Sequim Medicaid Alcohol and Drug Abuse Treatment claims reach $800,783 in 2024

Sequim Medicaid providers submitted $800,783 in claims for Alcohol and Drug Abuse Treatment services in 2024, drawing on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This presented a 51.9% increase over 2023, when claims for these services totaled $527,225.

Medicaid, a public health insurance program overseen by states and jointly funded by federal and state governments, provides coverage to low-income individuals and families, children, seniors, and people with disabilities. It is one of the largest components of the U.S. health care system.

Because Medicaid is funded by taxpayer dollars, variations in billing at the local level reflect how public health care funding is distributed within a community.

The “Alcohol and Drug Abuse Treatment” category encompasses services billed to Medicaid as defined by service type using standardized HCPCS and CPT codes. Each code used in this analysis was assigned to a single service category, using unified numeric ranges and prefixes, ensuring services are grouped accurately while maintaining clear rankings and preventing duplication over time.

Alcohol and Drug Abuse Treatment was the second highest category by total Medicaid payments in Sequim in 2024, among several groups experiencing payment increases.

Statewide in Washington, Alcohol and Drug Abuse Treatment ranked fourth for total Medicaid payments during 2024.

In the five years through 2024, Sequim saw Medicaid payments for Alcohol and Drug Abuse Treatment rise by $760,254, a 1,875.8% increase. The growth rate was especially pronounced during certain years, including notably high increases in 2022 and 2020.

Although Alcohol and Drug Abuse Treatment payments spanned the city, they were largely concentrated in a small number of ZIP codes. In 2024, ZIP code 98382 accounted for the entire $800,783 total, with the top ZIP code making up 100% of Sequim Medicaid payments in this category for the year.

A limited selection of individual billing codes comprised the bulk of Medicaid payments within the Alcohol and Drug Abuse Treatment category.

Between 2024 and 2023, Medicaid claims for Alcohol and Drug Abuse Treatment in Sequim grew by 51.9%, while all Medicaid claim categories in the city rose by 20.1% over the same period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, making up roughly 18% of all U.S. health expenditures. This is a steep increase from around $613.5 billion in 2019, before the COVID-19 pandemic.

This represents approximately 40% growth in several years, largely attributed to broader enrollment and greater use of services during and after the pandemic.

Federal budget actions during the Trump administration included significant Medicaid funding changes and program restructuring. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years. The legislation introduces work requirements and higher cost-sharing, which could reduce coverage and funding for certain recipients. These policy changes may shift additional financial responsibility to states and limit federal Medicaid growth, even as the program continues to cover tens of millions of Americans.

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.