San Dimas Medicaid COVID-19 service claims reached $267,566 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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At least $267,566 in Medicaid payments were made in San Dimas in 2024 for services billed with HCPCS codes directly tied to COVID-19, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid operates as a public health insurance program managed by each state and jointly financed by the federal and state governments. It offers coverage to seniors, children, individuals with disabilities, and low-income families, making it a leading contributor to the U.S. health care system.

Changing Medicare billing activity locally reveals how communities allocate taxpayer-financed public health care resources.

Researchers pinpointed COVID-19–related services for this analysis by identifying HCPCS codes marked as “COVID-19” or “coronavirus” in claim descriptions or reference data. Therefore, these totals include only claims specifically coded as COVID-related and exclude pandemic services that may fall under broader or other medical codes.

San Jose, by comparison, recorded the highest Medicaid payment amount tied to COVID-19 care in California for 2024, totaling $5,601,479 in related claims.

In 2024, Medicaid claims in San Dimas for COVID-19–related services were filed by two providers. The most commonly billed code, COVID Specific, represented $267,566 of the total.

On average, each provider in San Dimas received $133,783 in Medicaid payments for COVID-19–related billing, which exceeds the statewide average of $52,976 per provider.

During the pandemic years, COVID-19–focused services contributed significantly to the rise in Medicaid expenditures for San Dimas.

All other claim categories in San Dimas saw total Medicaid payments climb by $5,734,911 from 2020 through 2024—a 69.6% boost.

The average yearly amount of Medicaid payments just before the pandemic in San Dimas was $9,238,384 over a two-year period.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid spending totaled about $871.7 billion in fiscal year 2023—roughly 18% of national health expenditures—up from $613.5 billion in 2019, prior to the COVID-19 pandemic.

This growth marks an increase of approximately 40% in only a few years, primarily as a result of rising enrollment and higher utilization during and after the pandemic period.

Federal budget legislation signed under the Trump administration has featured substantial measures to decrease federal Medicaid funding and alter the program’s framework. For instance, the “One Big Beautiful Bill Act,” became law in 2025 and is projected to reduce federal Medicaid expenditures by more than $1 trillion over the next decade. It also introduces new policies including work requirements and greater cost-sharing, which may narrow coverage and reduce funding for some Medicaid recipients. Anticipated impacts include increasing financial burdens on states and slowing the growth of federal Medicaid contributions, even as the program remains critical to millions of Americans.

Medicaid Payments in San Dimas Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $267,566 -82.1% $14,241,570
2023 $1,497,159 -95.1% $16,578,826
2022 $30,820,926 -35% $41,727,589
2021 $47,388,699 158% $57,086,044
2020 $18,365,667 N/A $26,604,760
2019 $0 N/A $9,036,266
2018 $0 N/A $9,440,502
Top COVID-19–Related HCPCS Codes in San Dimas
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $267,566 13,253
90480 COVID-19 Vaccine Administration $0 14
M0201 COVID-19 Vaccine Administration $0 33

Note: Totals reflect only HCPCS codes explicitly marked for COVID-19 services and are not comprehensive of all pandemic-related health spending.

Details in this article come from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.



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