Rancho Cucamonga’s Medicaid providers submitted $18,398,769 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 total reflects a 13% rise from 2023, when providers reported $16,283,045 for the same service group.
Medicaid is a government health insurance program for low-income people, administered by states and funded from both federal and state budgets. It serves low-income residents, seniors, children, and individuals with disabilities and is one of the nation’s major health programs.
Because Medicaid is powered by taxpayers, changes in billing at the local level indicate how communities allocate public health care funds.
The “Alcohol and Drug Abuse Treatment” classification includes a subset of Medicaid services based on the specific care provided, utilizing standardized HCPCS and CPT coding groupings. For this report, billing codes were uniquely tied to a single service line through uniform code prefixes and number ranges, which ensures services are bundled for review, avoids duplicate counts, and allows for consistent year-to-year ranking.
While various service groups saw Medicaid spending rise, Alcohol and Drug Abuse Treatment represented the city’s second-largest category by total Medicaid payments in 2024.
Statewide, Alcohol and Drug Abuse Treatment was the fourth-ranking category by overall Medicaid expenses in California during 2024.
Looking over the five years prior to 2024, Medicaid payments associated with Alcohol and Drug Abuse Treatment in Rancho Cucamonga increased by $15,163,827—or 468.8%. The pace of spending quickened during some of those periods, with distinct annual gains in 2022 and 2023.
Most Alcohol and Drug Abuse Treatment care spending was distributed throughout the community, but payments concentrated heavily within a small subset of ZIP codes. In 2024, ZIP code 91730 accounted for $18,398,769 in these Medicaid payments, making up 100% of such spending in Rancho Cucamonga that year.
Within the Alcohol and Drug Abuse Treatment category, the bulk of Medicaid expenditures went to a small number of billing codes.
Between 2024 and 2023, Medicaid payments for Alcohol and Drug Abuse Treatment in Rancho Cucamonga grew at a rate of 13%, while overall Medicaid categories in the city experienced a 6.6% increase for the same timeframe.
According to the Centers for Medicare & Medicaid Services, federal and state Medicaid purchasing together reached about $871.7 billion in fiscal 2023, which was approximately 18% of total U.S. health expenditures and a sharp jump from $613.5 billion in 2019 before the COVID-19 crisis.
This jump represents nearly 40% growth in just a few years, mostly driven by more enrollees and increased service usage during and following the pandemic.
Trump administration budget actions led to notable proposals to cut federal Medicaid support and reshape the program. The “One Big Beautiful Bill Act,” which became law in 2025, is expected to reduce federal Medicaid funding by more than $1 trillion over 10 years, while introducing work requirements and larger cost-sharing for beneficiaries. These measures could put more financial responsibility on states and restrict federal sharing of Medicaid expansion, though the program still covers tens of millions across the country.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $3,234,941 | 48.3% |
| 2021 | $4,802,619 | 48.5% |
| 2022 | $8,954,682 | 86.5% |
| 2023 | $16,283,044 | 81.8% |
| 2024 | $18,398,769 | 13% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | Medicine Services and Procedures | $22,927,029 | 36.6% |
| 2 | Alcohol and Drug Abuse Treatment | $18,398,769 | 29.4% |
| 3 | Procedures / Professional Services | $6,163,074 | 9.8% |
| 4 | Evaluation and Management | $4,375,704 | 7% |
| 5 | National Codes Established for State Medicaid Agencies | $2,919,596 | 4.7% |
| 6 | Ambulance and Other Transport Services and Supplies | $1,967,224 | 3.1% |
| 7 | Dental Services | $1,912,158 | 3.1% |
| 8 | Anesthesia | $1,306,241 | 2.1% |
| 9 | Hearing Services | $868,275 | 1.4% |
| 10 | Surgery | $661,182 | 1.1% |
| 11 | Medical And Surgical Supplies | $361,291 | 0.6% |
| 12 | Durable Medical Equipment | $286,724 | 0.5% |
| 13 | Temporary National Codes (Non-Medicare) | $166,674 | 0.3% |
| 14 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $123,755 | 0.2% |
| 15 | Radiology Procedures | $97,403 | 0.2% |
| 16 | Pathology and Laboratory Procedures | $49,349 | 0.1% |
| 17 | Vision Services | $32,511 | 0.1% |
| 18 | Drugs Administered Other than Oral Method | $18,098 | <0.1% |
| 19 | Chemotherapy Drugs | $15,396 | <0.1% |
| 20 | Orthotic Procedures and services | $11,811 | <0.1% |
| 21 | Temporary Codes | $4,310 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H2019 | Ther behav svc, per 15 min | $9,892,366 | 151 |
| H0032 | Mh svc plan dev by non-md | $5,890,169 | 192 |
| H2014 | Skills train and dev, 15 min | $1,355,933 | 44 |
| H0031 | Mh health assess by non-md | $605,076 | 67 |
| H0046 | Mental health service, nos | $341,074 | 41 |
| H2012 | Behav hlth day treat, per hr | $174,029 | 17 |
| H0043 | Supported housing, per diem | $140,118 | 9 |
| H0001 | Alcohol and/or drug assess | $0 | 6 |
| H0049 | Alcohol/drug screening | $0 | 22 |
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.
