Clifton Springs Medicaid spending on substance abuse treatment rises to $4,949,758 in 2024

In 2024, Medicaid providers in Clifton Springs billed $4,949,758 for services in the Alcohol and Drug Abuse Treatment category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. That total reflects a 2.9% rise from 2023, when providers filed $4,808,983 in similar claims.

Medicaid, a state-administered public health insurance program funded by both federal and state governments, covers low-income individuals and families, seniors, children and people with disabilities, making it a key component of the U.S. health care system.

Fluctuations in local Medicaid billing illustrate how taxpayer dollars are distributed to support community health care needs.

The “Alcohol and Drug Abuse Treatment” grouping represents a set of Medicaid-billed services, classified according to the type of care provided, using standardized HCPCS and CPT code ranges. This analysis assigns each billing code to a single service category using uniform numbering prefixes, ensuring related services are grouped for accurate longitudinal comparisons.

In 2024, Alcohol and Drug Abuse Treatment had the highest total Medicaid payments among all service categories in Clifton Springs.

At the state level in New York, Alcohol and Drug Abuse Treatment was the fifth-ranked category by total Medicaid payments for 2024.

From 2019 through 2024, Medicaid payments associated with Alcohol and Drug Abuse Treatment in Clifton Springs rose by $1,397,462, or 39.3%. Spending accelerated at certain points, with notable year-over-year gains in 2020 and 2022.

Although care in this category reached locations throughout Clifton Springs, Medicaid payments were concentrated within a few ZIP codes. For 2024, ZIP code 14432 registered $4,949,758 in Medicaid payments related to Alcohol and Drug Abuse Treatment, accounting for 100% of category payments in Clifton Springs for the year.

Within the Alcohol and Drug Abuse Treatment category, a small subset of billing codes generated most of the Medicaid payments.

Between 2023 and 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Clifton Springs increased by 2.9%. For comparison, all Medicaid claim categories in the city saw a 15.3% change over the same period.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid outlays reached about $871.7 billion during fiscal year 2023, accounting for nearly 18% of overall U.S. health spending. This is up notably from about $613.5 billion in 2019, before the COVID-19 emergency.

This increase, approximately 40%, is largely attributed to expanded enrollment and rising usage during and after the pandemic.

Recent federal budget measures under the Trump administration feature proposals to sharply reduce federal Medicaid funding and revise program structure. For example, the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut federal Medicaid spending by more than $1 trillion over 10 years and introduces changes such as work requirements and higher cost-sharing that may affect coverage and funding for some enrollees. These measures could mean higher costs for states and limit the growth of federal Medicaid support, even as the program continues to serve tens of millions nationwide.

Note: HCPCS codes are included to illustrate context within the category. Category totals and rankings in this report are determined by standardized service groupings, not by individual billing codes.

This article is based on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.