Eden Medicaid providers billed at least $1,081 for COVID-19 services in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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At least $1,081 in Medicaid payments were billed for COVID-19–specific services in Eden in 2024, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid is a public health insurance initiative administered by states and funded through a federal-state partnership. The program provides coverage for low-income individuals and families, seniors, children and people with disabilities, making it a critical part of the U.S. health care system.

Since Medicaid draws from public funds, shifts in local billing patterns reveal how health care dollars are spent within a community.

For this report, COVID-19–related services were counted using HCPCS codes identified as “COVID-19” or “coronavirus”-related in billing details or reference documents. Therefore, figures only include explicitly COVID-labeled services and do not account for care for pandemic-related issues billed under more general or alternate medical codes.

To compare, Charlotte led North Carolina in Medicaid payments for COVID-19 claims in 2024, reaching $2,373,883.

In Eden, two providers reported Medicaid billing for COVID-19–specific services in 2024. The most frequently billed code was COVID Specific, which represented $667 of the total.

On average, Medicaid payments per provider for COVID-19–related services in Eden stood at $540, well below the state median of $37,126.

COVID-19–specific claims were a notable driver of Medicaid spending increases in Eden during peak pandemic periods.

Between 2021 and 2024, Medicaid payments across all other claim categories rose by $682,686, marking a 13.2% rise.

In the two years leading up to the pandemic, average annual Medicaid outlays in Eden were $4,326,762.

Centers for Medicare & Medicaid Services data shows that joint federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023. This accounted for roughly 18% of national health expenditures, up significantly from $613.5 billion in 2019, prior to COVID-19.

This growth of nearly 40% in a short period largely stems from increased enrollment and greater service usage during and after the pandemic.

Major federal budget proposals under the Trump administration have aimed to curtail federal Medicaid allocations and restructure the program. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over a decade and introduces measures such as work requirements and expanded cost-sharing, which could diminish coverage and funding for select enrollees. These revisions are expected to increase cost burdens on states and limit the expansion of federal Medicaid assistance, even as enrollment remains high.

Medicaid Payments in Eden Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $1,081 -94.8% $5,847,520
2023 $20,588 -82.3% $6,979,037
2022 $116,206 -36.8% $6,917,070
2021 $183,896 N/A $5,347,650
2020 $0 N/A $3,802,124
2019 $0 N/A $4,949,978
2018 $0 N/A $3,703,546
Top COVID-19–Related HCPCS Codes in Eden
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $667 15
87811 Immunoassay $414 18

Note: Includes only HCPCS codes expressly marked as COVID-19 services; totals do not encompass all pandemic response health care spending.

Information for this article was compiled from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data are available here.



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