Providers in Le Mars billed $7,560,779 to Medicaid in 2024 for services categorized under Alcohol and Drug Abuse Treatment, figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This represents a 12.7% increase from 2023, when claims for the same service type totaled $6,711,641.
Medicaid is a government health insurance program managed by the states with joint state and federal funding, as detailed by the Commonwealth Fund. It serves low-income families, seniors, children, and people with disabilities, making it a substantial component of the U.S. health care framework.
Since Medicaid payments are funded with taxpayer dollars, local changes in billing demonstrate how these public funds are distributed within a community.
The Alcohol and Drug Abuse Treatment category groups certain Medicaid-billed services by care type, determined through standardized HCPCS and CPT codes. For this reporting, each billing code was linked to a single service group with consistent code prefix and number ranges, allowing similar services to be tracked together without overlap and supporting comparison across time.
The Alcohol and Drug Abuse Treatment category received the largest share of Medicaid payments in Le Mars in 2024, outpacing other service types.
Similarly, this category ranked highest statewide in Iowa by overall Medicaid payment total in 2024.
In the five years ending in 2024, Medicaid expenditures in Le Mars for Alcohol and Drug Abuse Treatment rose $2,437,263, or 47.6%. Certain years, including 2020 and 2023, recorded especially notable annual increases.
Payments for Alcohol and Drug Abuse Treatment were spread across the city but concentrated mainly in specific ZIP codes. In 2024, ZIP code 51031 alone represented $7,560,778 in payments, amounting to 100% of claims for this category in Le Mars during the year.
Most Medicaid payments for care in this category were tied to a small subset of billing codes.
When comparing growth, Alcohol and Drug Abuse Treatment spending in Le Mars rose 12.7% between 2024 and 2023, versus a 5% increase for all Medicaid claim types citywide over the same timeframe.
Centers for Medicare & Medicaid Services report that combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up approximately 18% of total U.S. health care expenditures, and up from $613.5 billion in 2019, before the COVID-19 pandemic.
This growth equals about a 40% increase in just a few years, mainly due to higher enrollments and increased service use during and after the pandemic.
Recent federal budget measures under the Trump administration have included significant proposed funding cuts and program changes to Medicaid. For example, the “One Big Beautiful Bill Act,” passed in 2025, is expected to decrease federal Medicaid contributions by more than $1 trillion over 10 years and impose requirements and policies—such as work provisions and greater cost-sharing—that could mean reduced funding and coverage for some users. These shifts are poised to put more of the program’s financial burden onto states and may limit growth in federal Medicaid support even as enrollment remains high.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,123,515 | 36.9% |
| 2021 | $5,348,015 | 4.4% |
| 2022 | $5,904,493 | 10.4% |
| 2023 | $6,711,641 | 13.7% |
| 2024 | $7,560,778 | 12.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $7,560,778 | 52.4% |
| 2 | Evaluation and Management | $3,161,098 | 21.9% |
| 3 | Temporary National Codes (Non-Medicare) | $1,441,262 | 1<0.1% |
| 4 | Medicine Services and Procedures | $1,362,150 | 9.4% |
| 5 | National Codes Established for State Medicaid Agencies | $568,152 | 3.9% |
| 6 | Procedures / Professional Services | $202,787 | 1.4% |
| 7 | Temporary Codes | $51,921 | 0.4% |
| 8 | Pathology and Laboratory Procedures | $44,175 | 0.3% |
| 9 | Durable Medical Equipment | $15,444 | 0.1% |
| 10 | Dental Services | $7,374 | 0.1% |
| 11 | Vision Services | $6,352 | <0.1% |
| 12 | Surgery | $2,885 | <0.1% |
| 13 | Medical And Surgical Supplies | $1,787 | <0.1% |
| 14 | Radiology Procedures | $1,220 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2016 | Comp comm supp svc, per diem | $6,927,216 | 12 |
| H0037 | Comm psy sup tx pgm per diem | $350,460 | 11 |
| H2023 | Supported employ, per 15 min | $283,102 | 12 |
| H0038 | Self-help/peer svc per 15min | $0 | 11 |
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.
