Edgefield received $4,930 in Medicaid COVID-19 payments in 2024

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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In 2024, Edgefield saw at least $4,930 in Medicaid payments for services billed under HCPCS codes identified as associated with COVID-19, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, a public health insurance program managed by states and backed by both federal and state governments, serves low-income people and families, seniors, children, and those with disabilities, making it a significant segment of the nation’s health system.

Since Medicaid payments consist of taxpayer funding, shifts in local billing rates highlight how health care expenditures are distributed within a community.

This analysis includes COVID-19–related services identified by HCPCS codes labeled as “COVID-19” or “coronavirus”-related in either billing details or reference documents. Consequently, these statistics represent only those services that are explicitly classified as COVID-related, excluding pandemic-related care that may have been billed under broader or differently named codes.

Columbia reported the state’s highest Medicaid payments linked to COVID-19 services in 2024, recording $1,102,671 in virus-specific claims.

Only Self Regional Healthcare Partners submitted Medicaid claims for COVID-19–related services in Edgefield during 2024, according to the data.

Other Medicaid payment categories in Edgefield increased by $483,107 from 2020 through 2024, which marks a 123.9% rise.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid spending reached approximately $871.7 billion in the 2023 fiscal year, making up about 18% of total U.S. health expenditures—a jump from $613.5 billion in 2019, prior to the pandemic.

This increase, about 40% over a few years, was mostly attributed to expanded enrollment and greater utilization during and after the pandemic.

Under the Trump administration, recent federal budget measures have included large-scale plans to lower federal Medicaid contributions and change the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion over 10 years and adds requirements such as work mandates and higher cost-sharing, which may limit coverage and lower funding for some recipients. These updates are expected to increase state responsibilities while slowing the growth of federal support for Medicaid, even as the program remains vital for millions across the country.

Medicaid Payments in Edgefield Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $4,930 -87.2% $877,818
2023 $38,613 112.8% $955,936
2022 $18,146 -10.1% $773,940
2021 $20,189 1,366.1% $536,895
2020 $1,377 N/A $391,158
2019 $0 N/A $631,072
2018 $0 N/A $717,342
Top COVID-19–Related HCPCS Codes in Edgefield
HCPCS Code Description Medicaid Payments Claims
U0002 COVID Specific $4,384 70
87635 COVID Specific $546 17

Note: Figures include only HCPCS codes expressly assigned to COVID-19 services and do not represent broader pandemic spending.

Data for this report was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original dataset here.



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