Kilmarnock Medicaid expenditures reached no less than $54,525 in 2024 for services billed using HCPCS codes reserved for COVID-19, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. This total marked an increase of 15.5% over 2023, when $47,200 in claims were submitted under these specific codes.
Medicaid, the government health program operated by states and funded in partnership by federal and state governments, provides coverage for low-income residents, seniors, children, and people with disabilities, ranking as one of the largest health coverage programs in the United States.
Since Medicaid funding is public, variations in local billing activity indicate how community health spending is distributed.
Services for this review were included if their HCPCS codes were described or classified as “COVID-19” or “coronavirus”-related in billing language or data references. Accordingly, the numbers encompass only care specifically identified as COVID-related in those records and may exclude pandemic care billed under different medical codes.
Elsewhere in Virginia, Richmond saw the highest Medicaid payments related to COVID-19 care in 2024, with claims totaling $775,923.
The only provider in Kilmarnock submitting COVID-19–related Medicaid claims in 2024 was Chesapeake Hospital LLC, according to available records.
Looking at all Medicaid billing categories besides COVID-19, total payments went up by $1,628,273 from 2020 to 2024, representing a 207% rise.
Between 2020 and 2024, Medicaid payments through COVID-19–specific HCPCS codes jumped by $52,316, or 2,368.5%, signaling continued usage of these services even following the declared pandemic emergency.
Centers for Medicare & Medicaid Services figures show federal and state Medicaid spending totaling about $871.7 billion for fiscal 2023, roughly 18% of overall U.S. health spending—a significant rise from about $613.5 billion in 2019, before the COVID-19 pandemic.
That increase constitutes about 40% growth within the span of a few years, largely attributed to higher enrollment and greater usage during and after the pandemic.
Recent Congress-approved budget laws during the Trump presidency include major efforts to cut federal Medicaid support and alter the program significantly. The “One Big Beautiful Bill Act,” enacted in 2025, is anticipated to trim over $1 trillion from federal Medicaid funding for the next decade, introducing elements such as work requirements and increased cost-sharing that could limit certain beneficiaries’ access and support. These provisions are likely to increase states’ financial responsibility for Medicaid and restrict federal contribution growth, even as the program continues its large-scale reach.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $54,525 | 15.5% | $2,469,410 |
| 2023 | $47,200 | 33.7% | $2,251,217 |
| 2022 | $35,299 | 355.9% | $1,661,613 |
| 2021 | $7,743 | 250.6% | $919,534 |
| 2020 | $2,209 | N/A | $788,820 |
| 2019 | $0 | N/A | $1,411,997 |
| 2018 | $0 | N/A | $632,546 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $54,525 | 419 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
This report relies on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The original dataset is available here.


