Farmingville Medicaid providers reported $842,998 in Alcohol and Drug Abuse Treatment services for 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents an increase of 128.1% over 2023, when the total for these services reached $369,593.
Medicaid, a public health insurance program funded jointly by federal and state governments and managed by the states, covers a large range of recipients—low-income residents, the elderly, children, and people with disabilities. As such, it remains a cornerstone of the U.S. health care system.
Because taxpayer funds support Medicaid payments, fluctuations in local billing reveal how public health care money is distributed within communities.
The “Alcohol and Drug Abuse Treatment” category encompasses several Medicaid-billed services that are defined by specific care types, grouped by standard HCPCS and CPT codes. For this analysis, each billing code has been assigned to only one service category, using consistent coding rules, to group related services while preventing double counting and preserving trends over time.
Though Medicaid spending rose across a number of service categories, Alcohol and Drug Abuse Treatment was the third-highest category by total Medicaid payments in Farmingville for 2024.
At the state level, New York ranked the Alcohol and Drug Abuse Treatment category fifth for total Medicaid payments in 2024.
From five years prior to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Farmingville increased by $782,077, or 1283.8%. Spending growth saw particularly strong year-over-year gains during 2020 and 2021.
Spending in the Alcohol and Drug Abuse Treatment category took place throughout the city, but was heavily centered in a small set of ZIP codes. In 2024, Medicaid payments in ZIP code 11738 reached $842,998, accounting for 100% of all Alcohol and Drug Abuse Treatment Medicaid claims in Farmingville for the year.
Among Alcohol and Drug Abuse Treatment claims, payments were heavily concentrated in a select group of billing codes.
For perspective, Medicaid spending for Alcohol and Drug Abuse Treatment in Farmingville grew by 128.1% from 2023 to 2024, whereas all Medicaid claim categories in Farmingville showed a combined change of just 4.2% for the same time frame.
The Centers for Medicare & Medicaid Services reports that total federal and state Medicaid spending reached nearly $871.7 billion in fiscal year 2023, representing about 18% of all U.S. health expenditures. This figure is a significant jump from the $613.5 billion spent in 2019, before the COVID-19 pandemic.
This reflects close to 40% growth over several years, largely due to higher enrollment and increased demand for services during and after the pandemic.
In recent years, federal budget legislation passed during the Trump administration proposed significant Medicaid funding reductions and program changes. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, adding new work requirements and higher cost-sharing which could limit both funding and coverage for some enrollees. These policy changes are expected to shift more responsibility to states and curb federal Medicaid growth, even as the program remains vital for millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $60,920 | 317.3% |
| 2021 | $121,622 | 99.6% |
| 2022 | $192,149 | 58% |
| 2023 | $369,593 | 92.3% |
| 2024 | $842,998 | 128.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $5,479,390 | 59.6% |
| 2 | Evaluation and Management | $2,637,710 | 28.7% |
| 3 | Alcohol and Drug Abuse Treatment | $842,998 | 9.2% |
| 4 | Temporary National Codes (Non-Medicare) | $184,317 | 2% |
| 5 | Pathology and Laboratory Procedures | $41,698 | 0.5% |
| 6 | Ambulance and Other Transport Services and Supplies | $6,005 | 0.1% |
| 7 | Surgery | $2,263 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0020 | Alcohol and/or drug services | $593,339 | 26 |
| H0004 | Alcohol and/or drug services | $139,057 | 24 |
| H0038 | Self-help/peer svc per 15min | $107,765 | 17 |
| H0014 | Alcohol and/or drug services | $2,042 | 1 |
| H0049 | Alcohol/drug screening | $793 | 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 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.









