Antioch Medicaid COVID-19 claims for virus-linked care reached $117,009 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid disbursed at least $117,009 in Antioch for services billed under HCPCS codes specifically designated for COVID-19, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid is administered by states and funded jointly by federal and state governments. As a public health insurance program, Medicaid covers low-income people, seniors, children, and individuals with disabilities, and is a major component of the U.S. health care system.

Because Medicaid draws on taxpayer dollars, shifts in local billing levels reflect how a community allocates its public health care spending.

This review identified COVID-19–related services using HCPCS codes marked or classified as “COVID-19” or “coronavirus” in billing records. The totals therefore only include services labeled as COVID-related in billing, and exclude pandemic-related care billed under more general or differently coded services.

In comparison, San Jose reported the highest Medicaid payments in California for COVID-19 services in 2024, with $5,601,479 in virus-related claims.

Five providers in Antioch submitted Medicaid claims for COVID-19–related care in 2024. Of these, the code COVID Specific accounted for $116,289, making it the most frequently billed.

On average, Medicaid payments per provider for COVID-19–related care in Antioch were $23,402, which falls below the state average of $52,976.

COVID-19–specific services accounted for a significant portion of Medicaid spending growth in Antioch during the pandemic.

Altogether, Medicaid payments for all other service categories rose by $24,428,579 from 2020 to 2024, representing an increase of 90.2%.

In the two years leading up to the pandemic, average annual Medicaid payments in Antioch were $28,135,674.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, making up roughly 18% of total U.S. health dollar expenditures. This marks a sharp rise from $613.5 billion in 2019, before the COVID-19 pandemic began.

This increase amounts to growth of approximately 40% in just a few years, primarily due to expanded enrollment and increased use during and after the pandemic.

Recent federal budget measures under the Trump administration included major proposals to trim federal Medicaid funding and adjust the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next decade, and brings policies such as work requirements and higher cost-sharing. These policies may lower coverage and federal funding for some enrollees, shifting more costs to the states even as Medicaid continues to support tens of millions of Americans.

Medicaid Payments in Antioch Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $117,009 -31.4% $51,630,256
2023 $170,646 -44.8% $39,599,102
2022 $309,258 -56.1% $33,570,095
2021 $703,906 263.3% $32,396,255
2020 $193,744 N/A $27,278,412
2019 $0 N/A $27,843,150
2018 $0 N/A $28,428,199
Top COVID-19–Related HCPCS Codes in Antioch
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $116,289 3,227
90480 COVID-19 Vaccine Administration $720 471

Note: Totals include only HCPCS codes specifically flagged for COVID-19 services and do not account for all spending related to the pandemic.

Information for this report is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data can be accessed here.



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