Antioch Medicaid COVID-19 service payments total $117,009 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid payments for services billed under HCPCS codes specifically related to COVID-19 reached at least $117,009 in Antioch, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.

Medicaid, a public health insurance initiative administered by the states and funded by both federal and state governments, serves low-income individuals and families, seniors, children, and people with disabilities, making it a major component of the nation’s health care framework.

Because taxpayer dollars support Medicaid payments, shifts in local billing offer insights into community-level allocation of public health funds.

COVID-19–related services were identified as those billed under HCPCS codes designated or described as “COVID-19” or “coronavirus”-related in claims data or supporting references. Therefore, the presented figures only include services that billing records explicitly mark as COVID-related and do not encompass pandemic-related care possibly billed through more generalized or differently coded claims.

As a point of comparison, San Jose reported the highest Medicaid payments for COVID-19 services in the state for 2024, with virus-related claims totaling $5,601,479.

In Antioch, five providers submitted Medicaid claims for COVID-19–related services in 2024. The code labeled COVID Specific accounted for $116,289, making it the most frequently billed code.

On average, each Medicaid provider in Antioch received $23,402 for COVID-19–related services, which is below the California average of $52,976.

During the years when the pandemic was at its height, a significant portion of Medicaid spending growth in Antioch was attributed to COVID-19–focused services.

Across all other categories of Medicaid claims, total payments in Antioch grew by $24,428,579 from 2020 to 2024, reflecting a 90.2% rise.

Before the pandemic, in the preceding two years, the average annual Medicaid payment in Antioch was $28,135,674.

The Centers for Medicare & Medicaid Services reports that combined federal and state Medicaid spending hit about $871.7 billion in fiscal year 2023, constituting roughly 18% of all U.S. health expenditures, which marked a substantial increase from $613.5 billion in 2019, the period before COVID-19.

This represents an increase of approximately 40% over just a few years, primarily due to greater enrollment and increased utilization throughout and following the pandemic era.

Recent federal budget initiatives during the Trump administration have featured notable plans to pare back federal Medicaid funding and alter program structures. The “One Big Beautiful Bill Act,” enacted into law in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the coming decade, adding measures like work requirements and higher cost-sharing, both of which could reduce benefits and federal support for some recipients. These changes are projected to increase financial responsibilities for states and constrain the expansion of federal Medicaid support, though the program will continue to cover tens of millions of Americans.

Medicaid Payments in Antioch Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $117,009 -31.4% $51,630,256
2023 $170,646 -44.8% $39,599,102
2022 $309,258 -56.1% $33,570,095
2021 $703,906 263.3% $32,396,255
2020 $193,744 N/A $27,278,412
2019 $0 N/A $27,843,150
2018 $0 N/A $28,428,199
Top COVID-19–Related HCPCS Codes in Antioch
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $116,289 3,227
90480 COVID-19 Vaccine Administration $720 471

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

Data for this report is from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original source data is available here.



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