In 2024, Medicaid payments for services explicitly billed under COVID-19–related HCPCS codes amounted to at least $2,999 in Montezuma Creek, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a public health insurance program that operates under state administration and receives joint funding from federal and state governments. It provides health coverage for low-income people, seniors, children, and individuals with disabilities, making it one of the most significant elements of the U.S. health care landscape.
As Medicaid is taxpayer-funded, variations in local billing patterns can offer insight into how public health care funds are distributed within a community.
The identification of COVID-19–related services for this report relied on HCPCS codes described or classified as “COVID-19” or “coronavirus”-related in billing data or reference sources. These totals include only services specifically labeled for COVID-19 in billing data and do not reflect health care tied to the pandemic that was billed under broader or differently designed codes.
By comparison, the largest total for Medicaid payments tied to COVID-19 services in Utah during 2024 was reported in Salt Lake City, with $39,316 in virus-related claims.
Utah Navajo Health System, Incorporated was the sole provider in Montezuma Creek submitting Medicaid claims for COVID-19–related services during 2024, according to the data.
In previous pandemic years, specific COVID-19 services contributed a measurable portion to the overall rise in Medicaid spending in Montezuma Creek.
During the two years leading up to the pandemic, the city’s average annual Medicaid payments were $8,020,668.
According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid expenditures reached approximately $871.7 billion in fiscal year 2023, making up around 18% of national health spending. This was a notable rise from about $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth amounts to roughly a 40% increase over several years, with expanded enrollment and heightened usage during and following the pandemic being major contributing factors.
Recent federal budget measures during the Trump administration have introduced major proposals for reducing federal Medicaid funding and changing the program’s structure. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to decrease federal Medicaid support by over $1 trillion over the coming decade and implements policies like work requirements and greater cost-sharing. These policies may reduce coverage and funding for some recipients, potentially shifting more financial responsibility to states even as Medicaid continues to cover tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $2,999 | -93.9% | $5,581,611 |
| 2023 | $49,328 | -86.8% | $14,624,855 |
| 2022 | $372,743 | 865.3% | $13,782,364 |
| 2021 | $38,616 | N/A | $12,049,434 |
| 2020 | $0 | N/A | $8,857,462 |
| 2019 | $0 | N/A | $8,777,812 |
| 2018 | $0 | N/A | $7,263,524 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $2,919 | 195 |
| 90480 | COVID-19 Vaccine Administration | $80 | 147 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
Information in this article was obtained from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data can be found here.

