In 2024, at least $4,198 in Medicaid payments for services explicitly tied to COVID-19 were reported in Farmington, based on figures from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid is a state-administered public health insurance program funded jointly by federal and state governments. It provides health coverage for low-income individuals and families, seniors, children, and people with disabilities, making it one of the largest components of the U.S. health system.
Given that Medicaid payments are derived from taxpayer funding, shifts in local billing amounts highlight how public health care resources are spent within communities.
For this review, COVID-19–related services were identified using HCPCS codes with billing descriptions or reference data marking them as “COVID-19” or “coronavirus”-associated. This means only those services directly labeled in billing data as COVID-related are included; other pandemic care that may have been billed using broader codes is not captured here.
To compare, in 2024, South Charleston reported the highest total of Medicaid payments related to COVID-19 services within West Virginia, amounting to $519,058 in virus-related claims.
Data indicates John Manchin Ii & John Manchin Iii served as the sole provider submitting Medicaid claims for COVID-19–related services in Farmington during 2024.
COVID-19–specific services composed a significant share of Medicaid spending growth in Farmington during the pandemic years.
On average, annual Medicaid payments in Farmington during the two years prior to the pandemic were $681,003.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenses totaled about $871.7 billion in fiscal year 2023. This accounted for roughly 18% of the country’s total health spending and was a significant jump from about $613.5 billion in 2019, before the COVID-19 pandemic.
This rise represents an estimated 40% increase over a few years, fueled primarily by broader enrollment and greater usage during and after the pandemic.
Recent federal budget measures during the Trump administration have included proposals to restrict federal Medicaid funding and reorganize the program. The “One Big Beautiful Bill Act,” signed in 2025, is expected to reduce federal Medicaid spending by more than $1 trillion over 10 years. It implements work requirements and increased cost-sharing, measures that may limit coverage for some enrollees and shift additional costs to state governments even as the program remains vital to tens of millions of Americans.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $4,198 | -8.9% | $586,201 |
| 2023 | $4,606 | -69.4% | $666,100 |
| 2022 | $15,072 | 297.5% | $722,655 |
| 2021 | $3,792 | N/A | $675,197 |
| 2020 | $0 | N/A | $884,685 |
| 2019 | $0 | N/A | $355,034 |
| 2018 | $0 | N/A | $1,006,971 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $4,198 | 148 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
This report used data from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Access the source data here.


