Imperial saw at least $21,739 in Medicaid claims for COVID-19 services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that, in 2024, Medicaid spent at least $21,739 in Imperial on services billed under codes specifically connected to COVID-19.

Medicaid, managed at the state level and jointly financed by federal and state governments, provides coverage for low-income residents as well as seniors, children and people with disabilities, making it a critical part of the overall health system in the United States.

Because Medicaid payments use public funds, local billing trends reveal how communities allocate public health resources.

To conduct this review, COVID-19–related service claims were identified through HCPCS codes that reference “COVID-19” or “coronavirus” in official medical billing records. Therefore, the totals reflect only those records tagged for COVID-19 directly; related care billed under other descriptions or codes is not included in these figures.

For context, San Jose posted California’s highest total of Medicaid payments for COVID-19 services in 2024, reporting $5,601,479 in claims for virus-coded services.

Imperial Valley Family Care Medical Group Apc was the sole provider that submitted Medicaid claims in Imperial under COVID-19 service codes during 2024, data indicates.

COVID-19–specific claims were responsible for a significant part of Imperial’s Medicaid payment increases during recent pandemic years.

Medicaid spending in categories outside COVID-specific claims grew by $1,989,811 from 2020 through 2024 — a rise of 125.7%.

According to the Centers for Medicare & Medicaid Services, combined state and federal spending for Medicaid reached about $871.7 billion nationwide for fiscal year 2023. That equated to roughly 18% of total health expenditures, significantly higher than the $613.5 billion spent in 2019 before the COVID-19 outbreak.

This marks an increase of around 40% over a relatively short time frame, with growth largely driven by expanded program enrollment and more frequent Medicaid use during and following the pandemic years.

Major federal budget laws signed during the Trump administration have contained provisions designed to reduce future federal spending on Medicaid while altering the program’s structure. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, aims to reduce federal Medicaid contributions by more than $1 trillion over 10 years, and introduces changes—including work requirements and higher out-of-pocket costs—that could restrict enrollment and decrease funding for some recipients. As a result, states are likely to take on more responsibility for program costs, even as Medicaid continues to assist large numbers of Americans.

Medicaid Payments in Imperial Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $21,739 -64.8% $3,594,585
2023 $61,695 -67.9% $3,066,552
2022 $191,963 35.3% $2,465,906
2021 $141,928 214.1% $2,661,223
2020 $45,183 N/A $1,628,218
2019 $0 N/A $2,211,482
2018 $0 N/A $2,276,771
Top COVID-19–Related HCPCS Codes in Imperial
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $13,493 388
87811 Immunoassay $8,246 438

Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.

The U.S. Department of Health and Human Services Medicaid Provider Spending database provided the information for this article. The raw datasets are accessible here.



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