Benson Medicaid bills for alcohol and drug abuse treatment climb to $4,015,153 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid providers in Benson billed $4,015,153 for Alcohol and Drug Abuse Treatment services in 2024. This amount marks a 54.1% rise over 2023, when claims for the same service totaled $2,605,962.

Medicaid, a public health insurance initiative, is operated by state governments with joint federal and state funding from both levels. The program serves low-income individuals and families, seniors, children, and those with disabilities, establishing it as one of the largest components of the U.S. health care system.

Because taxpayer dollars fund Medicaid payments, shifts in local billing reflect how public health care resources are distributed within communities.

The Alcohol and Drug Abuse Treatment group includes Medicaid-billed services defined by the specific type of care, sorted using standardized HCPCS and CPT code groupings. This report classified billing codes into one service category using uniform code prefixes and numeric ranges—ensuring comparable services are tracked together, avoiding duplicate counts and maintaining accurate, long-term category rankings.

Although several service categories saw higher Medicaid outlays, Alcohol and Drug Abuse Treatment had the largest total payments in Benson for 2024.

Statewide in Arizona, Alcohol and Drug Abuse Treatment placed fourth by total Medicaid outlays in 2024.

Between 2019 and 2024, Medicaid payments attributed to Alcohol and Drug Abuse Treatment in Benson rose by $2,348,454, which is a 140.9% increase. Certain years, such as 2023 and 2022, experienced especially significant annual growth in these payments.

While spending for Alcohol and Drug Abuse Treatment was present across Benson, payments were primarily concentrated in a few ZIP codes. In 2024, ZIP code 85602 accounted for $4,015,153 in Medicaid payments for this service category. The top ZIP code made up 100% of all such Medicaid payments in Benson for the year.

A small number of Medicaid billing codes accounted for most of the Alcohol and Drug Abuse Treatment payments in this category.

To compare, payments related to Alcohol and Drug Abuse Treatment in Benson increased 54.1% from 2023 to 2024, compared with a 6.8% change in total Medicaid claim payments across all categories in the city during that time frame.

Centers for Medicare & Medicaid Services data shows that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, accounting for around 18% of U.S. national health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This shift reflects growth of approximately 40% in a few years, mainly due to increased Medicaid enrollment and health care use during and after the pandemic.

Recent federal budget legislation enacted under the Trump administration has included major proposals to cut federal Medicaid funding and change program structure. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid spending by more than $1 trillion over 10 years, introducing work requirements and higher cost-sharing likely to decrease coverage and funding for some recipients. The result is expected to place more fiscal responsibility on states and limit the growth of federal Medicaid contributions, even as the program continues to serve millions nationwide.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Benson, Arizona Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $1,666,699 -6.8%
2021 $1,399,789 -16%
2022 $1,887,470 34.8%
2023 $2,605,962 38.1%
2024 $4,015,153 54.1%
Top Categories by Medicaid Payments in Benson, Arizona, 2024

Rank Category Medicaid Payments Share of City Total
1 Alcohol and Drug Abuse Treatment $4,015,153 38.2%
2 National Codes Established for State Medicaid Agencies $3,231,818 30.8%
3 Evaluation and Management $1,328,643 12.6%
4 Ambulance and Other Transport Services and Supplies $1,285,153 12.2%
5 Radiology Procedures $394,668 3.8%
6 Medicine Services and Procedures $204,390 1.9%
7 Pathology and Laboratory Procedures $42,761 0.4%
8 Temporary National Codes (Non-Medicare) $4,934 <0.1%
9 Surgery $7 <0.1%
10 Drugs Administered Other than Oral Method $2 <0.1%
11 Administrative, Miscellaneous and Investigational $0 <0.1%
11 Dental Services $0 <0.1%
11 Procedures / Professional Services $0 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Benson, Arizona, 2024

HCPCS Code Description Medicaid Payments Claims
H0018 Alcohol and/or drug services $1,873,300 12
H0004 Alcohol and/or drug services $950,272 59
H2019 Ther behav svc, per 15 min $715,162 12
H0031 Mh health assess by non-md $395,996 52
H0023 Alcohol and/or drug outreach $34,957 12
H2027 Psychoed svc, per 15 min $19,703 8
H0038 Self-help/peer svc per 15min $16,218 8
H2014 Skills train and dev, 15 min $7,962 6
H2012 Behav hlth day treat, per hr $1,578 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 for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.



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