Swansea sees 74.5% increase in Medicaid alcohol, drug treatment payments in 2024

In 2024, Medicaid providers in Swansea billed $612,346 for services listed under the Alcohol and Drug Abuse Treatment category, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount represents a 74.5% rise from 2023, when $351,013 in claims were submitted for similar services.

Medicaid, a government health insurance initiative, is administered at the state level with funding from both federal and state governments. The program serves low-income families and individuals, seniors, people with disabilities, and children, making it one of the nation’s most significant health systems.

Since Medicaid is funded by taxpayers, fluctuations in local billing reflect how publicly financed health care funds are distributed within a community.

The Alcohol and Drug Abuse Treatment classification gathers Medicaid-billed services according to the care type provided, as defined by standardized HCPCS and CPT code groups. Billing codes were assigned to only one service category for this report through uniform code prefixes and numeric ranges, which allowed for analyzing related services as a group and eliminated double counting or skewed rankings over time.

Medicaid expenditures grew among several service categories, but Alcohol and Drug Abuse Treatment took the top spot in Swansea for total Medicaid payments in 2024.

Statewide in Illinois, Alcohol and Drug Abuse Treatment placed third by total payment volume on the Medicaid program in 2024.

From five years before 2024, Medicaid payments attributed to Alcohol and Drug Abuse Treatment in Swansea grew by $111,130, equivalent to 22.2%. Growth rates increased at specific times, with particularly sharp annual gains in 2023 and 2022.

Although Alcohol and Drug Abuse Treatment claims were seen throughout Swansea, most payments were focused within select ZIP codes. In 2024, ZIP code 62226 led with $612,346 billed for the category, making up the entirety of Medicaid payments for Alcohol and Drug Abuse Treatment in Swansea during that year.

Within the Alcohol and Drug Abuse Treatment category, most Medicaid payments clustered around a few individual billing codes.

In comparison, Swansea’s Medicaid payments for Alcohol and Drug Abuse Treatment climbed 74.5% from 2023 to 2024, whereas all Medicaid claim categories in the city together increased by 24.1% in the same span.

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

This jump amounts to growth of roughly 40% over several years, mainly due to expanded enrollment and increased use of services during and after the pandemic.

Federal budget measures during the Trump administration have featured major proposals to shrink federal Medicaid funding and overhaul how the program works. Among these, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to decrease federal Medicaid spending by more than $1 trillion over 10 years and sets forth policies including work requirements and higher cost-sharing, which could limit coverage and federal support for some participants. These changes are poised to leave states with a larger share of costs and to curtail federal Medicaid payment growth as the program continues to support 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.