In 2024, Medicaid providers in Trumansburg billed a total of $1,912,687 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 39.7% jump from 2023, when providers submitted claims totaling $1,369,096 for comparable services.
Medicaid is a public insurance system administered by the states and funded in partnership between federal and state governments. Its coverage extends to low-income people and families, seniors, children, and individuals with disabilities, placing it among the largest components of the U.S. health system.
With Medicaid funded by taxpayer dollars, shifts in local billing indicate how healthcare spending is distributed throughout a community.
The Alcohol and Drug Abuse Treatment classification groups Medicaid-billed services by care type, defined using standardized HCPCS and CPT code clusters. For this report, each billing code was assigned to just one service group, according to consistent code prefixes and numerical ranges, so that related services could be analyzed together with accurate rankings and no double counting.
Alcohol and Drug Abuse Treatment emerged as the leading category for Medicaid payments in Trumansburg in 2024, among several categories with increased spending.
Statewide in New York, this category was the fifth largest by Medicaid payments in 2024.
Comparing five years through 2024, Trumansburg saw Medicaid spending for Alcohol and Drug Abuse Treatment rise by $85,586, or 4.7%. Growth rates were higher in certain years, with notable increases for 2020 and 2022.
Although care tied to Alcohol and Drug Abuse Treatment was provided citywide, most Medicaid payments were in only a few ZIP codes. The highest 2024 payments were in ZIP code 14886, accounting for $1,912,687, or 100% of citywide payments in this category that year.
Within the category, a small group of billing codes accounted for most Medicaid payment volume.
When comparing 2024 to 2023, Medicaid payments in Trumansburg for Alcohol and Drug Abuse Treatment jumped 39.7%, more than the 31.6% overall change across all Medicaid claim categories for the period.
The Centers for Medicare & Medicaid Services report that combined federal and state Medicaid spending hit about $871.7 billion in fiscal year 2023—making up roughly 18% of total national health spending—up sharply from approximately $613.5 billion in 2019, before the COVID-19 emergency.
This increase reflects about 40% growth in just a few years, largely due to expanded enrollment and usage since the onset of the pandemic.
Recent federal budget laws enacted under the Trump administration incorporated major proposals to decrease federal Medicaid spending and modify the program. Legislation like the “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over the next decade and institutes new policies such as work requirements and higher cost-sharing, which may lower coverage levels and funding for some enrollees. These policy changes are expected to increase the fiscal responsibility of states and restrict federal Medicaid funding growth, while the program continues to serve tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $1,827,100 | 202.3% |
| 2021 | $1,632,999 | -10.6% |
| 2022 | $1,677,536 | 2.7% |
| 2023 | $1,369,095 | -18.4% |
| 2024 | $1,912,687 | 39.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $1,912,687 | 98% |
| 2 | Evaluation and Management | $39,167 | 2% |
| 3 | Vision Services | $417 | <0.1% |
| 4 | Medicine Services and Procedures | $155 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2036 | A/d tx program, per diem | $1,912,687 | 15 |
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.










