Bunnell’s Medicaid providers billed $92,706 in 2024 for services under the Alcohol and Drug Abuse Treatment category, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represents a 47.4% jump from 2023, when $62,904 was billed for these services.
Medicaid is a public insurance program administered by states and funded by both federal and state governments. It provides coverage for low-income people, families, children, seniors, and individuals with disabilities, making it a key component of the U.S. health system.
Since Medicaid spending is taxpayer-funded, shifts in community billing levels reflect how local health care funds are allocated.
The “Alcohol and Drug Abuse Treatment” category encompasses various Medicaid-billed services according to the specific type of care provided, grouped according to standardized HCPCS and CPT codes. For this review, each billing code was sorted into a single service category using consistent code prefixes and numbers, which helps avoid duplicate counting and ensures that related services are analyzed together for accuracy across time.
While multiple categories saw rises in Medicaid spending, Alcohol and Drug Abuse Treatment was the fourth-largest Medicaid payment category by total spending in Bunnell in 2024.
Statewide, in Florida, Alcohol and Drug Abuse Treatment also ranked fourth in total Medicaid payments in 2024.
From 2019 to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment services in Bunnell grew by $14,941, or 19.2%. Some years saw particularly sharp spending growth, including notable increases in both 2022 and 2022.
Spending on Alcohol and Drug Abuse Treatment services throughout Bunnell was focused in a small number of ZIP codes. In 2024, ZIP code 32110 accounted for $92,705 in Medicaid payments for the category. This single ZIP code represented 100% of the Medicaid payments for these services in Bunnell in 2024.
Payments in this service category were also concentrated in several billing codes.
Comparatively, Medicaid payments for Alcohol and Drug Abuse Treatment rose 47.4% in Bunnell between 2024 and 2023, versus a 27.6% change in overall Medicaid claims across all categories in the city for the same span.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal 2023, making up about 18% of all national health spending, which was a significant increase from around $613.5 billion in 2019, prior to COVID-19.
This nearly 40% increase in spending over a few years is largely linked to growth in enrollment and higher use of services during and after the pandemic.
Recent federal budget actions under the Trump administration have featured major proposals to cut federal Medicaid allocations and rework the program’s funding structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years, including introducing work requirements and more cost-sharing for some enrollees. These adjustments are likely to shift greater funding responsibility onto states and curb the expansion of federal support, even as Medicaid continues covering tens of millions of people.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $77,765 | -19.1% |
| 2021 | $61,072 | -21.5% |
| 2022 | $64,281 | 5.3% |
| 2023 | $62,903 | -2.1% |
| 2024 | $92,705 | 47.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Dental Services | $145,279 | 26% |
| 2 | Ambulance and Other Transport Services and Supplies | $136,425 | 24.4% |
| 3 | Evaluation and Management | $93,027 | 16.6% |
| 4 | Alcohol and Drug Abuse Treatment | $92,705 | 16.6% |
| 5 | Temporary National Codes (Non-Medicare) | $51,671 | 9.2% |
| 6 | Medicine Services and Procedures | $35,009 | 6.3% |
| 7 | Drugs Administered Other than Oral Method | $4,319 | 0.8% |
| 8 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $556 | 0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H1000 | Prenatal care atrisk assessm | $90,454 | 16 |
| H0046 | Mental health service, nos | $2,251 | 4 |
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.

