Fenton Medicaid COVID-19 payments exceeded $361,000 in 2024, data show

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid payments for services linked to COVID-19 in Fenton amounted to at least $361,948, based on records from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid is a state-run, federally and state-financed health insurance program. It provides coverage for low-income people, elderly adults, children and those with disabilities, making it a foundational element of the U.S. health care framework, with federal and state funds combined as described by the Commonwealth Fund.

Since Medicaid’s funds are sourced from taxpayers, local trend shifts in Medicaid billing reflect the allocation of public health care resources within the community.

The study identified COVID-19–related services through HCPCS codes categorized as “COVID-19” or “coronavirus” within billing entries. Figures are limited strictly to explicitly COVID-specific coded care, not accounting for services tied to the pandemic billed under broader medical codes.

Fenton led the state in Medicaid amounts tied to COVID-19 services in 2024.

Four Fenton providers billed Medicaid for COVID-19–related claims in 2024. Among these, the COVID Specific code was used the most, totaling $361,108 in claims.

On average, Medicaid COVID-19–related provider payments in Fenton reached $90,487, exceeding the $12,927 average found across the state.

COVID-19–specific services contributed notably to Medicaid spending growth in Fenton during the pandemic period.

Between 2020 and 2024, Medicaid payments in all other billed categories increased by $3,905,733, amounting to a 46.1% rise.

In the two previous years to the pandemic, Fenton posted an average annual Medicaid payment of $6,438,007.

Data from the Centers for Medicare & Medicaid Services shows combined federal and state Medicaid spending totaled around $871.7 billion in fiscal 2023. This figure represents about 18% of all national health care expenditures, up from around $613.5 billion in 2019 prior to the COVID-19 crisis.

This growth, about 40% over several years, was mainly attributed to higher enrollment and greater service use during and after the pandemic period.

Recent federal budget actions under the Trump administration have included proposals aimed at reducing the federal share of Medicaid and reforming its design. The “One Big Beautiful Bill Act,” enacted in 2025, projects over $1 trillion in Medicaid reductions over 10 years. The law introduces stricter eligibility rules, increased cost-sharing and other measures anticipated to lower enrollment and federal spending, shifting greater financial responsibility to states while Medicaid continues to insure tens of millions nationwide.

Medicaid Payments in Fenton Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $361,948 -62.1% $12,746,219
2023 $954,032 -58.7% $17,413,758
2022 $2,312,479 51.1% $16,711,267
2021 $1,530,131 10.1% $12,299,724
2020 $1,389,846 N/A $9,868,384
2019 $0 N/A $7,030,011
2018 $0 N/A $5,846,004
Top COVID-19–Related HCPCS Codes in Fenton
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $361,108 11,542
90480 COVID-19 Vaccine Administration $840 26

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

This article uses data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.



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