Montclair Medicaid payments for COVID-19 services reach $75,218 in 2024

At least $75,218 in Medicaid payments were made in Montclair in 2024 for services billed under HCPCS codes specifically tied to COVID-19, according to the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid is a public insurance program managed at the state level and funded by both federal and state governments. It offers coverage to people and families with low incomes, children, older adults, and those with disabilities, making it one of the country’s largest health care programs.

Because taxpayer funds support Medicaid, shifts in local billing help illustrate how public health funding is distributed within a community.

This review considered HCPCS codes listed as “COVID-19” or “coronavirus”-related in billing statements or supporting materials to identify COVID-19–related services. Therefore, these numbers only represent care classified as COVID-specific in Medicaid billing data and do not include other pandemic response funding that may fall under broader codes.

In comparison, San Jose reported the greatest total of Medicaid payments for COVID-19 claims in California in 2024, with $5,601,479 in virus-related services billed.

Within Montclair, three providers filed for COVID-19–related Medicaid services in 2024. The main code billed was COVID Specific, totaling $75,177.

The average provider in Montclair billed $25,073 to Medicaid for COVID-19–coded services, which trails the California average of $52,976 per provider.

COVID-19–specific claims formed a significant portion of Montclair Medicaid expenditure growth during the pandemic years.

Across all other claim types, Medicaid payments increased by $15,044,298 from 2020 through 2024—a growth of 108.3%.

By comparison, the average annual Medicaid payments in Montclair over the two years before the pandemic were $13,740,639.

Centers for Medicare & Medicaid Services data show combined federal and state spending for Medicaid reached about $871.7 billion in fiscal year 2023, nearly 18% of the national health care total. This is up from around $613.5 billion in 2019, before COVID-19 emerged.

This change marks about 40% growth in just a few years, due mainly to both higher enrollment and increased use of health care during and after the pandemic timeframe.

Recent federal budget laws from the Trump administration included major changes to federal Medicaid funding. The “One Big Beautiful Bill Act,” which became law in 2025, is forecast to reduce federal Medicaid funding by over $1 trillion across 10 years and add measures such as work requirements and greater cost-sharing. These steps may lead to less coverage and funding for certain individuals as more Medicaid costs shift to the states—even as the program continues to serve tens of millions of people nationwide.

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

Figures in this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original records here.