Rolesville Medicaid spending for alcohol and drug abuse treatment climbs to $1.76 million in 2024

Rolesville Medicaid providers charged $1,764,962 for services listed under the Alcohol and Drug Abuse Treatment category in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows. This amount represents a 96.8% increase over 2023, when claims in this category reached $897,046.

Medicaid, a state-administered health insurance program funded jointly by federal and state governments, provides coverage to low-income individuals and families, the elderly, children and those with disabilities—making it one of the nation’s largest health programs.

Because taxpayer funds back Medicaid payments, shifts in local billing help illustrate how public health care dollars are distributed within the community.

The Alcohol and Drug Abuse Treatment category covers various Medicaid-billed services defined by care type, grouped using standard HCPCS and CPT code prefixes and ranges. For analysis, every billing code is sorted exclusively into a single category, providing consistent tracking, reliable service grouping, and ensuring there is no double counting in rankings over time.

While Medicaid expenditures grew across several service categories, Alcohol and Drug Abuse Treatment topped all categories in Rolesville by total payments in 2024.

Statewide in North Carolina, Alcohol and Drug Abuse Treatment was ranked fourth in total Medicaid payouts for 2024.

Medicaid reimbursements linked to the Alcohol and Drug Abuse Treatment category in Rolesville grew by $1,737,193—or 6255.8%—across the five years ending in 2024. Periods of accelerated growth included years such as 2023 and 2021, which saw significant year-over-year increases.

Though Alcohol and Drug Abuse Treatment spending spanned multiple neighborhoods in the city, payments were focused in a few ZIP codes. In 2024, ZIP code 27571 accounted for $1,764,962 in Medicaid reimbursements under this category. Altogether, the top ZIP code represented 100% of Medicaid spending for Alcohol and Drug Abuse Treatment in Rolesville during the year.

Most Medicaid payments within this category were concentrated among a few individual billing codes as well.

Comparatively, Rolesville saw a 96.8% jump in Medicaid spending for Alcohol and Drug Abuse Treatment from 2023 to 2024—outpacing the 31.9% increase for all Medicaid claims in the city during the same timeframe.

According to the Centers for Medicare & Medicaid Services, total federal and state spending through Medicaid reached about $871.7 billion in fiscal year 2023, making up roughly 18% of national health care expenditures. This was a jump from nearly $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth amounts to an increase of about 40% in a few years—driven mainly by more enrollments and greater service use during and after the pandemic.

Recent federal spending packages during the Trump administration have included major plans to cut federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is projected to reduce federal Medicaid expenditures by more than $1 trillion over the upcoming decade. The law also adds work requirements and higher cost-sharing, which could lead to reduced benefits and funding for certain participants. Such policy changes are anticipated to push more financial responsibility onto states and cap federal Medicaid growth, even as the program remains essential to millions of Americans.

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.