According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid providers in Chesterfield billed $665,993 in 2024 for services within the Alcohol and Drug Abuse Treatment category. This amount represents a 3.8% uptick from 2023, when providers submitted $641,427 in claims for equivalent care.
Medicaid, a public health insurance plan managed by states and funded by both federal and state governments, serves low-income residents, families, older adults, children, and individuals with disabilities, and constitutes a central part of the nation’s health care system.
Since Medicaid is financed by taxpayers, fluctuations in local billing offer insight into how public health care resources are deployed within a community.
The “Alcohol and Drug Abuse Treatment” label includes a set of Medicaid services grouped by care type, utilizing standardized HCPCS and CPT code systems. Each billing code for this study was allocated to a single service classification using established prefixes and numeric groupings, enabling analysis of related services without duplicate counting and maintaining valid rankings over time.
Alcohol and Drug Abuse Treatment was the second-largest Medicaid service category by payments in Chesterfield in 2024, amid overall increases across multiple types of care.
Statewide, South Carolina ranked Alcohol and Drug Abuse Treatment as the sixth-highest category by Medicaid payments in 2024.
Between the five years before 2024, Medicaid spending in Chesterfield for Alcohol and Drug Abuse Treatment rose by $665,993, holding at 0%. Although overall growth was flat in the long-term, stronger year-to-year gains occurred in 2023 and 2022.
Spending on Alcohol and Drug Abuse Treatment was distributed citywide but was heavily concentrated in specific ZIP codes. In 2024, the largest share came from ZIP code 29709, registering $665,992. As a result, the leading ZIP code represented 100% of all Medicaid payments for this treatment category in Chesterfield during the year.
Concentration of Medicaid disbursements within Alcohol and Drug Abuse Treatment also existed by individual billing code.
In Chesterfield, Medicaid payments for Alcohol and Drug Abuse Treatment increased by 3.8% between 2024 and 2023. During that same timeframe, claims across all Medicaid categories in the city rose just 0.1%.
Centers for Medicare & Medicaid Services data show total combined state and federal Medicaid expenses reached approximately $871.7 billion in fiscal 2023, making up nearly 18% of all national health spending, and were up sharply from $613.5 billion in 2019 before the onset of COVID-19.
This increase amounts to about 40% growth over several years, largely driven by expanded enrollment and increased usage during and after the pandemic.
Recent federal legislation enacted under the Trump administration has incorporated major proposals to lower federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid spending by more than $1 trillion over the next 10 years, introducing measures such as work requirements and increased cost-sharing, potentially affecting coverage for certain recipients. These measures are projected to shift greater financial responsibility to states and constrain federal Medicaid growth, even as the program covers tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2022 | $872,349 | – |
| 2023 | $641,426 | -26.5% |
| 2024 | $665,992 | 3.8% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $27,645,700 | 96.7% |
| 2 | Alcohol and Drug Abuse Treatment | $665,992 | 2.3% |
| 3 | Evaluation and Management | $217,311 | 0.8% |
| 4 | Medicine Services and Procedures | $25,750 | 0.1% |
| 5 | Medical And Surgical Supplies | $14,402 | 0.1% |
| 6 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $7,092 | <0.1% |
| 7 | Temporary National Codes (Non-Medicare) | $2,097 | <0.1% |
| 8 | Drugs Administered Other than Oral Method | $1,784 | <0.1% |
| 9 | Pathology and Laboratory Procedures | $633 | <0.1% |
| 10 | Surgery | $17 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2026 | Supp maint employ, per diem | $578,732 | 11 |
| H2025 | Supp maint employ, 15 min | $87,260 | 10 |
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.
