According to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database, Medicaid claims in Azle amounted to at least $74,958 in 2024 for services coded under HCPCS numbers identified expressly for COVID-19.
Medicaid is one of the largest U.S. public health insurance programs, administered by the states and funded in partnership between federal and state governments. Its coverage includes low-income people and families, seniors, children, and people with disabilities.
Because Medicaid repurposes taxpayer funds, shifts in local billing reflect changes in how community health care dollars are allocated.
For this review, only HCPCS codes with billing descriptions or reference data specifically marked as “COVID-19” or “coronavirus”-related were included. These figures represent just services clearly designated in billing as COVID-related, not broader care potentially coded differently during the pandemic.
For reference, Houston accounted for the highest Medicaid claims tied to COVID-19 services statewide in 2024, with $5,684,946 in total billings for virus-related care.
Within Azle, two individual providers submitted claims for COVID-19–specific services in 2024. Among billed procedures, the COVID Specific code represented $58,725 in total reimbursements.
The average per-provider Medicaid payment for COVID-19–related services in Azle was $37,479, below the statewide average of $40,722.
COVID-19–specific billing contributed a measurable portion of Medicaid spending growth during the pandemic years in Azle.
Between 2020 and 2024, Medicaid payments for all services aside from COVID-specific codes increased $463,738, a 100.6% rise.
Medicaid’s average annual payment in Azle stood at $447,774 for each of the two years prior to the pandemic.
Centers for Medicare & Medicaid Services data shows combined federal and state spending on Medicaid reached about $871.7 billion in fiscal year 2023, capturing approximately 18% of all national health costs. That reflects substantial growth from some $613.5 billion in 2019, prior to the COVID-19 pandemic.
This change marks a nearly 40% increase within just a few years, with higher enrollment and increased service usage throughout and following the pandemic period as primary factors.
Recent federal budget measures enacted under the Trump administration have included major provisions to scale back federal Medicaid support and restructure the program. The “One Big Beautiful Bill Act,” passed into law in 2025, aims to reduce federal Medicaid outlays by more than $1 trillion over a 10-year span, and implements policies like work requirements and increased enrollee cost-sharing. The result is expected to place more financial responsibility on states and restrict federal program expansion, while Medicaid continues to insure tens of millions of individuals nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $74,958 | -52% | $999,774 |
| 2023 | $156,273 | 31.7% | $1,851,194 |
| 2022 | $118,695 | 25.2% | $1,998,120 |
| 2021 | $94,774 | 770.3% | $1,666,640 |
| 2020 | $10,889 | N/A | $471,968 |
| 2019 | $0 | N/A | $479,376 |
| 2018 | $0 | N/A | $416,172 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $53,556 | 472 |
| 87811 | Immunoassay | $16,233 | 419 |
| U0002 | COVID Specific | $5,170 | 120 |
Note: Figures shown cover only HCPCS codes labeled for COVID-19, and do not encompass spending for all pandemic-driven health care.
This analysis utilized data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original data source is accessible here.










