Grafton Medicaid claims for COVID-19 services reached $33,162 in 2024

At least $33,162 in Medicaid payments were made in Grafton in 2024 for services billed under HCPCS codes linked to COVID-19, data from the U.S. Department of Health and Human Services Medicaid Provider Spending database shows.

Medicaid, funded jointly by federal and state governments and administered by the states, provides health insurance for eligible low-income residents, seniors, children, and individuals with disabilities. It is one of the largest sources of health coverage in the United States.

Because taxpayer dollars finance Medicaid, changes in the volume of local billing provide insight into how health care spending is distributed in each community.

This review considered only those services classified as COVID-19 or “coronavirus”-related in HCPCS billing descriptions or in reference data. Therefore, the analysis covers exclusively claims specifically marked as COVID-related and does not include pandemic health care billed under broader or alternative codes.

South Charleston reported the highest Medicaid payments related to COVID-19 care in West Virginia for 2024, totaling $519,058 in such claims.

In Grafton, two health care providers billed Medicaid for COVID-19–related services during 2024. Of these, COVID Specific was the most billed code, responsible for $30,871 in claims.

The average per-provider Medicaid payment for COVID-19–related care in Grafton stood at $16,581, below the state average of $17,141.

For additional context, average annual Medicaid payments in Grafton for the two years prior to the pandemic were $2,072,645.

According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures totaled about $871.7 billion in fiscal year 2023, representing approximately 18% of all national health spending—an increase from around $613.5 billion in 2019, before the onset of the COVID-19 pandemic.

This increase of roughly 40% in just a few years is attributed to increased enrollment and higher service use during and following the pandemic.

Recent federal budget measures enacted under the Trump administration have introduced major proposals to reduce federal Medicaid funding and reform the program. The “One Big Beautiful Bill Act,” signed into law in 2025, is forecast to reduce federal Medicaid spending by more than $1 trillion over the decade and bring in changes such as work requirements and greater cost sharing, which could affect coverage and funding for some Medicaid participants. These policy changes will likely push more costs onto states and curtail the growth rate of federal support, even as Medicaid remains critical to millions of Americans.

Note: Totals reflect only HCPCS codes explicitly labeled for COVID-19 services and do not represent all spending related to the pandemic.

This article sourced information from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying data can be found here.