Milpitas Medicaid paid $32,584 for COVID-19 care in 2024, under 0.1% of total spending

Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
Dr. Mehmet Oz CMS Administrator - Centers for Medicare & Medicaid Services (CMS)
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At least $32,584 in Medicaid spending in Milpitas during 2024 went toward services coded with HCPCS identifiers tied directly to COVID-19. This is based on records from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid, administered by individual states and funded cooperatively by federal and state governments, insures low-income individuals and families, as well as seniors, children, and those with disabilities, making it one of the nation’s major health programs.

Since Medicaid dollars come from taxpayers, fluctuations in local billing help illustrate how a community allocates its health care funds.

For this report, services counted as COVID-19–related were determined based on HCPCS codes classified in billing or reference materials as “COVID-19” or “coronavirus” services. That means only claims specifically marked as COVID-19 are reflected in the totals; care classified under broader or alternate billing codes is not included in these figures.

To compare, San Jose recorded the highest total in California for COVID-19–coded Medicaid claims during 2024, with $5,601,479 attributed to virus-related services.

Within Milpitas, two providers filed Medicaid claims billed as COVID-19–related services in 2024. The code COVID Specific represented the largest share, accounting for $28,344.

In Milpitas, the typical Medicaid payment per provider for these COVID-related services was $16,292, lower than the California average of $52,976.

During the pandemic, spending on COVID-19–labeled services made up a significant share of Milpitas’ Medicaid payment growth.

Across all other categories, total Medicaid payments grew by $3,953,370 from 2020 to 2024. This represents a 26.3% rise.

According to the Centers for Medicare & Medicaid Services, combined state and federal Medicaid spending hit around $871.7 billion in fiscal year 2023—about 18% of all U.S. health expenditures, a notable increase from the $613.5 billion reported in 2019, prior to the pandemic.

This change marks a roughly 40% increase over a few years, mainly attributed to higher enrollment and increased use during and following the height of the pandemic.

Recent federal budget measures during Trump’s administration have included substantial reductions to federal Medicaid contributions and efforts to reform the system. For instance, the “One Big Beautiful Bill Act,” signed into law in 2025, is expected to trim more than $1 trillion from federal Medicaid outlays over the next 10 years, adding provisions such as work requirements and higher out-of-pocket expenses likely to reduce some beneficiaries’ coverage and funding. As a result, states could face increased financial responsibility with limits on the future federal share, even as Medicaid continues to support tens of millions of Americans.

Medicaid Payments in Milpitas Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $32,584 -87.9% $19,012,220
2023 $269,963 -77.5% $17,042,300
2022 $1,202,224 131.6% $15,794,321
2021 $519,109 177.9% $18,644,216
2020 $186,787 N/A $15,213,054
2019 $0 N/A $17,939,677
2018 $0 N/A $19,428,967
Top COVID-19–Related HCPCS Codes in Milpitas
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $28,344 347
90480 COVID-19 Vaccine Administration $4,240 170

Note: Includes only HCPCS codes labeled for COVID-19 services; amounts shown do not represent all pandemic-related health spending.

This article’s information comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The source data is available here.



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