Shawnee Medicaid COVID-19 billing totaled $209,801 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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At least $209,801 in Medicaid payments went to services coded for COVID-19 in Shawnee in 2024, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, run by individual states but financed by both federal and state governments, provides health coverage for low-income people and families, as well as seniors, children and individuals with disabilities. It is one of the largest components of the nation’s health system.

Because taxpayer support funds Medicaid, shifts in local billing patterns help indicate how these public dollars are used in various communities.

This analysis defined COVID-19–related services as those billed with HCPCS codes specifically labeled or classified as “COVID-19” or “coronavirus” in billing descriptions or data. That means amounts reflect only the services directly marked as COVID-related, and may not capture pandemic-related care billed under broader codes.

To compare, Lawton reported the largest total for Medicaid payments relating to COVID-19 in Oklahoma in 2024, with $1,223,479 in virus-specific claims.

Shawnee saw two providers file Medicaid claims connected to COVID-19 services in 2024. The most frequently billed code, COVID Specific, represented $140,702 in payments.

In Shawnee, the average Medicaid payment per provider for COVID-19 services reached $104,901, which is above the state average of $22,314 for similar claims.

Medicaid spending growth in Shawnee during the pandemic period included a notable portion for COVID-19 services.

From 2020 to 2024, Medicaid payments across other categories grew by $12,646,151, an increase of 103.2%.

For the two years before the pandemic, Shawnee’s average yearly Medicaid payments were $13,081,168.

Centers for Medicare & Medicaid Services data show that combined federal and state Medicaid spending climbed to about $871.7 billion in fiscal year 2023—or roughly 18% of America’s total health expenditure—a jump from approximately $613.5 billion in 2019, before COVID-19.

This growth equals about a 40% rise over several years, attributed mainly to larger enrollment and greater usage during and after the pandemic.

Recent federal budget actions under the Trump administration have introduced major plans to reduce federal Medicaid spending and change its structure. The “One Big Beautiful Bill Act,” signed in 2025, is projected to lower federal Medicaid outlays by more than $1 trillion over 10 years and introduces features like work requirements and greater cost-sharing, which may decrease coverage or funding for some recipients. These changes are expected to push more expenses to the states and limit federal Medicaid growth while the program continues to serve millions.

Medicaid Payments in Shawnee Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $209,801 -32.7% $25,105,591
2023 $311,849 -23.8% $35,985,807
2022 $409,478 -22.7% $31,062,726
2021 $529,406 312.5% $19,408,131
2020 $128,333 N/A $12,377,972
2019 $0 N/A $13,569,440
2018 $0 N/A $12,592,897
Top COVID-19–Related HCPCS Codes in Shawnee
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $140,702 3,124
87811 Immunoassay $69,099 1,912

Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.

The information in this report used data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the original source data here.



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