance and Other Transport Services and Supplies | $8,177 | <0.1% |
| 20 | Outpatient PPS | $81 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2020 | Ther behav svc, per diem | $2,136,738 | 232 |
| H2017 | Psysoc rehab svc, per 15 min | $790,693 | 100 |
| H0036 | Comm psy face-face per 15min | $615,807 | 85 |
| H0015 | Alcohol and/or drug services | $564,531 | 32 |
| H2025 | Supp maint employ, 15 min | $142,636 | 8 |
| H0014 | Alcohol and/or drug services | $106,875 | 9 |
| H2026 | Supp maint employ, per diem | $21,233 | 3 |
| H0004 | Alcohol and/or drug services | $1,087 | 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.
