In 2024, Medicaid providers in Thibodaux submitted $10,524,151 in claims for Alcohol and Drug Abuse Treatment services, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure represents a 2.1% increase from 2023, when the total for these services reached $10,302,971.
Medicaid, the jointly funded state and federal health insurance program, covers low-income families and individuals, people with disabilities, children, and seniors. It remains one of the nation’s largest health care services.
Because taxpayer funds support Medicaid, shifts in local billing reflect how public health dollars are allocated in each community.
The Alcohol and Drug Abuse Treatment classification encompasses certain Medicaid-billed services grouped by the type of treatment, identified using standardized HCPCS and CPT code ranges. Services in this analysis are categorized by code prefixes and numeric groupings, so similar services are counted together without duplication, keeping annual rankings precise.
While Medicaid spending saw overall growth in various service categories, Alcohol and Drug Abuse Treatment accounted for the second-highest total Medicaid payments in Thibodaux during 2024.
On a broader scale, this service category ranked fourth by Medicaid payments statewide in Louisiana in 2024.
Between 2019 and 2024, Medicaid payments associated with Alcohol and Drug Abuse Treatment in Thibodaux grew by $5,640,340, an increase of 115.5%. Certain years, including 2022 and 2023, experienced significant jumps in spending.
Spending for this category was distributed citywide, but most Medicaid payments were concentrated in specific ZIP codes. In 2024, ZIP code 70301 accounted for $10,524,151, or 100%, of Medicaid payments for Alcohol and Drug Abuse Treatment services within the city.
Within Alcohol and Drug Abuse Treatment, most Medicaid dollars were tied to just a handful of billing codes.
In comparison, while Thibodaux’s Alcohol and Drug Abuse Treatment Medicaid payments rose by 2.1% from 2023 to 2024, total Medicaid claims for all categories in the city grew by 9.3% during that period.
According to the Centers for Medicare & Medicaid Services, joint federal and state Medicaid expenditures reached $871.7 billion in fiscal year 2023, or about 18% of national health care spending. That total rose sharply from $613.5 billion in 2019, before the COVID-19 pandemic.
The roughly 40% increase in spending is attributed mainly to greater enrollment and higher service use during and after the pandemic period.
Recent federal budget actions under the Trump administration have resulted in significant measures to decrease federal Medicaid allocations and modify program structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over the next decade. The law introduces policies like work requirements and greater cost-sharing, which could restrict coverage and reduce funds for some enrollees, shifting more costs to states despite the program’s continued reach.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $4,883,811 | -1.7% |
| 2021 | $5,243,151 | 7.4% |
| 2022 | $6,055,942 | 15.5% |
| 2023 | $10,302,970 | 70.1% |
| 2024 | $10,524,151 | 2.1% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Temporary National Codes (Non-Medicare) | $11,417,029 | 29.7% |
| 2 | Alcohol and Drug Abuse Treatment | $10,524,151 | 27.4% |
| 3 | National Codes Established for State Medicaid Agencies | $7,371,513 | 19.2% |
| 4 | Evaluation and Management | $4,740,471 | 12.3% |
| 5 | Medicine Services and Procedures | $2,789,239 | 7.3% |
| 6 | Pathology and Laboratory Procedures | $595,359 | 1.5% |
| 7 | Radiology Procedures | $401,002 | 1% |
| 8 | Surgery | $398,500 | 1% |
| 9 | Vision Services | $92,802 | 0.2% |
| 10 | Dental Services | $70,250 | 0.2% |
| 11 | Procedures / Professional Services | $50,789 | 0.1% |
| 12 | Drugs Administered Other than Oral Method | $12,836 | <0.1% |
| 13 | Anesthesia | $3,270 | <0.1% |
| 14 | Temporary Codes | $2,864 | <0.1% |
| 15 | Durable Medical Equipment | $1,581 | <0.1% |
| 16 | Medical And Surgical Supplies | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0036 | Comm psy face-face per 15min | $4,680,400 | 485 |
| H2017 | Psysoc rehab svc, per 15 min | $2,742,289 | 431 |
| H0039 | Asser com tx face-face/15min | $1,657,216 | 11 |
| H2020 | Ther behav svc, per diem | $1,055,252 | 93 |
| H2025 | Supp maint employ, 15 min | $360,053 | 13 |
| H2026 | Supp maint employ, per diem | $28,939 | 3 |
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.
