In 2024, Medicaid providers in Bardstown billed a total of $1,453,305 for Alcohol and Drug Abuse Treatment services, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This amount marked an 1081.4% rise from 2023, when $123,014 in claims were submitted for the same services.
Medicaid, a state-run public insurance program funded by federal and state governments, covers low-income individuals and families, older adults, children, and people with disabilities, making it a significant part of the U.S. health care landscape.
Local Medicaid billing patterns reveal how taxpayer-funded health dollars are distributed within communities.
The “Alcohol and Drug Abuse Treatment” group includes Medicaid-billed services categorized by care type, relying on consistent HCPCS and CPT coding conventions. Each billing code within this review was placed in a single service group based on standardized prefixes and number ranges so related care could be tracked together, minimizing duplicate counting and ensuring accurate time-based comparisons.
Alcohol and Drug Abuse Treatment represented the fourth highest Medicaid category for total payments in Bardstown for 2024, amid broad increases across multiple service types.
Statewide, Alcohol and Drug Abuse Treatment stood as the third largest Medicaid payment category by total dollar value in Kentucky during 2024.
Across the five years prior to 2024, Medicaid spending for Alcohol and Drug Abuse Treatment services in Bardstown saw an increase of $1,445,680, or 18,959.7%. Notable annual jumps occurred in 2021 and 2022 as spending gains accelerated during several intervals.
Although Alcohol and Drug Abuse Treatment claims spanned the city, a few ZIP codes saw the highest concentration of Medicaid dollars. In 2024, ZIP code 40004 accounted for $1,453,305, capturing 100% of the city’s Medicaid payments for Alcohol and Drug Abuse Treatment.
Payment concentration was also evident among specific billing codes within the Alcohol and Drug Abuse Treatment category.
When compared to all Medicaid claim categories, the 1081.4% jump in Alcohol and Drug Abuse Treatment service spending from 2023 to 2024 far outpaced the overall category average, which increased by 3.3% over the same period in Bardstown.
The Centers for Medicare & Medicaid Services reported total federal and state Medicaid expenditures of about $871.7 billion in fiscal year 2023, representing about 18% of all national health spending. That was up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This approximately 40% increase over several years resulted primarily from higher enrollment and greater utilization during and after the pandemic.
Recent federal budget measures under the Trump administration included major policy changes aimed at scaling back federal Medicaid funding and restructuring the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to lower federal Medicaid outlays by more than $1 trillion over 10 years and brings new regulations, such as work requirements and additional cost-sharing, that could limit access and reduce support for certain enrollees. With these adjustments, states will be responsible for a larger portion of Medicaid costs, even as program enrollment remains sizable.
| Year | Total Medicaid Payments | % Change From Previous Year |
|---|---|---|
| 2020 | $7,625 | – |
| 2021 | $146,097 | 1816% |
| 2022 | $127,890 | -12.5% |
| 2023 | $123,014 | -3.8% |
| 2024 | $1,453,305 | 1081.4% |
| Rank | Category | Medicaid Payments | Share of City Total |
|---|---|---|---|
| 1 | National Codes Established for State Medicaid Agencies | $4,243,969 | 28.7% |
| 2 | Evaluation and Management | $3,112,747 | 21.1% |
| 3 | Medicine Services and Procedures | $2,008,740 | 13.6% |
| 4 | Alcohol and Drug Abuse Treatment | $1,453,305 | 9.8% |
| 5 | Temporary National Codes (Non-Medicare) | $1,294,964 | 8.8% |
| 6 | Radiology Procedures | $867,052 | 5.9% |
| 7 | Pathology and Laboratory Procedures | $598,540 | 4% |
| 8 | Dental Services | $535,008 | 3.6% |
| 9 | Ambulance and Other Transport Services and Supplies | $264,879 | 1.8% |
| 10 | Procedures / Professional Services | $110,044 | 0.7% |
| 11 | Surgery | $100,366 | 0.7% |
| 12 | Durable Medical Equipment | $56,020 | 0.4% |
| 13 | Medical And Surgical Supplies | $54,925 | 0.4% |
| 14 | Temporary Codes | $47,669 | 0.3% |
| 15 | Drugs Administered Other than Oral Method | $24,316 | 0.2% |
| 16 | Vision Services | $6,161 | <0.1% |
| 17 | Durable medical equipment (DME) Medicare administrative contractors (MACs) | $2,759 | <0.1% |
| 18 | Outpatient PPS | $42 | <0.1% |
| 19 | Enteral and Parenteral Therapy | $0 | <0.1% |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| H0011 | Alcohol and/or drug services | $725,855 | 10 |
| H2034 | A/d halfway house, per diem | $441,361 | 7 |
| H0015 | Alcohol and/or drug services | $163,856 | 14 |
| H2027 | Psychoed svc, per 15 min | $99,584 | 14 |
| H0038 | Self-help/peer svc per 15min | $13,349 | 6 |
| H0001 | Alcohol and/or drug assess | $9,296 | 8 |
Note: HCPCS codes are presented for illustration within the category. All totals and rankings in this analysis are calculated using standardized service-based groupings to avoid duplicate counting stemming from overlapping billing codes.
This report draws on information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The complete source data is available here.