In 2024, Medicaid providers in Hesperia billed a total of $816,168 for services included in the Alcohol and Drug Abuse Treatment category, as reported by the U.S. Department of Health and Human Services Medicaid Provider Spending database. This figure reflected a 476.9% rise from 2023, when providers reported $141,476 in claims for these services.
Medicaid is operated at the state level and is financed through joint federal and state contributions. It offers health insurance coverage for low-income groups, seniors, children, and individuals with disabilities, making it one of the nation’s primary health care programs.
Since Medicaid financing relies on taxpayer resources, fluctuations in billing at the local level indicate how a community allocates public health spending.
The “Alcohol and Drug Abuse Treatment” classification includes services billed through Medicaid as defined by specified HCPCS and CPT coding criteria. For this analysis, each claims code was placed in a single service category according to standardized code prefixes and ranges, preventing duplications and supporting consistent long-term rankings for service types.
While overall Medicaid spending grew in several categories, Alcohol and Drug Abuse Treatment was the fifth-largest by total program payments in Hesperia for 2024.
Statewide, this service category held the fourth position in total Medicaid payments in California during 2024.
Looking at the five years leading to 2024, Medicaid-associated spending on the Alcohol and Drug Abuse Treatment category in Hesperia increased by $816,168, or 0%. Some intervals saw surges in year-to-year growth, particularly in 2023 and 2022.
Spending for Alcohol and Drug Abuse Treatment was spread throughout Hesperia, though payment amounts were concentrated heavily in a small set of ZIP codes. The largest amount in 2024—$816,167—came from ZIP code 92345. Taken together, the top 1 ZIP codes represented the full 100% of Hesperia’s Medicaid payments for this service group during 2024.
A handful of individual service billing codes saw most of the Medicaid payments within the Alcohol and Drug Abuse Treatment group.
Comparing by claim category, Medicaid spending connected to Alcohol and Drug Abuse Treatment in Hesperia rose by 476.9% between 2024 and 2023, outpacing the 56.6% change across all Medicaid claim types in the community over the same span.
The Centers for Medicare & Medicaid Services reported that federal and state Medicaid outlays reached about $871.7 billion in fiscal 2023, accounting for some 18% of overall health care expenditures nationwide—a sharp increase from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This represents an approximate 40% expansion in just a few years, fueled mainly by growing enrollment and service utilization throughout and following the pandemic.
Federal budget measures enacted under the Trump administration included notable plans to reduce federal Medicaid support and alter the program structure. As an example, the “One Big Beautiful Bill Act,” signed into law in 2025, is forecasted to decrease federal Medicaid contributions by more than $1 trillion during the next decade, while implementing work requirements and higher cost-sharing that could impact coverage and funding for various participants. These updates are set to place more fiscal responsibility on states and curb growth in federal Medicaid support, while the program continues serving tens of millions across the U.S.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $0 | -100% |
| 2021 | $0 | – |
| 2022 | $9,166 | – |
| 2023 | $141,476 | 1443.5% |
| 2024 | $816,167 | 476.9% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $3,913,530 | 33.3% |
| 2 | Medicine Services and Procedures | $3,162,440 | 26.9% |
| 3 | Dental Services | $1,533,714 | 13.1% |
| 4 | Temporary National Codes (Non-Medicare) | $1,206,480 | 10.3% |
| 5 | Alcohol and Drug Abuse Treatment | $816,167 | 7% |
| 6 | Evaluation and Management | $423,959 | 3.6% |
| 7 | Ambulance and Other Transport Services and Supplies | $408,082 | 3.5% |
| 8 | Vision Services | $132,259 | 1.1% |
| 9 | Procedures / Professional Services | $111,088 | 0.9% |
| 10 | Drugs Administered Other than Oral Method | $19,388 | 0.2% |
| 11 | Surgery | $6,834 | 0.1% |
| 12 | Temporary Codes | $3,922 | <0.1% |
| 13 | Pathology and Laboratory Procedures | $2,530 | <0.1% |
| 14 | Anesthesia | $2,379 | <0.1% |
| 15 | Medical And Surgical Supplies | $8 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0043 | Supported housing, per diem | $542,045 | 5 |
| H0032 | Mh svc plan dev by non-md | $257,263 | 27 |
| H2019 | Ther behav svc, per 15 min | $12,331 | 4 |
| H0031 | Mh health assess by non-md | $4,383 | 1 |
| H0049 | Alcohol/drug screening | $144 | 65 |
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.