Milpitas Medicaid COVID-19 service claims reached $32,584 in 2024

In 2024, Milpitas Medicaid payments for services billed with HCPCS codes specifically designated for COVID-19 totaled at least $32,584, as shown in the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, a health insurance program administered by states and funded through both state and federal dollars, covers people with low incomes, children, seniors, and those with disabilities. It is among the largest U.S. health system programs.

Because public funds support Medicaid payments, fluctuations in local billing show how community health resources are spent.

This review counted COVID-19–related services using HCPCS codes marked or classified in billing records or reference data as “COVID-19” or “coronavirus”. Therefore, the results focus on services directly billed as COVID-related and may not include related care billed under broader codes.

San Jose, for comparison, recorded the most Medicaid spending for COVID-19 services in California in 2024 with $5,601,479 in claims associated with the virus.

In Milpitas during 2024, two providers made Medicaid claims for COVID-19–related services. The most frequent code billed, COVID Specific, represented $28,344 of those payments.

To provide additional perspective, the average Medicaid COVID-19 payment per provider in Milpitas was $16,292, which falls short of the state average of $52,976.

COVID-19–specific services contributed notably to the expansion in Medicaid spending in Milpitas during the years of the pandemic.

Altogether, Medicaid payments for categories outside of COVID-19 increased by $3,953,370 from 2020 to 2024, a 26.3% uptick.

The Centers for Medicare & Medicaid Services reported combined state and federal Medicaid spending of roughly $871.7 billion for fiscal year 2023. That accounted for about 18% of national health expenditures, up significantly from nearly $613.5 billion in 2019, prior to the COVID-19 outbreak.

This rise amounts to about 40% growth in just a few years, fueled in large part by more people enrolling in Medicaid and greater demand for services during and following the pandemic period.

Recently passed federal legislation under the Trump administration features prominent proposals to reduce federal Medicaid contributions and reshape the program. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is anticipated to reduce federal Medicaid spending by over $1 trillion over the next 10 years, and adds requirements such as work mandates and higher cost-sharing that could limit coverage or funding for certain beneficiaries. These policies are projected to transfer more expense to states, curbing future growth in federal Medicaid funding while the program remains vital 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.

Data in this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the data here.