Scarborough Medicaid COVID-19 claims total $20,680 in 2024

In 2024, Medicaid payments for services in Scarborough associated with HCPCS codes specific to COVID-19 reached at least $20,680, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid is a state-administered public health insurance program jointly funded by state and federal governments. It provides coverage for low-income residents, seniors, children, and people with disabilities, making it a central element of the U.S. health care system. For more information, see this explainer.

Because Medicaid relies on taxpayer funding, fluctuations in local billing numbers show how public health care resources are distributed in a given area.

For this report, COVID-19–related services were determined using HCPCS codes marked as “COVID-19” or “coronavirus”-related within billing records or reference materials. Figures therefore only include services distinctly identified as COVID-related in coding and may omit pandemic care billed under other codes.

As a reference, Portland reported the highest Medicaid payment total in Maine for COVID-19 services in 2024, recording $160,221 in claims tied to the virus.

Records indicate that Nordx was the sole Scarborough provider submitting COVID-19–related Medicaid claims during 2024.

COVID-19–specific services represented a notable portion of Medicaid spending growth in Scarborough throughout the pandemic years.

Average annual Medicaid payments in Scarborough were $21,541,263 in the two years that preceded the pandemic.

The Centers for Medicare & Medicaid Services report that combined federal and state Medicaid expenditures climbed to about $871.7 billion in fiscal 2023, making up approximately 18% of total U.S. health spending, a substantial increase from $613.5 billion in 2019—prior to the COVID-19 pandemic period.

This surge reflects about 40% growth in just a few years, driven mainly by broader enrollment and higher use during and following the pandemic.

Recent federal budget measures under the Trump administration included major proposals to reduce Medicaid funding and to restructure elements of the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the coming decade. The law introduces mandates for work requirements and greater cost-sharing that could affect access and funding for some recipients. These revisions are likely to increase the financial responsibility on states and may limit growth in federal Medicaid support, even as the program continues to serve millions across the U.S.

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

Details in this story are drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.