Imperial receives minimum $21,739 in Medicaid COVID-19 service payments in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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At least $21,739 in Medicaid payments were recorded in Imperial in 2024 for services billed under HCPCS codes specifically tied to COVID-19, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid operates as a public health insurance program administered by states and financed by both federal and state governments. It provides coverage to low-income families and individuals, children, seniors, and people with disabilities, making it a core part of the U.S. health care system.

Because Medicaid relies on taxpayer revenue, changes in billing at the local level reflect how public health care funding is distributed within a community.

For this report, COVID-19–related services were identified by screening for HCPCS codes that are labeled or classified as “COVID-19” or “coronavirus”-related in official billing descriptions or reference data. This analysis only includes services directly marked as COVID-related in claims data, so pandemic care billed under broader or alternate codes is not reflected in the totals.

As a point of reference, San Jose led California in 2024 for Medicaid payments involving COVID-19 services, reaching $5,601,479 tied to virus-specific claims.

Records indicate that Imperial Valley Family Care Medical Group Apc was the sole provider submitting Medicaid claims for COVID-19–related services in Imperial in 2024.

During pandemic-era years, COVID-19–specific claims contributed significantly to increases in Medicaid spending in Imperial.

Total Medicaid expenditures across remaining claim types grew by $1,989,811 from 2020 to 2024, reflecting growth of 125.7%.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023, representing roughly 18% of nation-wide health expenditures. This is a significant jump from $613.5 billion in 2019, prior to the COVID-19 crisis.

The nearly 40% increase over those years stemmed mostly from added enrollment and increased usage during and after the pandemic.

Recent federal budget actions during the Trump administration included notable proposals to reduce federal Medicaid contributions and alter program structure. One example is the “One Big Beautiful Bill Act,” enacted in 2025, which is forecast to slash federal Medicaid funding by over $1 trillion in the coming decade and add measures such as work requirements and greater cost-sharing. These provisions could lower coverage and funding for certain beneficiaries, shifting more expenses onto states and constraining federal Medicaid support even as the program continues to cover tens of millions 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: Totals include only those HCPCS codes specifically marked as COVID-19 related; they do not capture overall pandemic-era health care spending.

This article’s data comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The complete source information is available here.



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