Clarksburg Medicaid COVID-19 claims reach $6,207 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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In 2024, Medicaid payments associated with COVID-19 totaled at least $6,207 in Clarksburg, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.

Medicaid serves as a state-administered health insurance plan, jointly funded by federal and state governments. It provides coverage for low-income families and individuals, children, seniors, and people with disabilities, making it a major component of the U.S. health care system. More details on how Medicaid is financed can be found at this Commonwealth Fund explainer.

Because Medicaid is taxpayer-funded, fluctuations in billing at the community level illustrate how health care dollars are distributed locally.

COVID-19–specific Medicaid billing was identified using HCPCS codes marked or described as related to “COVID-19” or “coronavirus” in official billing records or reference sources. Thus, only services clearly designated as COVID-19–related are included, with other pandemic-related care potentially billed under wider or alternative codes left out of these totals.

Rockville posted the highest amount of COVID-19–tied Medicaid payments in Maryland during 2024, totaling $430,231 in claim value for those services.

Records indicate Clarksburg Urgent Care LLC was the sole provider in Clarksburg submitting Medicaid claims for COVID-19 service codes in 2024.

COVID-19 service billing contributed significantly to the increase in Medicaid reimbursements during the pandemic years for Clarksburg.

Total Medicaid spending for all other claim types rose by $354,337 from 2020 to 2024, a 102.9% escalation.

Average annual Medicaid reimbursements in Clarksburg in the two years directly before the pandemic came to $5,856.

According to the Centers for Medicare & Medicaid Services, Medicaid spending from both federal and state sources reached roughly $871.7 billion in fiscal year 2023, making up about 18% of total U.S. health spending, up from around $613.5 billion in 2019, before the onset of COVID-19.

This roughly 40% rise over a few years is largely attributed to greater enrollment and service use during and following the pandemic era.

Federal budget measures under the Trump administration have outlined major cuts to federal Medicaid funding and introduced plans to change how the program operates. One example is the “One Big Beautiful Bill Act,” which became law in 2025 and is set to reduce federal Medicaid expenditures by more than $1 trillion over 10 years. The act adds work requirements and higher cost-sharing, changes that may lower the number of beneficiaries and federal payments while shifting financial responsibility to states, even as Medicaid continues to provide for millions of Americans.

Medicaid Payments in Clarksburg Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $6,207 -19.6% $704,753
2023 $7,722 -66.9% $2,161,090
2022 $23,323 -20.3% $1,838,952
2021 $29,260 2,658.4% $608,803
2020 $1,061 N/A $345,269
2019 $0 N/A $8,965
2018 $0 N/A $2,747
Top COVID-19–Related HCPCS Codes in Clarksburg
HCPCS Code Description Medicaid Payments Claims
87811 Immunoassay $6,207 197

Note: Data include only HCPCS codes clearly categorized as COVID-19 services and do not reflect the full cost of pandemic-related medical care.

Source information was gathered from the U.S. Department of Health and Human Services Medicaid Provider Spending database, available here.



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