In Holly, Medicaid providers billed a total of $1,162,655 in 2024 for services categorized as Alcohol and Drug Abuse Treatment, as shown by data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The amount is up 16.1% compared to 2023, when $1,001,251 in claims for similar services were filed.
Medicaid, a public health insurance initiative managed at the state level and financed jointly by federal and state governments, provides coverage for low-income residents, seniors, children and people with disabilities. It ranks among the largest components of the U.S. health care system.
Taxpayer contributions fund Medicaid’s payments, so shifts in local billing show how government health care spending is distributed within the community.
The Alcohol and Drug Abuse Treatment designation encompasses a set of Medicaid-billed services defined according to standardized HCPCS and CPT codes. Each billing code in this analysis was exclusively assigned to one service group using consistent code prefixes and numeric ranges. This system helps group related services and maintain accurate rankings year to year by avoiding duplication.
Among several service categories where Medicaid spending rose, Alcohol and Drug Abuse Treatment had the highest total Medicaid payments in Holly for 2024.
Statewide in Michigan, this category also ranked first in total Medicaid payments during 2024.
During the five years through 2024, Medicaid payments for Alcohol and Drug Abuse Treatment services in Holly rose by $645,575, or 124.8%. Growth rates varied over time, with particularly notable jumps seen in 2022 and 2022.
While these payments supported care throughout Holly, they tended to be centered in just a few ZIP codes. In 2024, ZIP code 48442 accounted for $1,162,654—making up 100% of Medicaid payments for Alcohol and Drug Abuse Treatment services within the city for the year.
Within the Alcohol and Drug Abuse Treatment category, payments continued to focus on a small selection of individual billing codes.
Comparing Medicaid payments for Alcohol and Drug Abuse Treatment services, Holly saw a 16.1% increase from 2023 to 2024; across all Medicaid claim categories in Holly, the rate of change for the same period was 20.1%.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending in fiscal year 2023 totaled about $871.7 billion. This figure represented about 18% of total national health expenditures, up from roughly $613.5 billion in 2019, prior to the COVID-19 pandemic.
This shift marks about 40% spending growth in just a few years, largely driven by increased enrollment and greater health care use during and after the pandemic.
The Trump administration’s recent federal budget laws included proposals to limit federal Medicaid funds and change program requirements. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid support by over $1 trillion in the next decade. New provisions may require beneficiaries to meet work criteria or pay more out-of-pocket, potentially reducing coverage and increasing state-level responsibilities—even as Medicaid remains a crucial program serving millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $517,080 | -12.1% |
| 2021 | $350,743 | -32.2% |
| 2022 | $1,125,098 | 220.8% |
| 2023 | $1,001,251 | -11% |
| 2024 | $1,162,654 | 16.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $1,162,654 | 73.3% |
| 2 | National Codes Established for State Medicaid Agencies | $176,919 | 11.2% |
| 3 | Medicine Services and Procedures | $122,850 | 7.8% |
| 4 | Evaluation and Management | $98,273 | 6.2% |
| 5 | Ambulance and Other Transport Services and Supplies | $13,813 | 0.9% |
| 6 | Pathology and Laboratory Procedures | $4,080 | 0.3% |
| 7 | Vision Services | $2,646 | 0.2% |
| 8 | Temporary National Codes (Non-Medicare) | $1,994 | 0.1% |
| 9 | Dental Services | $1,932 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $1,162,654 | 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.
