In 2024, Medicaid providers in Roslyn Heights billed a total of $44,369 for services under the Alcohol and Drug Abuse Treatment category, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. That amount represents a 151.7% increase from 2023, when billed claims for these services reached $17,629.
Medicaid is a state-administered health insurance program that’s funded in partnership by federal and state governments. The program provides coverage for low-income individuals and families, children, people with disabilities, and seniors, making it one of the most significant components of the U.S. health care system.
Because tax dollars fund Medicaid payments, shifts in billing patterns reveal how local public health care resources are distributed.
The “Alcohol and Drug Abuse Treatment” category includes a range of Medicaid-billed services identified by the specific care provided, organized according to standardized HCPCS and CPT code groupings. For this report, each billing code is mapped to a single service category based on code prefixes and numeric sequences, so that related services are grouped together without double counting, ensuring consistent year-to-year rankings.
While Medicaid spending rose across many service areas, Alcohol and Drug Abuse Treatment was the fourth largest by Medicaid payments in Roslyn Heights in 2024.
Statewide, the Alcohol and Drug Abuse Treatment category was the fifth-ranked by total Medicaid payments in New York for 2024.
Over the five years ending in 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Roslyn Heights rose by $16,627, or 59.9%. This spending growth accelerated at certain points, including significant increases in 2020 and 2023.
Spending for Alcohol and Drug Abuse Treatment services, while occurring citywide, was concentrated in a small number of ZIP codes. In 2024, payments for this category were highest in ZIP code 11577, totaling $44,369. This single ZIP code alone contributed 100% of Medicaid payments for Alcohol and Drug Abuse Treatment in Roslyn Heights during the year.
Within the Alcohol and Drug Abuse Treatment category, a limited set of billing codes represented the bulk of Medicaid payments.
Between 2024 and 2023, Medicaid payments for Alcohol and Drug Abuse Treatment in Roslyn Heights increased 151.7%, in comparison to a 50.1% increase across all Medicaid claim categories in the city for the same period.
According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid expenditures totaled approximately $871.7 billion during fiscal year 2023. This sum accounted for around 18% of the nation’s total health expenditures, rising significantly from roughly $613.5 billion in 2019, before the COVID-19 pandemic.
This marks an approximate 40% growth over only a few years, largely fueled by increased enrollment and greater utilization during and after the pandemic period.
Recent federal budget laws enacted in the Trump administration have included major proposals to trim federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to cut federal Medicaid spending by more than $1 trillion over 10 years and add policies such as work requirements and higher cost-sharing, which may reduce coverage and funding for some enrollees. These adjustments are expected to transfer more financial responsibility to states and curb the federal Medicaid growth rate, even as the program continues to support tens of millions of Americans.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $27,741 | 1286.3% |
| 2022 | $6,232 | -77.5% |
| 2023 | $17,628 | 182.8% |
| 2024 | $44,369 | 151.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $625,119 | 49% |
| 2 | Medicine Services and Procedures | $498,332 | 39% |
| 3 | Evaluation and Management | $66,998 | 5.2% |
| 4 | Alcohol and Drug Abuse Treatment | $44,369 | 3.5% |
| 5 | Dental Services | $23,941 | 1.9% |
| 6 | Temporary Codes | $18,031 | 1.4% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0004 | Alcohol and/or drug services | $44,369 | 7 |
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.










