La Verne saw $2,145 in Medicaid COVID-19 billing in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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According to the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid payments for services tied directly to COVID-19 in La Verne amounted to at least $2,145 in 2024, based on claims using HCPCS codes denoting explicit COVID-19 association.

Medicaid, a public health insurance initiative managed by states and financed together by federal and state governments, covers low-income residents, older adults, children, and individuals with disabilities, making it a significant part of the nation’s health care network.

Medicaid spending is sourced from taxpayer contributions, meaning local shifts in billing reveal changes in how health care funds are distributed in a given area.

This review identified COVID-19–related services by filtering HCPCS codes labeled or categorized as “COVID-19” or “coronavirus” in their finance descriptions or reference materials. As such, reported figures only include services explicitly identified as COVID-related and may not represent all pandemic-driven care billed under wider or differently-classified codes.

As a reference point, San Jose recorded the highest Medicaid payout related to COVID-19 services in California in 2024, with $5,601,479 in such billings.

La Verne had two providers submitting Medicaid claims under COVID-19–specific codes in 2024, with the code COVID Specific making up $1,891 of the total billed amount.

On average, Medicaid payments per provider for COVID-19–related services in La Verne reached $1,072, well below the statewide median of $52,976.

During the pandemic period, COVID-19–designated services contributed greatly to Medicaid spending increases in La Verne.

In the two years prior to the onset of the pandemic, La Verne’s annual average Medicaid payments tallied $2,606,700.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, or nearly 18% of national health expenditures—an increase from around $613.5 billion in 2019, ahead of the COVID-19 outbreak.

This marks roughly a 40% increase over a few years, largely attributed to more enrollees and higher use during and after the pandemic.

Recent federal budget measures under the Trump administration have featured major proposals to trim federal Medicaid funding and modify the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over the next 10 years and establishes policies such as work requirements and heightened cost-sharing that may affect coverage and funding for certain beneficiaries. These changes are anticipated to place increased financial responsibility on states and could slow the growth of federal Medicaid support, even as the program remains vital for millions.

Medicaid Payments in La Verne Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $2,145 -98.7% $1,427,240
2023 $168,722 -91.4% $2,913,934
2022 $1,970,582 46.5% $3,913,079
2021 $1,345,380 59.8% $3,388,620
2020 $841,673 N/A $2,474,252
2019 $0 N/A $1,900,678
2018 $0 N/A $3,312,722
Top COVID-19–Related HCPCS Codes in La Verne
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $1,891 62
90480 COVID-19 Vaccine Administration $253 62

Note: Includes only HCPCS codes that are clearly marked for COVID-19 services; the totals may not reflect the entirety of pandemic-related health spending.

The information provided comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.



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