Grafton sees $33,162 in Medicaid claims for COVID-19-related services in 2024

At least $33,162 in Medicaid payments in Grafton during 2024 were for services billed under HCPCS codes specifically tied to COVID-19, based on U.S. Department of Health and Human Services Medicaid Provider Spending database data.

Medicaid, a public health insurance program overseen by states and funded jointly by federal and state governments, provides coverage to low-income individuals and families, seniors, children, and people with disabilities. It is a core component of the U.S. health care system.

As Medicaid payments use taxpayer dollars, shifts in local billing illustrate how community health care resources are spent.

For this report, COVID-19-related services include HCPCS codes labeled or classified as “COVID-19” or “coronavirus” in billing records or reference data. Consequently, the statistics cover only services directly marked as COVID-related in billing files and do not include wider pandemic-related care that may be coded differently.

To compare, South Charleston had the highest Medicaid payments linked to COVID-19 services in West Virginia in 2024, reaching $519,058 for coronavirus-related claims.

In Grafton, two providers submitted claims for COVID-19-related Medicaid services in 2024. COVID Specific was among the most frequently used codes, making up $30,871 of the total.

As further context, the average Medicaid payment per provider for COVID-19-related care in Grafton was $16,581, which is below the statewide average of $17,141.

In the two years before the pandemic, Grafton’s average yearly Medicaid payments reached $2,072,645.

According to the Centers for Medicare & Medicaid Services, combined federal and state spending on Medicaid totaled about $871.7 billion in fiscal year 2023, representing roughly 18% of national health expenditures—a substantial increase from approximately $613.5 billion in 2019, just before the pandemic.

This rise equates to about 40% growth over a few years, largely attributable to expanded program enrollment and higher usage during and following the pandemic period.

Recent federal budget laws signed under the Trump administration have included major proposals for reducing federal Medicaid allocations and reshaping the program. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to lower federal Medicaid funding by more than $1 trillion over the next decade and to implement requirements such as work mandates and increased cost-sharing that could decrease coverage and funding for some recipients. These measures are expected to place greater cost responsibility on states and limit federal Medicaid growth, even as the program remains a primary source of health coverage for tens of millions of Americans.

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

Source information was gathered from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data is available here.