In 2024, Jesup Medicaid providers billed $394,767 for Alcohol and Drug Abuse Treatment services, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This represented an increase of 38.7% from the previous year, when $284,618 in claims were submitted for this service category.
Medicaid, the public health insurance program administered by the states with joint federal and state funding, provides coverage for low-income people, families, seniors, children, and those with disabilities. As one of the nation’s largest health programs, it plays a vital role in the U.S. health care system.
Because Medicaid spending relies on taxpayer funding, local billing levels can indicate how health care resources are used within a city.
The “Alcohol and Drug Abuse Treatment” category refers to Medicaid-covered services grouped by the care delivered, based on established HCPCS and CPT code groupings. For this report, each billing code was attached to just one service group, using a consistent approach to code prefixes and numerical ranges. This ensured services were grouped correctly, double counting was avoided, and accurate rankings were maintained over time.
Alcohol and Drug Abuse Treatment topped all Medicaid spending categories in Jesup in 2024, reflecting the highest total payments that year.
Iowa statewide figures show Alcohol and Drug Abuse Treatment also ranked first by total Medicaid payments during 2024.
Looking at the five years leading to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Jesup rose by $296,933, a 303.5% increase. There were significant year-over-year jumps in certain periods, particularly in 2021 and 2023.
Payments for Alcohol and Drug Abuse Treatment in Jesup were spread across the city, but most were concentrated in a small number of ZIP codes. In 2024, ZIP code 50648 accounted for $394,767—the complete total for the category in Jesup that year. Overall, the top ZIP code represented 100% of Medicaid payments within this treatment category locally.
Within Alcohol and Drug Abuse Treatment, a small set of billing codes made up most of the Medicaid payments.
From 2023 to 2024, Medicaid payments for Alcohol and Drug Abuse Treatment in Jesup increased 38.7%, while all Medicaid claim categories in the city grew by 12.9% during the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid spending reached approximately $871.7 billion in fiscal year 2023, about 18% of all national health expenditures. That figure rose sharply from roughly $613.5 billion in 2019, the year before the COVID-19 pandemic.
This represents an estimated 40% increase in a few years, largely as a result of expanded enrollment and greater service use during and after the pandemic.
Recent legislative changes under the Trump administration included proposals to reduce federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is estimated to cut over $1 trillion in federal Medicaid funding over the next decade and introduces work requirements and higher cost-sharing, changes that may reduce benefits and increase costs for some recipients. These shifts are expected to place greater financial responsibility on states and slow the growth of federal Medicaid funding, while the program continues to cover tens of millions nationwide.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $97,834 | -66.2% |
| 2021 | $156,530 | 60% |
| 2022 | $200,782 | 28.3% |
| 2023 | $284,618 | 41.8% |
| 2024 | $394,767 | 38.7% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Alcohol and Drug Abuse Treatment | $394,767 | 52.8% |
| 2 | National Codes Established for State Medicaid Agencies | $349,362 | 46.7% |
| 3 | Medicine Services and Procedures | $4,089 | 0.5% |
| 4 | Evaluation and Management | $0 | <0.1% |
| 4 | Surgery | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2019 | Ther behav svc, per 15 min | $394,767 | 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.


