Santa Rosa Medicaid spending on alcohol and drug abuse treatment reaches $276,476 in 2024

Santa Rosa Medicaid providers billed $276,476 for services in the Alcohol and Drug Abuse Treatment category in 2024, per the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 105.8% increase from 2023, when $134,344 in claims were submitted for these services.

Medicaid, a public health insurance program administered by each state and funded in partnership by federal and state governments, insures low-income people and families, seniors, children, and individuals with disabilities. It is among the largest components of the U.S. health system.

As Medicaid payments stem from taxpayer funds, shifts in local billing patterns indicate how public health resources are distributed at the community level.

The “Alcohol and Drug Abuse Treatment” category encompasses a series of Medicaid-billed services, defined by service type and grouped using standardized HCPCS and CPT codes. For this report, service codes were sorted into single categories by consistent code prefixes and numerical ranges to allow for category grouping, help prevent double counting, and ensure accurate rankings across different years.

While Medicaid spending increased in multiple service areas, Alcohol and Drug Abuse Treatment was Santa Rosa’s third-largest Medicaid payment category for 2024.

Statewide in New Mexico, Alcohol and Drug Abuse Treatment placed fourth among Medicaid payment categories in 2024.

During the five years up to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Santa Rosa rose by $28,339, or 11.4%. Some intervals saw faster growth, including notable upticks in both 2020 and 2023.

Spending for Alcohol and Drug Abuse Treatment was attributed citywide, but concentrated in a few ZIP codes. In 2024, ZIP code 88435 contributed $276,475—the entirety of Medicaid payments for the category—so the top ZIP code accounted for 100% of such payments in Santa Rosa during the year.

Payments within this treatment category were also focused within a small selection of individual billing codes.

To compare, Alcohol and Drug Abuse Treatment Medicaid payments increased 105.8% between 2024 and 2023, while overall Medicaid claims in the city grew by just 0.1% over the same span.

Centers for Medicare & Medicaid Services data show combined state and federal Medicaid outlays totaled approximately $871.7 billion in fiscal year 2023, around 18% of U.S. national health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

The increase reflects an approximate 40% growth in a few years, largely due to enrollment expansion and increased use during and after the pandemic.

Federal budget legislation signed under the Trump administration has introduced major proposals to scale back federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion in federal Medicaid spending over the next decade and implements measures such as work requirements and increased cost-sharing. These policies could reduce coverage and funding for some enrollees, shifting additional costs to states and slowing federal Medicaid spending growth as the program continues to serve millions nationwide.

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.