At least $12,421 was paid out through Medicaid in Truckee in 2024 for services linked to COVID-19 and billed under specific HCPCS codes, according to figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a public insurance program jointly funded by federal and state governments and administered by the states. It provides health coverage for low-income residents, older adults, children, and people with disabilities, making it one of the largest components of health care in the United States. More information is available from the Commonwealth Fund.
Since Medicaid dollars are taxpayer-funded, trends in local billing highlight how health care resources are spent within a community.
For this report, COVID-19 services were identified by selecting HCPCS codes described or classified as “COVID-19” or “coronavirus”-related in billing records or reference materials. Therefore, the totals only include services labeled as COVID-related and do not reflect all pandemic care potentially billed under more general codes.
By comparison, San Jose had the highest amount of Medicaid paid for COVID-19–coded services in California in 2024, at $5,601,479 in claims.
In Truckee, three providers made Medicaid claims for COVID-19–related services during 2024. COVID Specific was among the top-billed codes, responsible for $12,421 in payments.
On average, each Medicaid provider in Truckee billed $4,140 for COVID-19–related services, falling below the statewide average of $52,976.
COVID-19–labeled services drove notable growth in Medicaid expenditures in Truckee throughout the pandemic.
Across all other claim types, Medicaid payments in Truckee rose by $3,460,106 between 2020 and 2024, a 190.5% increase.
In the two years immediately before the pandemic, Truckee’s average annual Medicaid payments were $1,441,132.
Centers for Medicare & Medicaid Services data shows combined federal and state Medicaid spending reached about $871.7 billion in fiscal 2023, making up roughly 18% of all national health expenditures, a sharp rise from an estimated $613.5 billion in 2019, before the COVID-19 pandemic.
This expansion is roughly a 40% increase over a short period, primarily due to greater enrollment and higher utilization during and after the pandemic.
Recent federal budget measures signed into law under the Trump administration include major proposals to decrease federal Medicaid funding and restructure the program. The “One Big Beautiful Bill Act,” enacted in 2025, is estimated to cut more than $1 trillion from federal Medicaid spending over 10 years and implement new work requirements and higher cost-sharing, which could reduce benefits and funding for some participants. This is expected to place a larger financial burden on states and limit future growth in federal Medicaid support, though the program continues to cover millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $12,421 | -0.5% | $5,288,646 |
| 2023 | $12,481 | -78.9% | $8,994,921 |
| 2022 | $59,095 | -34.4% | $2,868,445 |
| 2021 | $90,063 | 169.5% | $2,525,084 |
| 2020 | $33,423 | N/A | $1,849,543 |
| 2019 | $0 | N/A | $1,871,455 |
| 2018 | $0 | N/A | $1,010,808 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $12,421 | 251 |
| 90480 | COVID-19 Vaccine Administration | $0 | 12 |
Note: Includes HCPCS codes only if specifically labeled for COVID-19 services; totals exclude other types of pandemic-related health spending.
Details for this report were retrieved from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original source data here.
