In Windsor, Medicaid providers submitted $5,168,900 in claims for Alcohol and Drug Abuse Treatment services in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This represented a 27.5% jump over 2023, when similar claims totaled $4,053,127.
Medicaid, a joint federal-state health insurance initiative, covers low-income groups including families, seniors, children and individuals with disabilities. It is a core component of the U.S. health care system, funded by federal and state governments together.
The use of taxpayer funds for Medicaid makes changing billing levels a barometer of how health care dollars get distributed within communities.
The “Alcohol and Drug Abuse Treatment” designation covers a set of Medicaid-billed services defined through HCPCS and CPT code classifications. Service categories were assigned based on code prefixes and numeric criteria for consistent analysis, ensuring no overlap and maintaining data integrity across different years.
Alcohol and Drug Abuse Treatment became Windsor’s second-highest Medicaid payment category in 2024, following a broader increase across several service categories.
Statewide in Colorado, the Alcohol and Drug Abuse Treatment category stood as the third-largest by total Medicaid dollars in 2024.
Looking back five years from 2024, Medicaid spending for Alcohol and Drug Abuse Treatment in Windsor rose by $1,946,010, or 60.4%. There were significant spikes in annual growth, most notably in the years 2023 and 2020.
Spending remained focused in a handful of ZIP codes, led by area 80550 with $5,168,899. In 2024, the top 1 ZIP code accounted for 100% of Windsor’s Medicaid payments tied to this service category.
A small number of billing codes within the Alcohol and Drug Abuse Treatment grouping captured the bulk of the payments.
Medicaid payments in Windsor for this service area increased by 27.5% from 2023 to 2024, compared with a 5.3% overall rise across all Medicaid services citywide during the same window.
The Centers for Medicare & Medicaid Services reported combined state and federal Medicaid expenditures of about $871.7 billion for fiscal year 2023. That sum made up roughly 18% of the nation’s overall health spending, up from around $613.5 billion in 2019, before the COVID-19 pandemic.
This growth amounts to a roughly 40% increase over several years, citing expanded enrollment and a rise in service use around the pandemic period as key drivers.
Recent federal budgets under the Trump administration included substantial moves to scale back federal Medicaid allocations and alter the structure of the program. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid expenditures by more than $1 trillion over the next 10 years. It institutes work requirements and higher cost-sharing, which could limit benefits and funds for some Medicaid users and shift additional program costs to the states, despite the program still covering millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,222,889 | 24.4% |
| 2021 | $2,841,936 | -11.8% |
| 2022 | $2,934,352 | 3.3% |
| 2023 | $4,053,126 | 38.1% |
| 2024 | $5,168,899 | 27.5% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $8,736,231 | 4<0.1% |
| 2 | Alcohol and Drug Abuse Treatment | $5,168,899 | 23.7% |
| 3 | Ambulance and Other Transport Services and Supplies | $4,114,817 | 18.9% |
| 4 | Medicine Services and Procedures | $1,646,584 | 7.5% |
| 5 | Durable Medical Equipment | $1,023,270 | 4.7% |
| 6 | Temporary National Codes (Non-Medicare) | $320,457 | 1.5% |
| 7 | Evaluation and Management | $286,301 | 1.3% |
| 8 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $271,023 | 1.2% |
| 9 | Dental Services | $131,729 | 0.6% |
| 10 | Medical And Surgical Supplies | $92,914 | 0.4% |
| 11 | Administrative, Miscellaneous and Investigational | $29,547 | 0.1% |
| 12 | Vision Services | $2,440 | <0.1% |
| 13 | Surgery | $609 | <0.1% |
| 14 | Procedures / Professional Services | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0038 | Self-help/peer svc per 15min | $5,168,899 | 12 |
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.
