Livingston Medicaid outlays for alcohol and drug abuse treatment total $1,683,793 in 2024

Livingston Medicaid providers billed a total of $1,683,793 for Alcohol and Drug Abuse Treatment services in 2024, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total reflects a 2.2% increase over 2023, when claims for these services reached $1,647,410.

Medicaid, a public health insurance system operating under a partnership between states and the federal government, mainly covers low-income families and individuals, children, seniors, and those with disabilities. The program is a major part of the U.S. health system overall.

Since Medicaid funding is derived from taxpayers, fluctuations in localized billing totals are key indicators of how communities allocate public health dollars.

The Alcohol and Drug Abuse Treatment category includes Medicaid-billed services grouped by the type of care provided, according to consistent HCPCS and CPT code ranges. Each billing code in this analysis was assigned to a distinct service group, with these groupings managed to avoid duplicate counting and provide reliable rankings over time.

Alcohol and Drug Abuse Treatment topped all Medicaid-billed service categories by payment total in Livingston during 2024, although growth was seen across multiple categories.

Statewide in Montana, the Alcohol and Drug Abuse Treatment category ranked third among all categories by total Medicaid payments for 2024.

Medicaid payments in Livingston connected to Alcohol and Drug Abuse Treatment rose by $191,605—or 12.8%—in the five years ending in 2024. There were particularly sharp increases in 2023 and 2020.

Payments for Alcohol and Drug Abuse Treatment services were distributed throughout Livingston, but largely concentrated within a small number of ZIP codes. In 2024, the 59047 ZIP code alone accounted for $1,683,793 in Medicaid payments—making up 100% of citywide Medicaid payments in this category during the year.

Within the Alcohol and Drug Abuse Treatment grouping, most Medicaid payments were allocated to a limited set of individual billing codes in 2024.

Comparing 2024 to 2023, Medicaid spending on Alcohol and Drug Abuse Treatment in Livingston increased by 2.2%, whereas all Medicaid claim spending in the city grew 6.4% during that time period.

Data from the Centers for Medicare & Medicaid Services reports that total federal and state Medicaid expenditures reached about $871.7 billion in fiscal year 2023—roughly 18% of national health spending and a rise from $613.5 billion in 2019, just before the COVID-19 pandemic.

This means Medicaid spending nationwide grew about 40% during that period, with expanded enrollment and greater use of services during and after the pandemic as contributing factors.

Recent federal budget actions under the Trump administration introduced sweeping proposals to cut Medicaid’s federal funding and adjust program structure. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid spending by more than $1 trillion over the coming decade and brings in policies such as work requirements and higher cost-sharing, which could limit coverage for certain beneficiaries and increase the financial burden on states even as Medicaid provides for millions.

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.