Addison Medicaid claims for COVID-19 services reached $1,129 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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According to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Addison recorded Medicaid payments of at least $1,129 in 2024 for services billed with HCPCS codes linked directly to COVID-19.

Medicaid is administered by states and financed through both federal and state funding. It provides insurance for low-income residents, older adults, children, and individuals with disabilities, making it a major element of the U.S. health care system.

Because taxpayer dollars fund Medicaid, changes in billing reflect how public health expenditures are distributed locally.

This analysis counted COVID-19–specific services using HCPCS codes described or categorized as “COVID-19” or “coronavirus” in billing or reference data. Therefore, totals show only payments for services specifically labeled as COVID-related and do not include care that could be classified under broader or alternate medical codes.

For context, Houston reported the highest Medicaid payment total connected to COVID-19 services in Texas during 2024, at $5,684,946 in related claims.

The data indicates Elitemed Laboratories, LLC was Addison’s only provider submitting Medicaid claims for COVID-19–related services in 2024.

During the pandemic years, Medicaid spending increases in Addison for COVID-19–specific services made up only a small fraction of overall Medicaid growth.

Total Medicaid payments for other claim categories in Addison grew by $12,955,842 from 2020 to 2024, translating to a 151.3% increase.

In the two years before the pandemic, Addison’s average yearly Medicaid payments amounted to $1,948,747.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending reached close to $871.7 billion during fiscal 2023, representing about 18% of U.S. health spending and rising significantly from approximately $613.5 billion in 2019, prior to the pandemic.

This translates to a nearly 40% increase over a few years, largely driven by higher enrollment and greater usage during and following the pandemic.

Recent federal budget measures initiated under the Trump administration have featured proposals for major federal Medicaid cuts and program changes. For instance, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim federal Medicaid spending by more than $1 trillion over 10 years and enacts policies such as work requirements and higher cost-sharing. These moves are projected to reduce coverage and funding for some people, shifting higher costs to individual states even as Medicaid continues as a crucial source of coverage for millions.

Medicaid Payments in Addison Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $1,129 -99.9% $21,522,120
2023 $1,714,616 28.9% $24,773,453
2022 $1,330,160 833.2% $21,847,820
2021 $142,539 123.4% $22,080,076
2020 $63,795 N/A $8,628,944
2019 $0 N/A $1,869,212
2018 $0 N/A $2,028,281
Top COVID-19–Related HCPCS Codes in Addison
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $1,129 24

Note: Includes only services with HCPCS codes directly labeled for COVID-19; figures do not represent total spending related to the pandemic.

All information in this report comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original source data here.



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