In Aledo, Medicaid disbursements for services billed under HCPCS codes specifically associated with COVID-19 totaled no less than $38,738 in 2024, according to records from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a government-administered public health insurance program, is funded through a partnership between federal and state governments. It provides coverage for low-income groups, seniors, children and people with disabilities, making it a key part of the U.S. health care landscape.
Because Medicaid dollars are sourced from taxpayers, local changes in how claims are billed reveal how a community spends public health funds.
COVID-19–related services in this report were defined using HCPCS codes flagged or described as “COVID-19” or “coronavirus”-related in their billing notes or reference datasets. Consequently, these figures only count services directly designated as COVID-related under those codes, and do not account for pandemic services billed under broader categories.
For further context, Houston saw the highest Medicaid total for virus-related care in Texas in 2024, with $5,684,946 in claims classified as COVID-19.
Records indicate Cook Children’s Medical Center was the sole provider to file Medicaid claims for COVID-19–related services in Aledo during 2024.
During the pandemic, there was a substantial contribution from COVID-specific services to overall Medicaid spending growth in the city.
Medicaid disbursements for all other categories increased by $720,989 between 2020 and 2024, marking a 92% rise.
In the two years preceding the pandemic, Aledo’s average annual Medicaid payments were $634,999.
Data from the Centers for Medicare & Medicaid Services shows federal and state Medicaid spending combined rose to about $871.7 billion in fiscal year 2023, making up roughly 18% of U.S. health expenditure. This is up from an estimated $613.5 billion in 2019, the year prior to the COVID-19 pandemic.
This growth represents an approximate 40% increase within just a few years, fueled largely by expanded enrollment and increased usage throughout and after the pandemic.
Recent federal budget measures approved under the Trump administration have proposed significant cutbacks in federal Medicaid funding while restructuring the program. For example, the “One Big Beautiful Bill Act,” passed in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over a decade and implements changes such as work requirements and greater cost sharing, dropping coverage and resources for some enrollees. These adjustments aim to shift more financial responsibility to states and restrict the expansion of federal aid, though Medicaid continues to support tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $38,738 | -60.3% | $1,543,058 |
| 2023 | $97,466 | -38.2% | $1,758,728 |
| 2022 | $157,587 | 24% | $1,775,238 |
| 2021 | $127,100 | 1,273.7% | $1,306,765 |
| 2020 | $9,252 | N/A | $792,583 |
| 2019 | $0 | N/A | $677,849 |
| 2018 | $0 | N/A | $592,148 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $38,738 | 799 |
Note: Totals represent only HCPCS codes distinctly labeled for COVID-19 services and not all spending due to the pandemic.
Source material for this article came from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Full datasets can be accessed here.







