In Hope Valley, Medicaid payments totaled no less than $1,850 for COVID-19–related services billed under specific HCPCS codes in 2024, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.
Medicaid, operated at the state level and funded by both federal and state governments, insures eligible low-income Americans, older adults, youth, and individuals with disabilities, making up a significant component of the nation’s health care infrastructure.
As Medicaid outlays are funded by taxpayers, fluctuations in billing volumes highlight how public health resources are distributed in specific communities.
This analysis identifies COVID-19–associated services using HCPCS codes classified or noted as “COVID-19” or “coronavirus”-related in billing descriptions or supplementary data. Consequently, amounts reflect only services that the billing records label as COVID-related, thus omitting pandemic services billed via broader or differently labeled codes.
To compare, Providence led Rhode Island in 2024 with the highest total Medicaid payments for COVID-19 services, reaching $172,152 in related claims.
Records indicate that Wood River Health Services, Inc was the sole organization posting Medicaid claims for COVID-19–tagged services in the city for 2024.
A cross-category comparison shows Medicaid payments for other claim types increased by $386,247 between 2021 and 2024—a 61.2% jump.
Information from the Centers for Medicare & Medicaid Services indicates that combined federal and state Medicaid spending climbed to about $871.7 billion nationwide in fiscal year 2023, or roughly 18% of all national health outlays, surging from $613.5 billion during 2019, before the onset of the COVID-19 pandemic.
This represents close to 40% growth over just a few years, primarily because of increased enrollment and higher use during and following the pandemic period.
Recent federal budget measures passed during the Trump administration have put forth significant plans to trim federal Medicaid allocations and revise the structure of the program. The “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid spending by more than $1 trillion over 10 years and introduces changes like work mandates and higher cost-sharing that could lessen coverage and federal support for some recipients. These changes are projected to transplant greater costs to states and place limits on growth in federal Medicaid aid, though the program will still cover tens of millions nationally.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $1,850 | -26% | $1,018,768 |
| 2023 | $2,500 | -80% | $896,580 |
| 2022 | $12,527 | -15% | $860,831 |
| 2021 | $14,738 | N/A | $645,410 |
| 2020 | $0 | N/A | $351,160 |
| 2019 | $0 | N/A | $697,866 |
| 2018 | $0 | N/A | $715,830 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $1,045 | 34 |
| 87811 | Immunoassay | $804 | 29 |
Note: Covers HCPCS codes explicitly noted for COVID-19 services. The totals do not encompass all health care spending associated with the pandemic.
Details in this article are sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.





