Lodi Medicaid COVID-19 service claims surpassed $121,000 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show that Medicaid payments in Lodi for services coded explicitly for COVID-19 totaled at least $121,195 in 2024.

Medicaid, a public health insurance initiative managed by states and jointly financed by federal and state governments, supports low-income people and families, seniors, children and individuals with disabilities, ranking as one of the major elements of the U.S. health care sector. For details, refer to this explanation.

Since Medicaid funding originates from taxpayers, any shifts in local billing demonstrate how public health funds are being distributed in a locality.

For this review, services counted as COVID-19–related were identified with HCPCS codes marked as “COVID-19” or “coronavirus” in either billing descriptions or related data, so figures include only those specifically labeled as such in billing, and may omit pandemic-related services coded less directly.

As a point of comparison, San Jose recorded the highest total of Medicaid claims connected to COVID-19 services statewide in 2024, with $5,601,479 in virus-related payments.

In 2024, three providers in Lodi filed Medicaid claims for COVID-19–related services. The most frequently billed code, COVID Specific, made up $120,619 of the total.

Lodi’s average COVID-19–related Medicaid payment per provider was $40,398, which lags behind the state average of $52,976.

During the peak pandemic years, a significant portion of Medicaid spending growth in Lodi stemmed from COVID-19–specific services.

Total Medicaid payments across all other claim types in Lodi rose by $12,169,787 between 2020 and 2024, reflecting a 61.4% increase.

According to the Centers for Medicare & Medicaid Services, total spending on Medicaid by both federal and state sources reached about $871.7 billion for fiscal year 2023, which was approximately 18% of all U.S. health expenditures. This marks a notable rise from around $613.5 billion in 2019, before the impact of COVID-19.

This change indicates a growth of nearly 40% over several years, attributed mainly to increased enrollment and utilization starting with the pandemic.

Federal budget measures enacted during the Trump administration included plans to decrease federal allocations to Medicaid and alter the program’s structure. The “One Big Beautiful Bill Act,” signed in 2025, is forecasted to trim over $1 trillion from federal Medicaid budgets over 10 years and introduces additional elements such as work requirements and raised cost-sharing obligations, which may decrease coverage or funding for certain recipients. These adjustments are anticipated to transfer a greater portion of funding responsibility to states and put limits on federal Medicaid spending growth while continuing to serve tens of millions of Americans.

Medicaid Payments in Lodi Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $121,195 -84.2% $32,123,450
2023 $767,352 -30.5% $32,600,528
2022 $1,103,979 68.1% $27,784,124
2021 $656,567 333.6% $23,770,094
2020 $151,437 N/A $19,983,905
2019 $0 N/A $22,480,333
2018 $0 N/A $22,113,876
Top COVID-19–Related HCPCS Codes in Lodi
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $120,619 2,233
90480 COVID-19 Vaccine Administration $576 12

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

Details in this report were sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can access the source data here.



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