Apopka Medicaid COVID-19 payments reach $14,445 in 2024

Dr. Mehmet Oz CMS Administrator
Dr. Mehmet Oz CMS Administrator
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Data from the U.S. Department of Health and Human Services Medicaid Provider Spending database show that Medicaid disbursed at least $14,445 in Apopka in 2024 for claims with HCPCS codes specifically tied to COVID-19 services.

Medicaid operates as a state-administered, federally and state-funded health insurance program. It serves low-income families and individuals, seniors, children, and people with disabilities, making it a major part of the U.S. health care landscape. More details are available from the Commonwealth Fund.

Since Medicaid finances come from taxpayers, local fluctuations in billing reveal how community health care resources are distributed.

This analysis identifies COVID-19–related services by HCPCS codes marked as “COVID-19” or “coronavirus” in billing descriptions or reference files. Thus, only services directly billed under these codes are included, while other pandemic-related care billed under broader descriptions is not reflected in these totals.

By comparison, Miami led Florida for Medicaid payments linked to COVID-19 services in 2024, with $270,279 in related claims.

In Apopka, two providers submitted Medicaid claims for COVID-19–related services in 2024. The most frequently used code was COVID Specific, representing $11,687 in billings.

On average, each Apopka Medicaid provider billed $7,222 for COVID-19–related services, which is slightly under the Florida state average of $7,271.

Spending on COVID-19–specific services significantly contributed to increases in Apopka’s Medicaid expenditures during the pandemic years.

In the two years before the pandemic, Apopka saw average annual Medicaid payments of $1,831,284.

According to the Centers for Medicare & Medicaid Services, total federal and state Medicaid spending reached about $871.7 billion in fiscal year 2023, representing nearly 18% of the nation’s health spending. This is a significant jump from $613.5 billion in 2019, before the COVID-19 outbreak.

This marks an increase of around 40% over a few years, largely attributed to higher enrollment and utilization during and after the pandemic.

Recent federal budget measures enacted under the Trump administration proposed significant reductions in federal Medicaid funding and outlined program restructuring. For example, the “One Big Beautiful Bill Act,” signed in 2025, is estimated to reduce federal Medicaid spending by more than $1 trillion over the next decade. It introduces changes such as work requirements and increased cost-sharing, potentially reducing coverage for beneficiaries and shifting greater financial responsibility to the states, even as Medicaid continues to provide coverage to tens of millions of Americans.

Medicaid Payments in Apopka Over 7 Years
Year COVID-19–Related Payments COVID-19 Payments % Change (YoY) Total Medicaid Payments
2024 $14,445 -73.3% $2,742,176
2023 $54,034 -45% $3,059,407
2022 $98,163 148.5% $3,765,015
2021 $39,505 392.6% $3,796,036
2020 $8,020 N/A $4,587,190
2019 $0 N/A $3,594,239
2018 $0 N/A $68,329
Top COVID-19–Related HCPCS Codes in Apopka
HCPCS Code Description Medicaid Payments Claims
87635 COVID Specific $11,687 424
87811 Immunoassay $2,757 108

Note: Includes HCPCS codes specifically labeled for COVID-19 services; figures exclude pandemic-related health care services billed under other codes.

Details in this article are drawn from the U.S. Department of Health and Human Services Medicaid Provider Spending database, accessible here.



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