COVID-19 services led to $2,741 in Medicaid claims in Roaring Spring for 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows that Medicaid claims for services using COVID-19–related HCPCS codes in Roaring Spring reached at least $2,741 in 2024.

Medicaid, a government health insurance program managed by the states and jointly funded by state and federal governments, provides health care coverage to low-income individuals, families, children, seniors, and people with disabilities. It remains one of the cornerstone components of the U.S. health system.

Shifts in the amount billed to Medicaid at the community level demonstrate how taxpayer money supports local health care resources.

This report defines COVID-19 services as those with HCPCS codes identified as “COVID-19” or “coronavirus”-related in billing or reference data. Figures exclusively reflect codes specified as COVID-related, so any care billed under broader medical codes is not included.

In comparison, Pittsburgh saw the largest Medicaid payments for COVID-19 services in Pennsylvania in 2024, with virus-related claims totaling $266,441.

Only Nason Medical Center LLC submitted Medicaid claims for COVID-19–tagged services in Roaring Spring during 2024.

During the pandemic, services tied specifically to COVID-19 contributed noticeably to the growth of Medicaid spending in Roaring Spring.

Medicaid payments for all other service categories grew by $397,080 from 2020 to 2024, increasing by 416.4%.

Average annual Medicaid payments in Roaring Spring were $19,714 in the two years before the pandemic.

According to the Centers for Medicare & Medicaid Services, combined Medicaid outlays from state and federal sources were around $871.7 billion during fiscal year 2023, making up nearly 18% of all national health expenditures—a substantial jump from approximately $613.5 billion in 2019, before the COVID-19 pandemic began.

This nearly 40% increase was largely fueled by higher Medicaid enrollment and increased use of services during and after the COVID-19 pandemic.

Recent federal budget changes under the Trump administration included major proposals to trim federal Medicaid funding. The “One Big Beautiful Bill Act,” enacted in 2025, is projected to cut federal Medicaid spending by more than $1 trillion over the coming decade and brings in new requirements such as work rules and higher cost-sharing. These changes could shift more financial responsibility to states and may restrict the overall federal Medicaid role, even as the program continues to support millions of Americans.

Medicaid Payments in Roaring Spring Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $2,741 -72.6% $495,181
2023 $9,993 -41% $471,340
2022 $16,925 -78.4% $531,698
2021 $78,287 363.7% $852,893
2020 $16,884 N/A $112,244
2019 $0 N/A $671
2018 $0 N/A $38,758
Top COVID-19–Related HCPCS Codes in Roaring Spring
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $2,741 88

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

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



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