In Pecos, Medicaid payments totaled a minimum of $4,151 in 2024 for services associated with COVID-19, based on HCPCS codes, according to data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a public insurance program managed by states and financed through a partnership of federal and state funds. The program serves low-income residents, seniors, children and people with disabilities, making it one of the key elements of the U.S. health care system.
Because Medicaid is funded by taxpayers, fluctuations in local billing highlight how health care dollars from the public sector are distributed within a community.
For this analysis, COVID-19 services were isolated using HCPCS codes classified or identified as “COVID-19” or “coronavirus”-related in their billing or reference descriptions. Therefore, the totals only reflect services clearly labeled as COVID-related in claims data and exclude pandemic care that could be categorized under broader or differently coded services.
By comparison, Houston posted the highest COVID-19 Medicaid payment total in Texas for 2024, with $5,684,946 billed for virus-related services.
Records indicate Reeves County Hospital District was the only provider in Pecos to submit Medicaid claims for COVID-19–related services during 2024.
COVID-19–specific claims contributed noticeably to the rise in Medicaid spending in Pecos during the pandemic years.
Total Medicaid payments in all non-COVID-19 claim categories grew by $903,120 from 2020 to 2024, amounting to a 402% increase.
Average yearly Medicaid payments in Pecos reached $76,812 in the two years before the pandemic.
Centers for Medicare & Medicaid Services data shows combined spending from federal and state sources reached about $871.7 billion for Medicaid in the 2023 fiscal year. That is approximately 18% of national health spending, up from $613.5 billion in 2019, prior to the COVID-19 crisis.
This rise reflects nearly 40% growth over several years, mainly due to increased enrollment and usage during and after the pandemic period.
Recent federal legislation passed under the Trump administration included major plans to reduce federal support for Medicaid and alter the program’s structure. The “One Big Beautiful Bill Act,” signed into law in 2025, projects a reduction of more than $1 trillion in federal Medicaid funding over a decade, with policy changes like work requirements and greater cost-sharing that could decrease access and funding for certain groups. These changes are likely to shift financial responsibility to states and constrain federal contribution growth, although Medicaid continues to insure tens of millions of people nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $4,151 | -80.3% | $1,131,913 |
| 2023 | $21,120 | -17.8% | $1,742,629 |
| 2022 | $25,705 | -28.5% | $1,752,238 |
| 2021 | $35,968 | 1,801.9% | $1,463,770 |
| 2020 | $1,891 | N/A | $226,534 |
| 2019 | $0 | N/A | $74,174 |
| 2018 | $0 | N/A | $79,450 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $4,151 | 103 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
This article is based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. View the source data here.




