In Chester, Medicaid payments reached no less than $19,535 in 2024 for services tied to HCPCS codes associated directly with COVID-19, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a publicly funded health insurance program managed by the states, with both federal and state governments sharing the cost. The program supports low-income residents, seniors, children, and people with disabilities, making it a core component of the U.S. health care framework.
Because taxpayer dollars fund Medicaid, variations in local billing levels illustrate how public health care resources are distributed within a community.
In this report, services associated with COVID-19 were flagged based on HCPCS codes whose billing descriptions or reference data classified them as “COVID-19” or “coronavirus”-related. Therefore, totals reflect only those services clearly marked as COVID-related in the billing data and do not include all medical care that may be pandemic-associated but coded differently.
In comparison, Columbia reported the highest Medicaid payments related to COVID-19 services in South Carolina in 2024, with $1,102,671 in virus-linked claims.
To provide additional context, the average Medicaid payment per provider in Chester for COVID-19–related care was $9,767, which is less than South Carolina’s average of $37,377 per provider.
Data from the Centers for Medicare & Medicaid Services shows combined state and federal Medicaid expenditures climbed to roughly $871.7 billion in the 2023 fiscal year, representing about 18% of all national health spending, a substantial rise from around $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth amounts to approximately a 40% increase over several years, fueled mainly by higher enrollment and utilization rates during and after the pandemic.
Recent federal budget measures enacted during the Trump administration have proposed major reductions in federal Medicaid funding and program restructuring. The “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid payments by more than $1 trillion over the next 10 years, adding policies such as work requirements and higher cost-sharing that may decrease support for certain beneficiaries. These reforms are set to shift additional expenses to states and slow the expansion of federal Medicaid contributions, even as the program continues to serve tens of millions.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $19,535 | -46% | $1,603,094 |
| 2023 | $36,152 | -39.9% | $2,436,070 |
| 2022 | $60,111 | 70.3% | $2,420,302 |
| 2021 | $35,297 | 100.5% | $1,998,846 |
| 2020 | $17,602 | N/A | $2,230,128 |
| 2019 | $0 | N/A | $3,839,168 |
| 2018 | $0 | N/A | $4,173,468 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $19,535 | 377 |
Note: Totals reflect only HCPCS codes explicitly identified for COVID-19 services and do not account for all health spending related to the pandemic.
The information in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data source is available here.
