Phoenix Medicaid claims for COVID-19 services total $1,490,830 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
0Comments

In 2024, Medicaid claims in Phoenix for services billed under HCPCS codes specifically related to COVID-19 amounted to at least $1,490,830, based on figures provided by the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid is a state-run public health insurance program financed through a partnership between federal and state governments. It supports low-income residents, families, older adults, children, and individuals with disabilities, making it a significant component of the U.S. health care landscape.

As Medicaid is funded by taxpayers, shifts in billing in a given area show how public health care funds are distributed within a community.

The analysis designated COVID-19–related services as those utilizing HCPCS codes labeled as “COVID-19” or “coronavirus” in descriptions or reference materials. The data therefore only covers services explicitly flagged as COVID-19–related at the billing level, omitting any broader pandemic-related medical activities billed under unrelated or less specific codes.

Statewide, Phoenix posted the highest Medicaid payment totals for COVID-19-related services in 2024.

Within Phoenix, 45 providers submitted Medicaid claims for COVID-19–related services that year. The COVID Specific code was among the largest, representing $1,245,643 of the total.

For context, Medicaid providers in Phoenix averaged $33,130 in payments for COVID-19–related services, which is higher than the Arizona average of $17,776 per provider.

During the pandemic, Medicaid expenditures on COVID-19–specific services contributed to observable increases in Phoenix’s Medicaid spending.

Medicaid spending for all other claim types rose by $297,285,128 from 2020 to 2024, which is an increase of 21.1%.

The average annual Medicaid payment in Phoenix in the two years before the pandemic was $1,266,969,993.

According to the Centers for Medicare & Medicaid Services, total state and federal Medicaid expenditures reached roughly $871.7 billion for fiscal 2023, making up about 18% of national health spending—up sharply from around $613.5 billion in 2019, prior to the COVID-19 health crisis.

This represents an approximate 40% increase over the span of several years, with climbs driven largely by expanded eligibility and increased service use during and after the pandemic.

Recent congressional budget measures during the Trump administration have brought forth substantial plans to shrink federal Medicaid support and alter the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to trim more than $1 trillion from federal Medicaid funding over 10 years and establish requirements including work mandates and greater cost-sharing, which may reduce eligibility and funding for some recipients. These measures are likely to transfer more financial responsibility to states and limit the future growth of federal contributions, while Medicaid continues to provide for tens of millions of Americans.

Medicaid Payments in Phoenix Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $1,490,830 -70.4% $1,705,202,428
2023 $5,032,355 -88.4% $2,404,601,578
2022 $43,300,009 -48.3% $2,320,589,877
2021 $83,700,067 48.8% $1,823,637,628
2020 $56,261,056 N/A $1,462,687,526
2019 $0 N/A $1,370,017,340
2018 $0 N/A $1,163,922,645
Top COVID-19–Related HCPCS Codes in Phoenix
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $1,235,308 31,914
87811 Immunoassay $111,990 3,003
90480 COVID-19 Vaccine Administration $103,570 5,724
86769 Immunoassay $28,327 1,089
U0002 COVID Specific $10,335 231
86328 Immunoassay $1,123 29
M0201 COVID-19 Vaccine Administration $176 13

Note: Numbers reflect HCPCS codes specifically tagged for COVID-19 services; they do not include the entirety of pandemic-related medical spending.

Data in this report come from the U.S. Department of Health and Human Services Medicaid Provider Spending database, accessible here.



Related

Justin Wilmeth, Arizona State Representative for 2nd District

Justin Wilmeth posts about space exploration and Western state cooperation

Arizona State Representative Justin Wilmeth posted several updates on April 13, 2026.

Yassamin Ansari, U.S. Representative for Arizona's 3rd Congressional District

Congresswoman Yassamin Ansari calls for resignations and highlights reproductive health agenda

Congresswoman Yassamin Ansari posted several statements on April 13, 2026.

Paradise Valley Unified District Superintendent Troy Bales (2023)

Paradise Valley Unified School District announces K-12 ELD Curriculum Committee meeting for April 16

Paradise Valley Unified School District will hold a K-12 ELD Curriculum Committee meeting on April 16. The session is open for public attendance but not participation. Details are available through official channels.

Trending

The Weekly Newsletter

Sign-up for the Weekly Newsletter from PHX Reporter.