Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows Elkhart Medicaid payments reached a minimum of $305 in 2024 for services billed under HCPCS codes specifically linked to COVID-19.
Medicaid, one of the largest components of the U.S. health care system, is a public insurance program overseen by states and financed through combined federal and state funds. The program serves individuals and families with low incomes, seniors, children, and those with disabilities.
Since Medicaid draws on taxpayer resources, local variations in billing levels demonstrate how health care funding is used within communities.
For this report, analysts defined COVID-19–related services by using HCPCS codes with billing descriptions or reference data specifically indicating “COVID-19” or “coronavirus.” Because of this, the figures represent only those services directly coded as COVID-related and may not reflect all care connected to the pandemic that could be categorized under broader medical codes.
By way of comparison, Wichita recorded the highest Medicaid payments for COVID-19 services in Kansas for 2024, with virus-related claims reaching $69,508.
Records indicate Morton County Hospital was the sole provider in the city that submitted Medicaid claims related to COVID-19 services during 2024.
For all other Medicaid claim categories, total payments increased by $133,044 between 2020 and 2024—a rise of 263.7%.
In the two years before the pandemic, Elkhart averaged $37,862 per year in Medicaid payments.
According to the Centers for Medicare & Medicaid Services, total Medicaid spending by state and federal governments reached roughly $871.7 billion in fiscal 2023, which made up about 18% of national health expenditures—up substantially from $613.5 billion in 2019, before the COVID-19 pandemic.
This represents an approximate 40% increase in just a few years, mainly attributed to expanded enrollment and greater use during and after the pandemic.
Recent federal budget actions taken under the Trump administration have included broad proposals to reduce federal Medicaid contributions and modify the program’s design. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to cut over $1 trillion in federal Medicaid spending over 10 years, adding provisions like work requirements and increased cost-sharing, which may reduce both coverage and funding for some enrollees. These changes could push greater financial responsibility onto states and limit federal Medicaid expansion, even as program enrollment remains high across the U.S.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $305 | N/A | $183,806 |
| 2023 | $0 | N/A | $183,343 |
| 2022 | $0 | -100% | $79,891 |
| 2021 | $2,322 | 48.8% | $55,235 |
| 2020 | $1,560 | N/A | $52,016 |
| 2019 | $0 | N/A | $68,195 |
| 2018 | $0 | N/A | $7,529 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $305 | 13 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Information for this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source is available here.
