Medicaid spending on alcohol, drug abuse treatment in Downers Grove up 199.8%, totals $35,804 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator | Centers for Medicare & Medicaid Services (CMS)
By R. U. Cooper

Medicaid providers in Downers Grove submitted claims totaling $35,804 for services under the Alcohol and Drug Abuse Treatment category in 2024, as detailed in the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represents a 199.8% jump compared with the previous year, when $11,943 was billed for the same services.

Medicaid, a public insurance program managed by the states and co-funded by both federal and state governments, assists low-income individuals and families, seniors, children, and people with disabilities, making it a key component of the U.S. health care landscape.

Since Medicaid operates with taxpayer funding, shifts in billing at the local level illustrate changes in how public healthcare resources are distributed.

The Alcohol and Drug Abuse Treatment service group represents services billed through Medicaid that are selected based on standardized HCPCS and CPT code classifications. Each code is assigned to a specific service segment, grouped by consistent code ranges and prefixes, which allows for clearer comparison of related services over time while ensuring accuracy in category rankings.

Alcohol and Drug Abuse Treatment was the ninth largest Medicaid spending category in Downers Grove in 2024, amid growth reported in various groups.

Statewide, the Alcohol and Drug Abuse Treatment group placed third for Medicaid payment volume in Illinois in 2024.

From five years before 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Downers Grove rose by $23,400, or 188.7%. This increase quickened in certain years, with pronounced year-over-year jumps observed in 2023 and 2022.

Though care in the Alcohol and Drug Abuse Treatment category took place throughout the community, spending was focused in a narrow set of ZIP codes. In 2024, ZIP code 60515 accounted for $35,804 in Medicaid claims within this category. The top 1 ZIP code made up all Medicaid reimbursements tied to the Alcohol and Drug Abuse Treatment category in Downers Grove that year.

Medicaid outlays for Alcohol and Drug Abuse Treatment services in Downers Grove in 2024 were also concentrated within a handful of individual billing codes.

To compare, Medicaid payments in this category surged by 199.8% between 2023 and 2024, while total Medicaid claims across all categories in the city changed by 21.8% during that span.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid outlays reached about $871.7 billion for fiscal year 2023, comprising nearly 18% of all national health care expenditure—up from roughly $613.5 billion in 2019 before the COVID-19 pandemic.

This signals total program growth of approximately 40% in several years, largely attributable to expanded enrollment and elevated demand during and after the pandemic.

Recent federal budgets under the Trump administration brought major proposals for reductions to federal Medicaid support and changed the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in ten years, while adding measures like work requirements and more cost-sharing—a shift that could narrow coverage and further shift expense burdens to states, even as Medicaid remains essential for millions of Americans.

Medicaid Payments Tied to Alcohol and Drug Abuse Treatment in Downers Grove, Illinois Over Five Years

Year Total Medicaid Payments % Change From Previous Year
2020 $12,403 -51.4%
2022 $6,097 -50.8%
2023 $11,942 95.9%
2024 $35,804 199.8%
Top Categories by Medicaid Payments in Downers Grove, Illinois, 2024

Rank Category Medicaid Payments Share of City Total
1 Medical And Surgical Supplies $13,920,503 49.3%
2 Pathology and Laboratory Procedures $4,623,591 16.4%
3 National Codes Established for State Medicaid Agencies $3,626,741 12.8%
4 Administrative, Miscellaneous and Investigational $1,810,393 6.4%
5 Ambulance and Other Transport Services and Supplies $1,565,446 5.5%
6 Durable Medical Equipment $1,506,956 5.3%
7 Enteral and Parenteral Therapy $1,048,685 3.7%
8 Temporary National Codes (Non-Medicare) $52,126 0.2%
9 Alcohol and Drug Abuse Treatment $35,804 0.1%
10 Medicine Services and Procedures $35,364 0.1%
11 Durable medical equipment (DME) Medicare administrative contractors (MACs) $11,118 <0.1%
12 Evaluation and Management $5,913 <0.1%
13 Surgery $4,912 <0.1%
Top 20 HCPCS Codes Within the Alcohol and Drug Abuse Treatment Category in Downers Grove, Illinois, 2024

HCPCS Code Description Medicaid Payments Claims
H0005 Alcohol and/or drug services $35,804 2

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.