In 2024, Rio Rancho Medicaid providers billed $11,939,173 for Alcohol and Drug Abuse Treatment services, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show. This figure represents a 24.9% boost from 2023, when claims for the same category totaled $9,557,766.
Medicaid, the state-administered public health insurance program funded by both federal and state governments, provides coverage for low-income individuals and families, seniors, children, and people living with disabilities. The program is among the largest components of the nation’s health care system.
Fluctuations in local Medicaid billing levels help illustrate how taxpayer-funded health care dollars are used within the community.
The Alcohol and Drug Abuse Treatment category is defined by types of care delivered, using standardized HCPCS and CPT code groupings. For this review, all billing codes were mapped to a single service category using consistent prefixes and numeric bands, which allowed for consolidation of related services and eliminated double counting and inaccuracies in trend or rank over time.
Alcohol and Drug Abuse Treatment was the second-highest Medicaid spending category in Rio Rancho in 2024, even as overall Medicaid payments grew across service categories.
Statewide in New Mexico, Alcohol and Drug Abuse Treatment held the fourth spot in 2024 Medicaid payments by category.
From 2019 through 2024, Rio Rancho saw an increase of $6,712,244, or 128.4%, in Medicaid spending for Alcohol and Drug Abuse Treatment. Marked jumps were noted in 2023 and 2020, reflecting accelerated growth periods within these years.
Though Alcohol and Drug Abuse Treatment payments were disbursed throughout Rio Rancho, a majority were concentrated in just a few ZIP codes. In 2024, ZIP code 87124 accounted for $10,056,583 and 87144 for $1,882,589, jointly representing all Medicaid payments in this category across the city for the year.
A small group of Medicaid billing codes captured most payments within the Alcohol and Drug Abuse Treatment category.
Comparing 2024 to 2023, Medicaid expenditures for Alcohol and Drug Abuse Treatment in Rio Rancho climbed 24.9%, notably higher than the 10.5% increase seen across all Medicaid claim categories in the city for the period.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached about $871.7 billion in fiscal 2023, making up around 18% of U.S. health spending. This amount marked a strong rise from roughly $613.5 billion in 2019 before the COVID-19 pandemic.
This approximate 40% increase largely resulted from expanded enrollment and greater use of services during and after the pandemic period.
Legislation passed under the Trump administration included major proposals to scale back federal support for Medicaid program expenses and rework how it is structured. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid funding by over $1 trillion over 10 years, introducing work requirements and higher cost-sharing that could cut coverage and funding for certain beneficiaries. These policy changes are expected to increase states’ fiscal responsibilities while limiting additional federal support, though Medicaid is projected to remain a central coverage source for millions in the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $5,226,929 | 27.4% |
| 2021 | $5,027,299 | -3.8% |
| 2022 | $5,372,192 | 6.9% |
| 2023 | $9,557,766 | 77.9% |
| 2024 | $11,939,173 | 24.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $12,643,822 | 29.4% |
| 2 | Alcohol and Drug Abuse Treatment | $11,939,173 | 27.8% |
| 3 | National Codes Established for State Medicaid Agencies | $4,643,053 | 10.8% |
| 4 | Temporary National Codes (Non-Medicare) | $3,509,246 | 8.2% |
| 5 | Evaluation and Management | $3,330,174 | 7.7% |
| 6 | Ambulance and Other Transport Services and Supplies | $2,902,179 | 6.8% |
| 7 | Pathology and Laboratory Procedures | $1,527,480 | 3.6% |
| 8 | Procedures / Professional Services | $1,015,126 | 2.4% |
| 9 | Surgery | $747,402 | 1.7% |
| 10 | Dental Services | $474,914 | 1.1% |
| 11 | Vision Services | $152,851 | 0.4% |
| 12 | Medical And Surgical Supplies | $41,143 | 0.1% |
| 13 | Temporary Codes | $38,023 | 0.1% |
| 14 | Drugs Administered Other than Oral Method | $12,527 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0015 | Alcohol and/or drug services | $8,599,516 | 44 |
| H0018 | Alcohol and/or drug services | $2,485,479 | 27 |
| H2019 | Ther behav svc, per 15 min | $419,032 | 10 |
| H2015 | Comp comm supp svc, 15 min | $258,956 | 48 |
| H0017 | Alcohol and/or drug services | $91,524 | 3 |
| H2017 | Psysoc rehab svc, per 15 min | $46,005 | 6 |
| H0049 | Alcohol/drug screening | $26,139 | 20 |
| H0038 | Self-help/peer svc per 15min | $9,825 | 11 |
| H0002 | Alcohol and/or drug screenin | $2,693 | 1 |
| H0048 | Spec coll non-blood:a/d test | $0 | 1 |
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.
