In 2024, Lake City Medicaid providers billed a minimum of $13,888 for services categorized under COVID-19-specific HCPCS codes, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This marked a 44.3% uptick compared with 2023, when similar claims totaled $9,624.
Medicaid is a government health insurance program administered by states and funded collectively by state and federal governments. It provides coverage for low-income people, children, seniors, and individuals with disabilities, making it a core component of the U.S. health care system.
Tax revenue funds Medicaid payments, so trends in local Medicaid billing reflect how community health care resources are used.
For this report, services identified as COVID-19–related were those billed using HCPCS codes described or classified as “COVID-19” or “coronavirus”-related within billing records or reference data. The totals shown include only services described as COVID-related in these records and exclude pandemic care billed under broader or alternative medical service codes.
In comparison, Columbia led South Carolina for Medicaid payments tied to COVID-19 services in 2024, with $1,102,671 in virus-related claims.
The records indicate Medical University Hospital Authority was the sole Medicaid provider submitting COVID-19–related claims in Lake City during 2024.
The Centers for Medicare & Medicaid Services report that combined state and federal Medicaid expenditures approached $871.7 billion in fiscal year 2023, making up nearly 18% of all U.S. health care spending. That figure rose considerably from about $613.5 billion in 2019, before the impact of the COVID-19 pandemic.
This growth, about 40% over several years, stemmed mainly from broader eligibility and increased service use during and following the pandemic time period.
Recent federal budget laws signed by the Trump administration featured significant attempts to scale back federal Medicaid funding and restructure how it operates. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid contributions by more than $1 trillion in the coming decade while also implementing changes such as work requirements and higher cost-sharing that could limit some beneficiaries’ coverage and funding. These changes are likely to increase the cost responsibility for states and slow federal support for Medicaid, even as the program remains vital for millions in the U.S.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $13,888 | 44.3% | $1,774,532 |
| 2023 | $9,624 | -88.9% | $1,722,217 |
| 2022 | $86,952 | -0.4% | $2,356,164 |
| 2021 | $87,289 | 258.8% | $2,408,431 |
| 2020 | $24,326 | N/A | $1,996,375 |
| 2019 | $0 | N/A | $2,670,799 |
| 2018 | $0 | N/A | $2,983,507 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $13,888 | 280 |
Note: Includes only HCPCS codes specifically labeled for COVID-19 services; totals do not encompass all health care spending related to the pandemic.
This article’s data was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data is available here.

