In 2024, Medicaid providers in Nampa billed $6,610,997 for Alcohol and Drug Abuse Treatment services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 15.1% increase from 2023, when billings for the same services amounted to $5,744,834.
Medicaid, which is a public health insurance program operated by the states with joint federal and state funding, covers low-income people and families, seniors, children, and those with disabilities. It is one of the largest components of the U.S. health care system. For additional information, see the Commonwealth Fund’s Medicaid explainer.
Since Medicaid is taxpayer-funded, fluctuations in local billing reflect the distribution of public health care resources within communities.
The “Alcohol and Drug Abuse Treatment” category groups Medicaid-billed services according to the kind of care delivered, based on standardized HCPCS and CPT code sets. Each code was assigned to a single service category in this analysis by using established code prefixes and number ranges. This approach allows related services to be aggregated without duplication and maintains consistency in category rankings over time.
Among Medicaid-funded service types in Nampa, Alcohol and Drug Abuse Treatment was the second-largest category by total payment in 2024.
Statewide in Idaho, Alcohol and Drug Abuse Treatment was the top Medicaid payment category in 2024.
Medicaid payments for Alcohol and Drug Abuse Treatment in Nampa increased by $6,698,339—up 50.3%—over the five years leading up to 2024. There were notable periods of growth, with significant year-over-year gains in 2020 and 2022.
Spending in this category was distributed throughout Nampa, but a few ZIP codes accounted for all payments in 2024. The 3 leading ZIP codes—83686 ($4,487,701), 83651 ($1,882,378), and 83687 ($240,917)—represented 100% of Medicaid funds billed for Alcohol and Drug Abuse Treatment in the city that year.
Payments within the Alcohol and Drug Abuse Treatment category were also concentrated among relatively few individual billing codes.
While Medicaid spending on Alcohol and Drug Abuse Treatment in Nampa jumped 15.1% between 2023 and 2024, all Medicaid claim categories in the city grew only 3.3% in the same period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached an estimated $871.7 billion in fiscal year 2023—about 18% of all U.S. health expenditures—up from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
The overall rise marks approximately 40% growth in a few years, mostly due to higher enrollment numbers and increased service use during and after the pandemic.
Recent federal budget measures under the Trump administration included notable proposals to trim Medicaid funding and overhaul the system. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the coming decade and establish policies such as work requirements and higher cost-sharing. These changes could lower coverage levels and funding for certain enrollees and shift more Medicaid costs to the states, even as the program remains one of the nation’s largest sources of health coverage.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $13,309,336 | 30.1% |
| 2021 | $11,369,069 | -14.6% |
| 2022 | $6,598,603 | -42% |
| 2023 | $5,744,833 | -12.9% |
| 2024 | $6,610,997 | 15.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $12,715,824 | 41.4% |
| 2 | Alcohol and Drug Abuse Treatment | $6,610,997 | 21.5% |
| 3 | Medicine Services and Procedures | $3,366,132 | 11% |
| 4 | Temporary National Codes (Non-Medicare) | $2,548,642 | 8.3% |
| 5 | Procedures / Professional Services | $2,282,140 | 7.4% |
| 6 | Evaluation and Management | $1,275,933 | 4.2% |
| 7 | Durable Medical Equipment | $532,943 | 1.7% |
| 8 | Dental Services | $526,963 | 1.7% |
| 9 | Medical And Surgical Supplies | $456,379 | 1.5% |
| 10 | Surgery | $229,484 | 0.7% |
| 11 | Enteral and Parenteral Therapy | $54,587 | 0.2% |
| 12 | Pathology and Laboratory Procedures | $40,802 | 0.1% |
| 13 | Ambulance and Other Transport Services and Supplies | $28,393 | 0.1% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $21,289 | 0.1% |
| 15 | Radiology Procedures | $12,963 | <0.1% |
| 16 | Drugs Administered Other than Oral Method | $169 | <0.1% |
| 17 | Temporary Codes | $72 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0004 | Alcohol and/or drug services | $4,224,728 | 58 |
| H2032 | Activity therapy, per 15 min | $2,136,489 | 48 |
| H2017 | Psysoc rehab svc, per 15 min | $90,398 | 7 |
| H0005 | Alcohol and/or drug services | $65,844 | 6 |
| H2019 | Ther behav svc, per 15 min | $51,905 | 7 |
| H2014 | Skills train and dev, 15 min | $28,790 | 3 |
| H0032 | Mh svc plan dev by non-md | $8,880 | 2 |
| H0031 | Mh health assess by non-md | $3,959 | 8 |
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.
