Monroe Medicaid paid at least $1,488 for COVID-19 services in 2024

At least $1,488 in Medicaid payments were recorded in Monroe in 2024 for services tied to HCPCS codes specifically linked to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.

Medicaid, a public health insurance plan jointly funded by federal and state governments and administered by the states, covers low-income individuals and families, seniors, children, and those with disabilities. It is one of the primary components of the U.S. health care system. More information can be found here.

Since Medicaid expenses are taxpayer-funded, variances in local billing reflect how community health funds are distributed.

For this report, analysts identified COVID-19–related services through HCPCS codes designated as “COVID-19” or “coronavirus” in billing annotations or supporting references. Therefore, totals include only claims directly labeled in the data as COVID-related and do not reflect other pandemic-era care billed under non-specific medical codes.

In comparison, Seattle saw the highest Medicaid payments in Washington attributed to COVID-19 services in 2024, totaling $461,706 in claims tied to the virus.

In Monroe, two providers filed Medicaid claims for COVID-19 services during 2024. The code COVID Specific was among the most billed, with payments totaling $865.

Monroe’s average Medicaid payment per provider for COVID-19 services stood at $744, below Washington’s average of $18,594 per provider.

Medicaid payments in Monroe for all other claim categories increased by $2,482,061 from 2020 to 2024, a rise of 70.7%.

Centers for Medicare & Medicaid Services data show that joint federal and state Medicaid spending was approximately $871.7 billion in fiscal year 2023, about 18% of the nation’s total health outlays. This marked a substantial increase from $613.5 billion in 2019, prior to the onset of the COVID-19 pandemic.

This represents growth of around 40% in a span of just a few years, largely because of expanded enrollment and increased utilization during the pandemic period and after.

Recent federal budget laws enacted during the Trump administration feature major proposals to reduce federal Medicaid contributions and restructure the program. The “One Big Beautiful Bill Act”, signed in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. It introduces requirements such as work mandates and higher cost-sharing, measures that could reduce coverage and funding for certain Medicaid recipients. These steps are anticipated to increase costs for states and limit future federal Medicaid expansion while the program continues providing coverage to tens of millions of Americans.

Note: The totals include only HCPCS codes specifically labeled for COVID-19; figures do not reflect all health care spending related to the pandemic.

Details in this article are from the U.S. Department of Health and Human Services Medicaid Provider Spending database, accessible here.