Marysville’s Medicaid spending on services billed under COVID-19–specific HCPCS codes was no less than $5,869 in 2024, based on the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a government insurance program managed by states and financed cooperatively by the federal and state governments. The program assists low-income individuals and families, the elderly, children, and those with disabilities, making it a central part of the U.S. health care system.
Since Medicaid relies on taxpayer funding, local billing trends demonstrate how public health care resources are distributed in each area.
This analysis defined COVID-19–specific services as those billed using HCPCS codes marked or annotated as “COVID-19” or “coronavirus”-related in official billing records or reference materials. Therefore, only directly identified COVID-related services in claims data are included, while broader pandemic care using other codes is not reflected in these figures.
By comparison, San Jose saw the highest Medicaid payments linked to COVID-19 services in California for 2024, totaling $5,601,479 for virus-tied claims.
Available records show Rideout Memorial Hospital was the only provider in Marysville to submit Medicaid claims for COVID-19–related services throughout 2024.
Across all other categories, total Medicaid spending rose by $15,883,910 from 2020 through 2024, an increase of 115%.
According to the Centers for Medicare & Medicaid Services, combined Medicaid outlays from federal and state levels reached about $871.7 billion in the 2023 fiscal year, comprising nearly 18% of national health spending. This was a significant rise from the pre-pandemic level of $613.5 billion in 2019.
This roughly 40% increase was driven mainly by larger enrollment and greater use of Medicaid during and beyond the pandemic’s initial phase.
Major federal budget actions during the Trump administration have featured notable initiatives to reduce federal outlays to Medicaid and revise its structure. Notably, the “One Big Beautiful Bill Act,” enacted in 2025, is forecast to lower federal Medicaid funds by over $1 trillion in a decade and adds requirements such as work criteria and higher cost-sharing, potentially curbing enrollment and Medicaid resources for some recipients. These changes aim to place additional financial responsibility on states and could limit further expansion of federal Medicaid backing, as the program continues to cover tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $5,869 | -98.2% | $29,703,499 |
| 2023 | $321,613 | -71% | $30,010,128 |
| 2022 | $1,108,803 | 54.2% | $24,164,885 |
| 2021 | $719,221 | 167.7% | $20,173,939 |
| 2020 | $268,691 | N/A | $14,082,410 |
| 2019 | $0 | N/A | $20,442,527 |
| 2018 | $0 | N/A | $20,058,416 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $5,869 | 116 |
Note: Displayed HCPCS codes represent those designated for COVID-19 services specifically; figures do not encompass all health care spending related to the pandemic.
This report draws information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Full dataset is available here.

