At least $37,666 in Medicaid spending in Atlanta was attributed to services billed under HCPCS codes specifically linked to COVID-19 for 2024, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a state-administered public health insurance program with funding shared between federal and state governments. It provides coverage for low-income individuals and families, older adults, kids, and those with disabilities, making it a key component of the U.S. health care landscape.
Since Medicaid is taxpayer-funded, shifts in local claims reflect how public health care resources are distributed in each community.
This report defines COVID-19–related claims as those categorized under HCPCS codes identified as “COVID-19” or “coronavirus”-related, according to billing labels or reference data. Thus, these values represent only claims labeled directly as COVID-related and do not include other pandemic-associated care billed under broader medical categories.
In comparison, Houston reported the highest Medicaid payment total connected to COVID-19 services in Texas for 2024, reaching $5,684,946 in relevant claims.
The data indicates that East Texas Border Health Clinic was the sole Medicaid provider submitting COVID-19–specific claims within Atlanta during 2024.
During the pandemic period, COVID-19–related services comprised a notable portion of the growth in Atlanta’s Medicaid expenditures.
The two years prior to the pandemic saw Atlanta’s average annual Medicaid payments at $938,555.
The Centers for Medicare & Medicaid Services reports that federal and state Medicaid expenses reached roughly $871.7 billion in fiscal year 2023, making up about 18% of all national health spending. This is a significant increase from about $613.5 billion in 2019 before the spread of COVID-19.
This growth translates to around 40% in just a few years, mainly due to greater enrollment and increased use of services during and post-pandemic.
Recent federal budget actions during the Trump administration have included major plans to scale back federal Medicaid funding and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to cut federal Medicaid spending by over $1 trillion over 10 years. The legislation also introduces requirements such as work mandates and higher cost-sharing, which may reduce benefits and funding for some participants. These revisions are expected to place greater financial responsibility on states and limit the pace of federal Medicaid funding, even as the program continues to assist millions across the country.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $37,666 | -36.2% | $3,182,543 |
| 2023 | $59,040 | -23.6% | $3,638,356 |
| 2022 | $77,303 | 50.2% | $3,537,918 |
| 2021 | $51,457 | N/A | $3,321,441 |
| 2020 | $0 | N/A | $1,340,612 |
| 2019 | $0 | N/A | $944,865 |
| 2018 | $0 | N/A | $932,244 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $37,666 | 1,383 |
Note: Totals reflect only HCPCS codes labeled specifically for COVID-19; figures do not account for all health care spending related to the pandemic.
The information in this story is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Find the source data here.







