In 2024, Port Angeles Medicaid providers submitted $4,225,971 in claims for services within 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 was a 32.4% rise from 2023, when $3,190,853 in claims were filed for the same type of care.
Medicaid, jointly funded by federal and state governments and managed by each state, is a public health insurance program. It serves low-income individuals, families, seniors, children and people with disabilities, positioning it as one of the nation’s largest health care payers. More about how Medicaid is financed can be found at this link.
As Medicaid draws from taxpayer funds, variations in local provider billing illustrate how public health care resources are directed within communities.
The Alcohol and Drug Abuse Treatment section comprises services grouped by the type of care rendered, defined by standardized HCPCS and CPT codes. In this report’s methodology, each billing code is allotted to one category using consistent code groupings and number sequences. This system ensures accurate comparisons, avoids duplicate counting, and enables effective tracking across years.
Alcohol and Drug Abuse Treatment ranked as the third-highest Medicaid spending category in Port Angeles in 2024, following increases across multiple service categories.
Statewide, Alcohol and Drug Abuse Treatment placed fourth by total Medicaid payments in Washington for 2024.
Examining the five years before 2024, Port Angeles saw Medicaid payments for Alcohol and Drug Abuse Treatment rise by $2,216,538 or 110.3%. Notable spending surges appeared during certain stretches, particularly in 2020 and 2021.
Though service billings were logged throughout the city, Alcohol and Drug Abuse Treatment spending in 2024 focused heavily within select ZIP codes. The ZIP code 98362 accounted for $4,225,970 in Medicaid claims, representing all Medicaid payments for this treatment classification in Port Angeles during the year.
Payments in the Alcohol and Drug Abuse Treatment group were also concentrated into a small subset of specific billing codes in Port Angeles.
To compare, Medicaid claims for Alcohol and Drug Abuse Treatment in Port Angeles rose 32.4% from 2023 to 2024. By contrast, all Medicaid service categories in the city rose only 3.7% over the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending reached about $871.7 billion in the 2023 fiscal year. This equaled around 18% of all U.S. health expenditures, up from about $613.5 billion in 2019, ahead of the COVID-19 emergency.
The jump is roughly 40% in just a short period, attributed largely to more people enrolling in Medicaid and greater use of health services during and after the pandemic.
Recent legislation under the Trump administration has put forth substantial changes to federal Medicaid funding and the structure of the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to cut federal Medicaid spending by more than $1 trillion in the coming decade, adding requirements such as mandatory work, greater cost-sharing, and restrictions that could affect both coverage and federal funding for certain groups. This is likely to pass more financial responsibilities to the states and slow federal Medicaid program expansion, even as Medicaid remains a vital safety net for millions.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $2,009,432 | 141.3% |
| 2021 | $3,078,779 | 53.2% |
| 2022 | $2,673,135 | -13.2% |
| 2023 | $3,190,853 | 19.4% |
| 2024 | $4,225,970 | 32.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $5,407,328 | 25.3% |
| 2 | Procedures / Professional Services | $4,479,046 | 21% |
| 3 | Alcohol and Drug Abuse Treatment | $4,225,970 | 19.8% |
| 4 | Medicine Services and Procedures | $2,368,939 | 11.1% |
| 5 | Evaluation and Management | $2,051,026 | 9.6% |
| 6 | Radiology Procedures | $995,764 | 4.7% |
| 7 | Ambulance and Other Transport Services and Supplies | $747,363 | 3.5% |
| 8 | Pathology and Laboratory Procedures | $501,471 | 2.3% |
| 9 | Surgery | $279,454 | 1.3% |
| 10 | Dental Services | $238,847 | 1.1% |
| 11 | Drugs Administered Other than Oral Method | $53,086 | 0.2% |
| 12 | Durable Medical Equipment | $13,943 | 0.1% |
| 13 | Medical And Surgical Supplies | $8,497 | <0.1% |
| 14 | Outpatient PPS | $3,044 | <0.1% |
| 15 | Temporary Codes | $686 | <0.1% |
| 16 | Administrative, Miscellaneous and Investigational | $54 | <0.1% |
| 17 | Temporary National Codes (Non-Medicare) | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0018 | Alcohol and/or drug services | $3,601,949 | 14 |
| H0020 | Alcohol and/or drug services | $236,451 | 12 |
| H0004 | Alcohol and/or drug services | $181,470 | 80 |
| H2036 | A/d tx program, per diem | $149,686 | 12 |
| H0046 | Mental health service, nos | $25,194 | 103 |
| H2015 | Comp comm supp svc, 15 min | $17,602 | 68 |
| H0001 | Alcohol and/or drug assess | $5,865 | 4 |
| H0031 | Mh health assess by non-md | $3,836 | 11 |
| H2012 | Behav hlth day treat, per hr | $2,417 | 28 |
| H0023 | Alcohol and/or drug outreach | $1,497 | 3 |
| H0038 | Self-help/peer svc per 15min | $0 | 10 |
| H2011 | Crisis interven svc, 15 min | $0 | 13 |
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.
