Wauchula Medicaid claims for COVID-19 services reached $9,786 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid payments tied to HCPCS codes specifically linked to COVID-19 in Wauchula totaled at least $9,786 in 2024. This was an 83% rise over 2023, when $5,349 in related claims were submitted by providers using the same codes.

Medicaid, a public health insurance program jointly financed by the federal and state governments, provides coverage for low-income people, seniors, children, and those with disabilities, making it a major component of the U.S. health care system.

Because Medicaid is taxpayer-funded, changes in local billing levels highlight how health care funding is distributed throughout the community.

This review defined COVID-19–related services as those billed under HCPCS codes marked as “COVID-19” or “coronavirus” in either billing details or reference data. Therefore, the totals only include services labeled specifically as COVID-related and exclude care potentially relevant to the pandemic that may have been billed under broader or different medical codes.

To put Wauchula’s numbers in perspective, Miami reported the highest Medicaid payments connected to COVID-19 care in Florida for 2024, with $270,279 in virus-specific claims.

During 2024, two Wauchula providers filed Medicaid claims for COVID-19–related services. The COVID Specific code accounted for the majority, with $8,974 in billed charges.

The average Medicaid payment per provider in Wauchula for COVID-19–related care was $4,893, less than the state median of $7,271.

In the years of the pandemic, spending on COVID-19–specific services contributed noticeably to Medicaid payment growth in Wauchula.

On average, Medicaid payments in Wauchula during the two years before the pandemic were $3,698,036 annually.

According to the Centers for Medicare & Medicaid Services, state and federal spending on Medicaid was about $871.7 billion in fiscal 2023, making up approximately 18% of national health costs, significantly higher than the $613.5 billion spent in 2019, ahead of the COVID-19 pandemic.

This marks an estimated 40% increase within a few years, largely attributed to broader enrollment and greater service use in and after the pandemic.

Previous federal budget measures under the Trump administration included major initiatives to limit federal Medicaid investment and change the framework of the program. The “One Big Beautiful Bill Act,” for instance, was enacted in 2025 and is expected to decrease federal Medicaid spending by more than $1 trillion over 10 years. The law also introduces work requirements and higher cost-sharing, potentially reducing coverage and federal funding for some enrollees. These provisions are likely to increase costs borne by states and restrict future growth in federal Medicaid support, while the program continues serving tens of millions nationwide.

Medicaid Payments in Wauchula Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $9,786 82.9% $1,456,927
2023 $5,349 -86.9% $3,263,515
2022 $40,744 -73.7% $6,353,286
2021 $155,058 110.4% $6,911,185
2020 $73,698 N/A $5,947,834
2019 $0 N/A $5,825,521
2018 $0 N/A $1,570,551
Top COVID-19–Related HCPCS Codes in Wauchula
HCPCS Code Description Medicaid Payments Claims
U0002 COVID Specific $8,974 377
87811 Immunoassay $812 36

Note: Includes only HCPCS codes explicitly labeled for COVID-19 services; figures omit pandemic-related health care not specifically marked as such in billing.

This article’s information is based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying dataset is available here.



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