Victoria providers billed over $17,500 in COVID-19 Medicaid claims in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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A total of at least $17,568 in Medicaid payments was billed in Victoria in 2024 for services identified under HCPCS codes associated directly with COVID-19, as reported in data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, a state-administered health insurance program funded by both federal and state governments, provides coverage for people with low incomes, children, seniors, and disabled individuals. It is one of the largest health care programs in the U.S.

Because taxpayer dollars fund Medicaid, shifts in local billing activity highlight how public health care spending is distributed within communities.

For this review, HCPCS codes designated “COVID-19” or “coronavirus” in their billing details were classified as COVID-19–related. Therefore, the amounts noted only reflect service codes directly labeled for COVID-19 care and do not include services performed under more generic codes not specified as pandemic-related.

To provide perspective, Houston recorded the state’s highest total for Medicaid payments tied to COVID-19–related services in 2024, reporting $5,684,946 in such claims.

In Victoria, three Medicaid providers billed for COVID-19–related services in 2024. The code “COVID Specific” made up $13,711 of the total billed.

By comparison, Victoria’s average Medicaid paid per provider for COVID-19–linked services was $5,856, with the Texas average per provider at $40,722.

During the pandemic, Medicaid spending for COVID-19–specific services contributed noticeably to growth in total health outlays in Victoria.

All other Medicaid payments in non-COVID categories in Victoria rose by $10,575,441 from 2020 to 2024, equal to a 223.1% gain over that period.

In the two years directly prior to the pandemic, average annual Medicaid payments in Victoria were $3,298,386.

According to the Centers for Medicare & Medicaid Services, combined spending for Medicaid at the state and federal level reached roughly $871.7 billion in fiscal 2023, making up close to 18% of all health care expenditures in the U.S.—a significant jump from around $613.5 billion in 2019 before the onset of the COVID-19 pandemic.

This growth marks an increase of approximately 40% within several years, much of it attributed to rising enrollment and service utilization during and following the pandemic period.

Legislation under the Trump administration in recent federal budgets included major proposals aimed at decreasing federal funding to Medicaid and making structural changes. One of these measures, the “One Big Beautiful Bill Act,” signed into law in 2025, is set to reduce federal Medicaid allocations by over $1 trillion in the coming decade. It also enforces policies like work requirements and higher cost-sharing, which may restrict funding and coverage for some beneficiaries. These changes would pass more costs on to states, potentially slowing the rate of federal Medicaid funding growth while the program continues to provide coverage to millions nationwide.

Medicaid Payments in Victoria Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $17,568 -66.3% $15,333,269
2023 $52,146 -93.8% $20,091,834
2022 $834,452 -21% $20,994,941
2021 $1,056,180 905.4% $21,409,910
2020 $105,048 N/A $4,845,308
2019 $0 N/A $3,417,390
2018 $0 N/A $3,179,381
Top COVID-19–Related HCPCS Codes in Victoria
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $13,711 474
87811 Immunoassay $3,856 147

Note: Data only includes services billed with HCPCS codes specifically categorized as COVID-19; totals do not account for all pandemic-era medical care.

This article’s data was gathered from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Where applicable, source material is available here.



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